Study Guide for Fundamentals of Nursing E-Book: Urinary Elimination Flashcards


Set Details Share
created 8 years ago by Boosh_75
966 views
updated 8 years ago by Boosh_75
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

What is the functional unit of the kidney that forms the urine?

Nephron

2

__________ is the presence of large amounts of protein in the urine.

Proteinuria

3

What functions within the bone marrow to stimulate red blood cell production?

Erythropoietin

4

What enzyme converts angiotensinogen into angiotensin I?

Renin

5

What is a reflux of urine from the bladder into the ureters?

Micturition

6

What is another name for kidney stones?

Renal calculus

7

What is the involuntary loss of urinary control

Reflex incontinence

8

1. Pathophysiological conditions
2. Sociocultural factors
3. Psychological factors
4. Fluid balance
5. Surgical and diagnostic procedures

Factors that influence urination

9

What is a surgical formation (temporary or permanent) that bypasses the bladder and has a stoma on the abdomen to drain the urine?

Urinary diversion

10

What is an accumulation of urine resulting from an inability of the bladder to empty properly?

Urinary retention

11

What can happen as a result of a catheteriztion or surgical manipulation with Escherichia coli being the most common pathogen?

Hospital-acquired UTI

12

1. Dysuria
2. Fever
3. Chills
4. Nausea
5. Vomiting and malaise
6. Cystitis
7. Hematuria
8. WBCs or bacteria in the urine

Signs or symptoms of UTI

13

What occurs when intraabdominal pressure exceeds urethral resistance?

Stress incontinence

14

What is a sudden, involuntary contraction of the muscles of the urinary bladder resulting in the urge to urinate?

Urge incontinence

15

For a/an _______________, ureters are implanted into the isolated segment of the ileum and used as a conduit for continuous draining. The patient wears a stomal pouch continuously.

Ileal conduit

16

For a/an _______________, a tube is placed directly into the renal pelvis to drain urine directly from one or both of the kidneys.

Nephrostomy

17

1. Pattern of urination
2. Symptoms of urinary alteration
3. Factors affecting urination

Factors to be explored during a nursing history in regards to urinary elimination

18

What is the feeling of the need to void immediately?

Urgency

19

What is painful or difficult urination?

Dysuria

20

The ____________ of urination increases with increased fluid intake, pregnancy, and diuretics.

Frequency

21

Urinary ____________ can be caused by prostate enlargement, anxiety, or urethral edema.

Hesitancy

22

____________ is large amounts of urine being voided.

Polyuria

23

______________ is diminished urinary output relative to intake.

Oliguria

24

_____________ is nighttime voiding often caused by coffee or alcohol.

Nocturia

25

____________ may be caused by stress incontinence.

Dribbling

26

_____________ is caused by the loss of pelvic muscle tone, fecal impaction, or overactive bladder.

Incontinence

27

_____________ is blood in the urine.

Hematuria

28

______________ is an accumulation of urine in the bladder with the inability to empty fully.

Retention

29

_____________ is greater than 100 mL of urine remaining after voiding.

Residual urine

30

1. Skin
2. Mucosal membranes
3. Kidneys
4. Bladder
5. Urethral meatus

Structures assessed during nursing urinary examination

31

1. Pale
2. Straw-colored
3. Amber-colored

Range of urine color

32

The __________ of urine changes from being transparent after voiding to becoming more cloudy on standing in a container.

Clarity

33

Urine has a characteristic odor, the more _____________ the urine, the stronger the odor.

Concentrated

34

A ____________ urine specimen is collected during normal voiding from an indwelling catheter or urinary diversion collection bag and should be collected with a clean specimen cup.

Random

35

A ____________ urine specimen must be collected using clean technique by cleaning the labial and vulvular area in females front to back or by cleaing the tip of the penis prior to collecting the urine in midstream.

Clean-void

36

A ____________ urine specimen uses aseptic technique by inserting a sterile syringe hub into a sampling port on an indwelling catheter and transfering to a sterile container.

Sterile

37

A ___________ urine specimen has a patient void into a clean container for a specific time period.

