Urinary Elimination + Specimen Collection

Question 1

micturition

Answer 1

urinating

Question 2

voiding

Answer 2

urinating

Question 3

elimination

Answer 3

urinating

Question 4

5 things urine production is affected by

Answer 4

• age
• disease
• amount+type of fluid intake
• dietary
• medications

Question 5

the normal adult excretes how many mL’s of urine per day?

Answer 5

1500 mLs/day

Question 6

what is the minimum intake of fluid for adults in order to survive

Answer 6

1500 mLs/day

Question 7

healthy fluid intake for adults

Answer 7

2000-2500 mLs

Question 8

diuretic

Answer 8

causing increase in urine production

Question 9

high salt diet’s impact on urine production

Answer 9

decrease of urine production as salt causes body to retain water

Question 10

observations of normal urine

Answer 10

• pale, yellow, staw colour
• sweetish smell
• no pain when voiding

Question 11

what should a PSW note about client’s urine

Answer 11

• the colour
• the clarity
• the amount
• any particles

Question 12

dysuria

Answer 12

difficulty urinating

Question 13

hematuria

Answer 13

blood in urine

Question 14

nocturia

Answer 14

nightime urination

Question 15

oliguria

Answer 15

scant amount of urine

Question 16

polyuria

Answer 16

many or large amounts of urine

Question 17

urinary incontinence

Answer 17

inability to voluntarily control elimination

Question 18

stress incontinence

Answer 18

when someone leaks urine during exercise or certain movements ; anything that puts stress on body and intra-abdominal pressure

Question 19

urge incontinence

Answer 19

lose urine response to sudden urge to void ; common with UTI or enlarged prostate

Question 20

overflow incontinence

Answer 20

when you don’t recognize the bladder is full; leaking urine when bladder is too full; feeling as if bladder never empties

Question 21

functional incontinence

Answer 21

incontinence only because client cant functionally get to the bathroom in time; most preventable form of incontinence for PSW

Question 22

reflex incontinence

Answer 22

loss of urine at more predictable intervals when bladder is full; common for spinal cord injuries; catheters can be used

Question 23

urinary catheter

Answer 23

a tube that is inserted in the urethra

Question 24

urethra

Answer 24

opening of the bladder

Question 25

four types of catheters

Answer 25

- straight - in-dwelling/foley - suprapubic - condom catheter

Question 26

catheters require which kind of asepsis?

Answer 26

surgical asepsis

Question 27

straight catheter

Answer 27

tube inserted in urethra that drains bladder and is removed after one use

Question 28

in-dwelling/foley catheter

Answer 28

tube inserted through urethra into the bladder with a balloon that is inflated inside to prevent the catheter from slipping out

Question 29

suprapubic catheter

Answer 29

catheter that is surgically inserted through abdomen, above pubic bone, and into the bladder

Question 30

meatus

Answer 30

insertion point of catheter

Question 31

random urine specimen collection

Answer 31

collected for analysis; no special prep needed; anytime of day; maintain sterility of container

Question 32

Midstream/Culture&Sensitivity specimen collection

Answer 32

captured middle stream of urine; periarea is cleaned prior to specimen being taken; identifies any bacteria and appropriate antibiotics

Question 33

culture & sensitivity collection (C&S)

Answer 33

``` culture = type of bacteria sensitivity = antibiotics bacteria is sensitive to ```

Question 34

24 hour specimen collection

Answer 34

collect all specimen to be tested for 24 hours in order to have more accurate sense (urine or feces)

Question 35

occult blood specimen collection

Answer 35

testing blood you can't see with the naked eye

Question 36

cytology sputum specimen collection

Answer 36

examination of tissue samples ; scraping back of throat

Question 37

AFB sputum specimen collection

Answer 37

Acid-Fast Bacilli - testing for the bacteria that causes tuberculosis

Question 38

ova & parasites stool specimen collection

Answer 38

checking for parasites in the stool

Question 39

edema

Answer 39

swelling/fluid in the tissues

Question 40

what needs to be measured for intake

Answer 40

all fluid taken by mouth (coffee, juice, oatmeal, cereal, ice cream, jello, things that a liquid at room temperature), IV fluids, tube feeding

Question 41

what needs to be measured for output

Answer 41

- urine - vomitus/emesis - diarrhea - wound drainage

Question 42

30 ml in oz/ounces

Answer 42

1 oz

Question 43

how many mL in 1 cup?

Answer 43

250 mL

Question 44

How many ounces in 1 cup

Answer 44

8 oz

Question 45

How many mL in 1 quart

Answer 45

1000 mL

Question 46

how many ounces in 1 quart

Answer 46

32 oz

Question 47

fracture pan

Answer 47

thinner rim bedpan; used for clients with fragile bones, hip fracture, limited back motion

Question 48

commode

Answer 48

portable chair or wheelchair with an opening for a bedpan or container that allows normal positioning for elimination