Urinary Elimination Flashcards Preview

Nur 111 - Unit 4 Exam > Urinary Elimination > Flashcards

Flashcards in Urinary Elimination Deck (40):
1

secretion and excretion of body wastes from the kidneys

Urinary elimination

2

what is apart of the upper urinary tract?

kidneys and the ureters

3

what is apart of the lower urinary tract?

urinary bladder, urethra, and pelvic floor

4

the primary regulator of fluid and electrolytes and acid base balance

the kidney

5

the urine is formed here. the blood is filtered and the waste is then removed.

nephron

6

tiny capillaries that are surrounded by bowman's capsule that make up a nephron. This is the exact location of where the blood is filters.

Glomerlus

7

Most _____ occurs in the glomerulus. Blood pressure forces water, salt, glucose, amino acids, and urea into Bowman's capsule. Proteins and blood cells are too large to cross the membrane. The remain in the blood. The fluid that enters the renal tubules is called the ____.

filtration ; filtrate

8

As the filtrate flows through the renal tubule, most of the water and nutrients are _______ into the blood. The concentrated fluid that remains is called urine.

Reabsorption

9

water and electrolytes are mainly absorbed here

The proximal convoluted tubule

10

glucose is mainly absorbed here

The loop of henle

11

Tubular secretion takes place here, and where additional sodium and water will be reabsorbed back into the blood depending on two hormones. ADH and aldosterone.

Distal convoluted tubule

12

When fluid intake is low or there is an increase in the amount of solute in the blood the pituitary gland releases _____.

ADH

13

involuntary urination in children beyond the age of when voluntary control of the bladder is acquired.

Enuresis

14

when the bladder is over extended to empty the bladder completely

urinary retention

15

means no muscle tone or spastic with frequent involuntary urination.

neurogenic bladder

16

another word for urination

micturate

17

infants have immature kidneys and are unable to concentrate their urine and the older adults may lessen have the ability to hold their urine between their initial desire to void and getting to their bathroom or recognize that they have to use the bathroom. They are also more prone to incontinence due to chronic illnesses or other factors

Developmental lifespan considerations

18

there may be a cultural or gender norm that varies affecting the urinary practices of an individual. for example public restrooms may be private or very public. As well as social expectation (work and school can interfere with timely voiding). Depression can decrease the desire to void as well

Pyscho-social -cultural

19

Lifespan considerations such as diabetes those who have experienced a stroke, dementia, spinal cord injuries, males may have enlarged prostate glands. Diuretic medications and some drugs even change the color of urine.

Medical/pathological condition/surgical

20

what has the ability to inhibit the release of ADH

caffeine

21

List the factors affecting urinary elimination

developmental,
physcho-social-cultural,
medical/pathological/surgical,
diagnostic procedures,
nutrition and hydration,
activity and position,
muscle tone,
medications,
neuromuscular disease

22

sudden strong desire to void

urgency

23

voids at frequent intervals greater than 4 - 6 times a day

frequency

24

difficulty or painful urination

dysuria

25

any blood in the urine?

hematuria

26

awakening at night to void two or more times.

nocturia

27

voided less than 30 ml/hour or 500 ml/day

olyguria

28

an abnormally large volume of output on a regular hourly basis

polyguria

29

absent urine output of less than 100 ml/day

anuria

30

what is considered normal urine output in a day?

1200-1500 ml /day

31

what is considered normal urine color?

straw, amber, transparent

32

inability to usually continent person to reach toilet in time to avoid unintentional loss of urine.

functional urinary incontinence

33

involuntary loss of urine associated with overdistention of the bladder.

overflow urinary incontinence

34

involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached.

reflex urinary incontinence

35

sudden leakage of urine with activities that increase intra-abdominal pressure

stress urinary incontinence

36

involuntary passage of urine occurring soon after a strong sense of urgency to void.

urge urinary incontinence

37

at risk for involuntary loss of urine associated with sudden, strong sensation of urinary urgency

risk for urge urinary incontinence

38

What is the pathophysiology/etiology of urinary incontinence

women are more likely to exhibit short urethras
trauma to pelvic floor (multiple pregnancies)
menopause

39

acute or short term incontinence

transient

40

what are some incontinence interventions?

lifestyle changes
pelvic floor muscle training
bladder retraining
toileting schedules
intermittent catherization
skin care