Assisting With Urinary & Bowel Elimination, C25; WB, P-LQ Flashcards
Week/Module 5
Females who can’t get out of bed use a _______ for urination & bowel movements.
bedpan
Males who can’t get out of bed use a ________ for bowel movements & ________ to urinate.
bedpan, urinal
An ijured/disabled P/R would use a ________ Pan for pooping & peeing.
Fracture
Urinalysis
urine examination under microscope & by chemicals
Midstream/Clean Catch Urine Specimen prevents . . .
. . . urine contamination by bacteria that normally live in/around urethra.
Midstream/Clean Catch Urine Specimen prevents urine contamination by ________ that normally live in/around urethra.
bacteria
When assisting with specimen collection, ensure that specimen container is properly labeled with the person’s n____ & r____ number.
name, room
Hematuria
blood in urine
Urine with blood in it is called ____________.
Hematuria
Voiding, Micturition, & Urination (according to this class) mean . . .
. . . the same thing.
Norcturia
needing to pee at night
Dysuria
painful/difficult peeing
Anuria
voiding < 100mL within 24h
Polyuria/Diuresis
excessive urine output
Oliguria
voiding 100-400 mL over 24h
If a person uses a regular toilet, s/he’ll void into a specimen collection device (“C_________ H__”).
Commode Hat
Suprapubic Catheter
indwelling; inserted into bladder through surgical incision made in abdominal wall above pubic bone
Urinary Tract Infections in catheterized people are among the ______ common infection causes in health care settings.
most
Suprapubic Catheters are i___________ catheters.
indwelling
Straight Catheter
inserted & removed once urine is allowed to drain out
S__________ Catheter is inserted & removed once urine is allowed to drain out.
Straight
Indwelling Catheters are also called _________ or ____ Catheters.
Retention, Foley
Indwelling Catheter
left inside bladder via urethra to continuously drain urine
Indwelling Catheters are left inside bladder via ___________ to continuously drain urine.
urethra
Use a u______ c__________ on someone who’s unable to urinate using a toilet, bedpan, urinal, or bedside commode (due to disability/illness).
urinary catheter
HAI stands for . . .
. . . Healthcare-Associated Infection.
Healthcare-Associated Infection ___ common in people with urinary catheters.
are
Catheter
tubing placed into body to give/remove fluids
A _________ is tubing placed into body to give/remove fluids.
Catheter
Urinary Incontinence
inability to hold one’s urine; involuntary urine loss (from bladder)
Bladder infections ___ cause Urinary Incontinence.
can
Urinary Incontinence places a person at risk for s____ problems.
skin
Urinary Incontinence can be t___________ or p_____________.
temporary, permanent
Stress Incontinence
urine leaks from bladder when person coughs, sneezes, or exerts
Childbirth, obesity, and loss of muscle tone as a result of aging are all factors that can contribute to S________ I_________.
Stress Incontinence
Urge Incontinence
involuntary urine release right after feeling urge to void
Functional Incontinence
occurs in absence of physical or nervous system problems affecting urinary tract
Overflow Incontinence
occurs when bladder is too full of urine
Urinary Retention
bladder’s inability to empty either completely or at all during urination
A person with ________ Incontinence may “dribble” urine in between visits to the bathroom.
Overflow
Reflex/Neurogenic Incontinence
occurs when there’s damage to nerves that enable one to control urination; nerves don’t inform the person of a full bladder, so it empties automatically
C_____ Catheters can manage urinary incontinence in males.
Condom
Purewick System is a f______ e_______ urinary catheter.
female, external
P________ S__________ uses a soft wicking device that fits up against female vulva & is attached by tubing to suction device, which pulls urine away from person, collecting it in collection canister.
Purewick System
Chyme
partially digested food & fluid mixture
Peristalsis
wave-like muscular movements that move Chyme through intestines
Flatus
gas digestion byproduct
Deficate
pooping
Enema
fluid introduction into large intestine through anus to remove stool from rectum
A common cause of diarrhea is _________ or _____ infection.
bacterial, viral
Constipation
feces remains in intestines for too long
Constant “seeping” of liquid stool may be a sign of ________ _____________
Fecal Impaction
Fecal Impaction
occurs when constipation isn’t relieved
If a person is thought to have a Fecal Impaction, a D_____ E_________ is done.
Digital Examination
Regular ________ & foods with insoluble fiber help promote regular bowel movements.
exercise
Consuming too ______ dietary fiber & fluids is a risk factor for developing Constipation.
little
Offering the commode or bedpan at ______ scheduled intervals is a common method of bowel training.
regular
Diarrhea can dehydrate, especially _____ children & ______ adults.
young, older
Laxative
medication that chemically stimulates Peristalsis so that material inside intestines moves through faster
Laxative is a medication that _________ stimulates Peristalsis so that material inside intestines moves through faster.
chemically
Regular Laxative use isn’t safe because . . .
. . . they cause Chyme to pass through the intestines too quickly for nutrients/fluids to be absorbed, which can result in poor nutrition & dehydration.
Stool Softeners
help keep fluid in feces
Fecal/Bowel Incontinence
inability to hold one’s feces, or the involuntary loss of feces from bowel
Enemas are given with person on ___ side in _____ position.
left, Sims’
When a person is lying on left side in Sims’ position, the intestine is positioned to take the best advantage of _________. The solution will flow downward to clean a longer segment of bowel.
gravity
Soapsuds Enema
prepared using castile soap & water; administered using an Enema bag
Cleansing (Large-Volume) Enema
contain 500-1,000 mL solution; primarily used to remove feces from lower large intestine
Oil Retention Enema
contains mineral, olive, or cottonseed oil; oil lubricates inside of intestine & any stool present (making stool easier to pass/remove).
___ _________ Enemas are useful for helping to remove Fecal Impactions.
Oil Retention
Oil Retention Enemas are useful in removing _______ __________.
Fecal Impactions
Commercial (Small Volume) Enema
contains 70-130 mL solution that irritates the intestinal mucosa to promote Peristalsis
Rectal Suppository
small, wax-like cone/oval inserted into anus; wax-like substance dissolves at body temperature, stimulating Peristalsis or lubricating/softening stool
Ostomy
alternate way of removing feces from body
Stoma
artificial opening in abdominal wall for defecation
Ileostomy
Ileum attached to abdominal wall
Ileum
small intestine’s end
Because Chyme does not have the chance to travel through the large intestine (where water is reabsorbed), a person with an Ileostomy will have very _______ feces & the feces flow may be ___________.
liquidy, continuous
An Ileostomy is made if the entire ______ _______ is removed.
large intestine
A person with an ileostomy is quite prone to ___________ since the poops are very liquidy.
dehydration
Diverticulitis
inflammatory bowel disease
Skin around Ostomies must be kept ______ to prevent infection since skin around Ostomies contacts feces.
clean
If the Ostomy appliance is being changed while the person is in bed, the person should either sit _______ or lie ____.
upright, flat
A Colostomy is created if ____ of the large intestine is still present.
part
What factor often causes family members to seek long-term care facility placement for a relative?
Incontinence
