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CNA 101 > Chapter 25 Urinary needs > Flashcards

Chapter 25 Urinary needs Flashcards

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1
Q

Dysuria

A

Painful or difficult urination. Burning on urination

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2
Q

Functional incontinence

A

The person has bladder control BUT cannot use the toilet in time

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3
Q

Hematuria

A

Blood in the urine

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4
Q

Mixed incontinence

A

The combination of stress incontinence and urge incontinence
Many older women have this

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5
Q

Nocturia

A

Frequent urination at night

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6
Q

Oliguria

A

Scant amount of urine. Less than 500 mL in 24hrs

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7
Q

Over-flow incontinence

A

Small amounts of urine leak from full bladder

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8
Q

Polyuria

A

Abnormally large amounts of urine

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9
Q

Reflex incontinence

A

Urine is lost at predictable intervals when a specific amount of urine is in the bladder
Nervous system disorders and injuries are common causes

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10
Q

Stress incontinence

A

When urine leaks during exercise and certain movements that cause pressure on the bladder
Often called (dribbling), occurs when laughing, sneezing, coughing, lifting, etc

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11
Q

Transient incontinence

A

Temporary or occasional incontinence that is reversed when the cause is treated
Transient means - short time

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12
Q

Urge incontinence

A

The loss of urine in response to a sudden, urgent need to void, the person cannot get to the toilet in time

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13
Q

Urinary frequency

A

Voiding at frequent intervals

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14
Q

Urinary incontinence UI

A

The involuntary loss or leakage of urine

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15
Q

Urinary retention

A

Not being able to completely empty the bladder

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16
Q

Urinary urgency

A

The need to void AT ONCE

17
Q

How much urine a healthy adult produces a day

A

1500 mL

18
Q

Seven factors that affect urine production

A
  • age
  • disease
  • amount of fluid ingested
  • salt
  • body temp
  • perspiration (sweating)
  • drugs
19
Q

When assisting with urination, you need to observe for:

A
  • dysuria
  • hematuria
  • oliguria
  • polyuria
  • urinary retention
20
Q

If person is unable to use the toilet, what are other equipment used for voiding:

A

Bedpans
urinals
commodes

21
Q

Bedpans are used for:

A

When person cannot get out of bed.
Women:
- voiding and BM

Men:
- BM

22
Q

Standard bedpan

A

Wide rim at the back goes under the buttocks

23
Q

Fracture pan

A

Has a thin rim. 1/2inch. Smaller end goes under buttocks

persons with casts
person in traction
person with limited back motion
older people with osteoporosis
after surgery
hip fracture

24
Q

Urinals are used for

A

voiding

25
Q

Plastic urinals are designed for

A

Men are common

26
Q

Men use urinals when:

A

Standing
sitting
lying in bed

27
Q

To assist with urinals, you need this information from the nurse and care plan:

A
  • how the urinal is used (standing, sitting, lying in bed)
    -if help is needed to hold the urinal
  • if the man needs help standing
  • if you need to stay with the person - if the nurse needs to observe the urine
  • what to observe and record
28
Q

Why do you need to empty the urinals promptly

A

To prevent odors and the spread of microbes

29
Q

A _______ is a chair or wheelchair with an opening for a container

A

Commode

30
Q

How to transfer person to the commode

A

Use transfer belt

31
Q

The goals of managing UI are to

A

Prevent UIT
restore as much bladder function as possible

32
Q

What are incontinence products?

A

Adult diapers

33
Q

Bladder control promotes

A

comfort
quality of life
increase self-esteem

34
Q

Pelvic floor muscle exercises

A

Kegel exercises
The person is taught to contract pelvic muscles as if trying to stop a urine stream. muscles contract 3-5 sec.

35
Q

Bladder re-training

A

Bladder rehabilitation
The goal is to increase the time between the urge to void and voidin

36
Q

Scheduled (timed) voiding

A

Voiding is scheduled at regular times to match the person’s voiding habits
every 2 hrs is common

37
Q

Prompted voiding

A

The person learns to recognize the need to void and ask for help or void without help

CNA 101 (17 decks)

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