Timed

38

What analyzes urine for pH, protein, glucose, ketones, blood, specific gravity, RBCs, WBCs, bacteria, and crystals.

Urinalysis

39

What is the weight or degree of concentration of a substance compared with an equal volume of water?

Specific gravity

40

A urine ___________ is performed on a sterile or clean voided sample of urine and can report bacterial growth in 24 to 48 hours.

Culture

41

A/an _____________ radiography determines the size, shape, symmetry, and location of the kidneys.

Abdominal

42

___________ views the collecting ducts and renal pelvis and outlines the ureters, bladder, and urethra. A special intravenous injection that converts to a dye in urine is injected intravenously.

IVP

43

A ____________ obtains detailed images of structures within a selected plane of the body. The computer reconstructs cross-sectional images and thus allows the health care provider to view pathologic conditions such as tumors ad obstructions.

CT scan

44

Renal and bladder _____________ identifies gross renal and bladder structures and structural abnormalities in using high frequency, inaudible sound waves.

Ultrasonography

45

______________ is used for direct visualization, specimen collection, or treatment of the interior of the bladder or urethra.

Endoscopy.

46

____________ visualizes the renal arteries and their branches to detect narrowing or obstruction.

Angiography

47

_____________ determines bladder muscle function and is indicated to evaluate causes of urinary incontinence.

Urodynamic testing

48

1. Disturbed body image
2. Urinary incontinence (Functional, stress, urge)
3. Pain (Acute, chronic)
4. Risk for infection
5. Self-care deficit, toileting
6. Impaired urinary elimination
7. Urinary retention
8. Social isolation

Potential or actual nursing diagnoses related to urination elimination

49

1. Patient will void within 8 hours
2. Urinary output of 300 mL or greater will occur with each voiding
3. Patient's bladder is not distended to palpation

Goals appropriate for a patient with urination elimination problems

50

1. Normal positioning
2. Running water
3. Stroking the inner aspect of the thigh
4. Warm water over the patient's perineum

Techniques that may be used to stimulate the micturation reflex

51

1. Clothing modifications
2. Environmental alterations
3. Scheduled toileting
4. Absorbent products

Interventions for functional incontinence

52

1. Pelvic floor exercises (Kegel)
2. Surgical interventions
3. Biofeedback
4. Electrical stimulation
5. Absorbent products

Interventions for stress incontinence

53

1. Antimuscarinic agents
2. Behavioral interventions
3. Biofeedback
4. Bladder retraining
5. Pelvic floor exercises
6. Lifestyle changes (smoking cessation, weight loss, fluid modifications)
7. Absorbent products

Interventions for urge incontinence

54

A/an ______________ catheter is used to for the relief of discomfort of bladder distention and provision of decompression.

Intermittent

55

A/an _________________ catheter is used when there is an obstruction to urine flow, after surgical repair of the bladder, urethra, and surrounding structures.

Short-term indwelling

56

A/an _________________ catheter is used for severe recurrent urinary retention episodes of UTI.

Long-term indwelling

57

How many times a day should a nurse perform personal hygiene on a patient with an indwelling catheter?

3

58

Catheter care requires special care 3 times a day and after ____________.

Defecation

59

How much fluid should be taken in by a patient per day if permitted?

2000-2500 mL

60

To maintain the patency of an indwelling catheter it may be necessary to irrigate or flush with sterile ___________.`

Saline

61

What kind of catheter is surgically placed through the abdominal wall above the symphysis pubis and into the urinary bladder?

Suprapubic

62

What kind of catheter is used for incontinent or comatosed men who still have complete and spontaneous bladder emptying?

Condom

63

What kind of exercise consists of repetitive contractions of muscle groups and are effective in treating stress incontinence, overactive bladder, and mixed caused of urinary incontinence?

PFEs (Pelvic floor exercises)

64

What is used to reduce the voiding frequency and to increase the bladder capacity, specifically for patients with urge incontinence related to overactive bladder?

Bladder retraining

65

_________ training benefits patients with functional incontinence by improving voluntary control over urination.

Habit