Chapter 25 Urinary needs

Question 1

Dysuria

Answer 1

Painful or difficult urination. Burning on urination

Question 2

Functional incontinence

Answer 2

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

Question 3

Hematuria

Answer 3

Blood in the urine

Question 4

Mixed incontinence

Answer 4

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

Question 5

Nocturia

Answer 5

Frequent urination at night

Question 6

Oliguria

Answer 6

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

Question 7

Over-flow incontinence

Answer 7

Small amounts of urine leak from full bladder

Question 8

Polyuria

Answer 8

Abnormally large amounts of urine

Question 9

Reflex incontinence

Answer 9

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

Question 10

Stress incontinence

Answer 10

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

Question 11

Transient incontinence

Answer 11

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

Question 12

Urge incontinence

Answer 12

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

Question 13

Urinary frequency

Answer 13

Voiding at frequent intervals

Question 14

Urinary incontinence UI

Answer 14

The involuntary loss or leakage of urine

Question 15

Urinary retention

Answer 15

Not being able to completely empty the bladder

Question 16

Urinary urgency

Answer 16

The need to void AT ONCE

Question 17

How much urine a healthy adult produces a day

Answer 17

1500 mL

Question 18

Seven factors that affect urine production

Answer 18

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

Question 19

When assisting with urination, you need to observe for:

Answer 19

• dysuria
• hematuria
• oliguria
• polyuria
• urinary retention

Question 20

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

Answer 20

Bedpans
urinals
commodes

Question 21

Bedpans are used for:

Answer 21

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

Men:
- BM

Question 22

Standard bedpan

Answer 22

Wide rim at the back goes under the buttocks

Question 23

Fracture pan

Answer 23

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

Question 24

Urinals are used for

Answer 24

voiding

Question 25

Plastic urinals are designed for

Answer 25

Men are common

Question 26

Men use urinals when:

Answer 26

Standing sitting lying in bed

Question 27

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

Answer 27

- 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

Question 28

Why do you need to empty the urinals promptly

Answer 28

To prevent odors and the spread of microbes

Question 29

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

Answer 29

Commode

Question 30

How to transfer person to the commode

Answer 30

Use transfer belt

Question 31

The goals of managing UI are to

Answer 31

Prevent UIT restore as much bladder function as possible

Question 32

What are incontinence products?

Answer 32

Adult diapers

Question 33

Bladder control promotes

Answer 33

comfort quality of life increase self-esteem

Question 34

Pelvic floor muscle exercises

Answer 34

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

Question 35

Bladder re-training

Answer 35

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

Question 36

Scheduled (timed) voiding

Answer 36

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

Question 37

Prompted voiding

Answer 37

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