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FUNDS EXAM 2 > CH 44 urinary elimination > Flashcards

CH 44 urinary elimination Flashcards

1
Q

Urinary elimination is a precise system of

A

filtration, reabsorption, and exertion

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2
Q

Urinary system, process help maintain

A

fluid and electrolyte balance while glittering and excreting water soluble wat=sted

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3
Q

The primary organs of the urinary elimination system are

A

the kidney

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4
Q

The nephrons perform most of the functions of

A

filtration and elimination

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5
Q

most adults produce

A

1,000-2,000 ml a day of urine

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6
Q

After filtration

A

the urine passes through the ureters into the bladder

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7
Q

the bladder

A

the storage reservoir for urine

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8
Q

urine passes from the bladder through the

A

urethra and exits the body

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9
Q

urinary diversions

A

are created to reroute urine and are temporary or permanent

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10
Q

Surgeons create urinary diversions for clients who

A

have bladder cancer or injury

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11
Q

Ureterostomy (lead conduit)

A

incontinet urinary diversion in which the surgeon attaches one or both ureters via a stoma to the abdominal wall

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12
Q

Nephrostomy

A

incontinent urinary diversion in which the surgeon attaches a tube from the renal pelvis via a stoma to the surface of the abdominal wall

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13
Q

kock pouch (content lead bladder conduit)

A

a continent urinary diversion in which the surgeon forms a reservoir from the ileum. The pouch is emptied by clean straight catheter every 2 - 3 hours.

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14
Q

neurobladder

A

a new bladder created by the surgeon using the ileum that attaches to the ureters and urethra. It asllows the client to maintain continence. The client learns to void by straing the abdominal muscles

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15
Q

Factors that affect urinary elimination

A

poor abdominal and pelvic muscle tone, acute and chronic disorders, spinal cord injury, age, pregnancy, diet, immobility, psychosocial factors, pain, surgical procedures, medications.

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16
Q

Children receive full bladder control by age

A

4 to 5 years

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17
Q

An enlarged prostate can obstruct

A

the bladder outlet which leads to retention and urgency

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18
Q

childbirth and gravity

A

weaken the pelvic floor

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19
Q

A growing fetus can compromises bladder space and

A

compress the bladderi

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20
Q

in pregnancy their is a 30 to 50 percent increase in circulatory volume which increases

A

renal workload and output

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21
Q

An increase in sodium leads to a

A

decrease in urination

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22
Q

Caffeine and alcohol lead to an

A

increase in urination

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23
Q

Phenazophyridine medication causes

A

orange or red urine color

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24
Q

Amitrityline medication causes

A

green or blue urine color

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25
Q

levodopa medication causes

A

dark urine color

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26
Q

riboflavin medication causes

A

bright yellow urine color

27
Q

Urinary tract infections risk factors

A

females-because of close location of urethral meatus and anus
indwelling urinary catheters

28
Q

UTI symptoms

A

urgency, frequency, fever, during

29
Q

older adult clients utilize symptoms

A

confusion, incontinence, falls, fatigue, anorexia

30
Q

Client edu for Otis

A

2,000-3000 ml water daily, complete Course of antibiotics, avoid tight fitting clothing’s,

31
Q

bladder scanner

A

non-invasive portable ultrasound scanner for measuring bladder volume and residual after urination

32
Q

xray

A

uses to determine size shape and position of kidneys ureters and bladder

33
Q

Intravenous pyelogram

A

injection of contrast media(iodine) for viewing ducts, renal pelvis, ureters, bladder, and urethra

34
Q

Contrast media(iodine) is not always contraindicated in clients who have

A

selfish allergy

35
Q

Renal scan

A

view of renal blood flow and anatomy of the kidneys without contrast

36
Q

Renal Ultrasound

A

View of gross renal structures and structural abnormalities using high frequency sound wavesCy

37
Q

Cystoscopy

A

use of lighted instrument to visualize treat and obtain specimens from the bladder and urethra

38
Q

urodynamic testing

A

test for bladder muscle function by filling the bladder with CO or 0.9% sodium chloride and comparing pressure reading with reported sensations

39
Q

Normal amount of urine appt an hour

A

30mL/ hr

40
Q

Less than 30 mL/ hour urine output for more than 2 hour

A

should be reported to the provider

41
Q

Urinalysis

A

random non-sterile specimens

42
Q

clean catch midstream for c&s

A

catch midstream

43
Q

Catheter urine specimen for c&s

A

obtain a sterile specimen from straight or indwelling catheter using surgical asepsis (sterile technique)

44
Q

Timed urine specimen

A

collect for 24 hours or duration prescribed, discard first void, urine in fridge

45
Q

Stress incontinence

A

Loss of small amounts of urine farm increased abdominal pressure without bladder muscle contraction. laughing, sneezing, or lifting. Weak pelvic floor muscle following childbirth or menopause.

46
Q

urge incontinence

A

inability to stop urine flow long enough to reach bathroom. bladder irritation, overactive bladder,

47
Q

overflow incontience

A

frequent loss of small amounts of urine due to urinary retention from bladder dissection obstruction etc

48
Q

reflex incontience

A

involuntary loss of moderate amount of urine usually without warning due to hyperflexia of detrusor muscle, usually from spinal cord injury

49
Q

Function incotinence

A

Loss of urine due to factors that interfere with responding to the need to urinate

50
Q

transient incontinence

A

reversible due to inflammation or irritation, temporary cognitive impairments

51
Q

Urinalysis and urine culture & sensitivity

A

to identify the present of uti showng rbs wbcs micro organisms

52
Q

Blood creatine and BUN

A

assess renal function

53
Q

ultrasound

A

detect bladder abnormalities or residual urine

54
Q

voiding cystourethrography

A

identifies the size, shape, support, and function of the urinary bladder, prostate obstruction

55
Q

urodynamic testing

A

cystourethroscopy and uroflowmetry

56
Q

Cystourethroscpy

A

visualizes the inside of the bladder

57
Q

Uroflowmetry

A

measure the rate and degree of bladder emptying

58
Q

Electromyography

A

measures the strength of pelvic muscle contractions

59
Q

bladder retraining programs

A

increases the bladders ability to hold urine

60
Q

urinary habit training

A

helps clients who have limited cognitive ability to establish a predictable pattern on bladder emptying

61
Q

intermittent urinary cauterization

A

periodic use to empty the bladder, urine output 400ml or less

62
Q

suprapubic catheter

A

inserted into abdomen above pubic bone and in the bladder

63
Q
A

FUNDS EXAM 2 (5 decks)

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