Chapter 51 Flashcards
Why might a stone be analyzed in a laboratory
Determine chemical makeup
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Inspect _ with a tongue blade for presence of _ by pressing them against gauze when using a strainer made of wire?
- Blood clots 2. Stones
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The color, that bile is missing, often a sign of gallbladder disease in the colon?
Gray or Clay colored stool
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Consist of end products of metabolism and digestion of foods?
Solid waste products of digestion
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Daily _ includes noting characteristics of clients stool and changes or difficulties that the client reports?
Data gathering
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Gastrointestinal disorders may occur because of changes in _?
Bowel elimination
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Identification of _ is necessary to determine correct treatment and prevent future stone formation?
Stone composition
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What would need to be treated in order to determine how to handle calculi?
Bleeding
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What three things will you need to report when finding a stone?
Size,number,and appearance
If a patient has a obstruction in the urinary tract this interferes with complete bladder emptying, the client might experience _ when voiding?
Dribbling of urine/ due to retention over flow
Abnormal urine and feces may indicate?
Bodily dysfunction (illness)
Urine is excreted from the?
Kidneys into the bladder and out the urethra
How much urine every 24/hrs does an adult excrete?
500- 2400mL
(1 mL of urine per kilogram of body weight per 1 hour)
Urine and feces are the waste products of ?
Urinary and digestive systems
Bacteria, blood, mucous shreds, or pus can cause urine to be?
Cloudy
Dehydration results in urine that is?
Dark amber/ orange- brown
Excretion of feces?
Defecation
Abnormal components in urine suggest?
Dysfunction or disease
When the body freely perspires due to hot weather, exercise, or fever the urine volume _?
Decreases
Most body fluids are slightly?
Alkaline
Relates to a persons size, bladder condition, hydration level, and other fluid gains or loses?
Total output
Normal urine has a _ of 1.010 - 1.025?
Specific gravity
Specific gravity of pure water is?
1.000
The adult voids _ to _ at a time?
250mL to 400mL
A strong offensive odor after a fresh void could suggest an abnormality such as?
(UTI) urinary tract infection
Deficiency in body fluids leads to?
Dehydration
When a stone becomes lodged in a ureter the client experiences penetrating pain that is severe in the _ and also called _?
- Lower back 2. Renal colic
Water and juices are best. Why should caffeinated drinks be avoided with a (UTI) urinary tract infection?
Irritates the bladder
Report any symptoms of cloudy urine encourage the client to drink. How much fluids each day?
2-3L
What expands the bladder until urine flows out due to increased pressure?
Retention overflow
Complaint of urgency, frequency, dysuria, chills, abdominal discomfort, and flank pain is signs of?
(UTI) urinary tract infection
This typically follows after abdominal surgery, anesthesia, or short period after removal of an indwelling catheter?
Temporary urine retention
(UTI) urinary tract infections are more common in women than men because the female urethra is _ and _ than a man’s?
- Shorter 2. Straighter
Urine is observed for?
Color, clarity, odor, and volume
Urine output is influenced by what normal processes?
Respiration
Perspiration
Salt intake
Fluid contained in feces
Vomiting
Bleeding
What type of urine has a strong odor?
Concentrated urine
What conditions may be caused due to obstruction in the urinary tract?
- Kidney stones
- Cancer
If ordered what is measured and documented every shift?
(I&O) Intake and Output
Kidney stones and cancer may be a result of _ in men?
Enlarged prostate gland
A _ may exist in the urinary tract impeding the flow of _ as it exits the _?
- Obstruction
- Urine
- Urinary bladder
A disease or disorder that contributes to retention?
- Diabetes
- Parkinson’s disease
- (UTI) urinary tract infection
A common cause of retention is _? What does it affect on the body?
- Trauma
- Spinal cord
Urine _ and emits a strong _ like odor when exposed to air for a time?
- Decomposes
- Ammonia
A pH below 7 is?
Acidic
What is an excess of bodily fluid collected in the tissues?
Edema
The urge to void is triggered when _ has collected in the bladder?
250mL of urine
The adult bladder can hold approximately _ when moderately full?
400mL - 500mL of urine
Fluid output should usually be equal to _?
Fluid intake
To maintain fluid balance each adult needs _ glasses of liquid daily?
6 to 8 glasses of 8oz.
Dilute urine is?
Nearly colorless
A pH of 7 is ?
Neutral
A pH above 7 is?
Alkaline
The desire or sensation of needing to void immediately?
Urgency
Painful or burning sensation when passing urine?
Dysuria
Involuntary voiding in bed ( bed wetting)?
Enuresis
Involuntary loss or inability to hold urine?
Incontinence
Freshly voided urine has a characteristic odor called _?
Aromatic
Passing urine from the body is called?
Urination
Micturition
Voiding
What is the body’s solid waste product?
Stool/ bowel movement
An increase in the expected amount of urine a person excretes over a period of time?
Polyuria
If the body retains water because of impaired circulation or kidney function it?
Forms and excretes less urine
What disorders cause urine to excrete more?
Diabetes mellitus
Diabetes insipidus
Normal urine is slightly acidic having a pH of?
4.5 - 6.5
What color is freshly voided urine?
Yellow or amber
The acidic condition of urine helps to control?
Bacterial growth
What can quickly measure pH, specific gravity, glucose, and ketones, presence of WBCs, blood, nitrites, protein, and urobilinogen?
Urine dip stick
Voiding more often than usual without increase or decrease in urine volume?
Urinary frequency
Frequent or repeated voiding during the night?
Nocturia
Decrease in urine a person secretes and excretes?
Oliguria
Absence of urine secreted by the kidneys?
Anuria
Inability to empty the bladder fully?
Urinary retention
The stopping or inhibition of urination?
Urinary suppression
Urine formed by the kidneys consists of?
- Excess water
- Carbon dioxide
- (Small) solid waste
- Abnormal substances filtered out of the blood
Due to the presence of bile normally feces are _ in color?
Yellowish brown
A change in color suggests a change in _ or _?
- (GI)gastrointestinal functioning
- Stool contents
Dark, black, or tarry stool’s usually indicate the presence of partially _ in the colon?
Digested blood
Indicating hemorrhage high in the GI tract or swallowed blood from a mouth, nose, or throat injury or disorder?
Melena
Bright red blood in or streaked on the outside of stool indicates _ or _ often from _?
- Rectal bleeding
- Anal bleeding
- Hemorrhoids
_ or _ stools indicate the abnormal presence of microorganisms, suggesting infection?
Yellow or Greenish
Normal stools are _ and _?
Soft and formed
_ is a result of hard, dry stools when the rectum has not been emptied as needed or excess liquid has been absorbed by the body?
Constipation
This may occur if a person routinely ignores the impulse to empty the rectum?
Chronic constipation
Constipation also results if the person has not taken enough fluids or has not had sufficient exercise to stimulate _?
Peristalsis
Morphine, narcotics, drugs to lower bladder motility or after surgery of immobility, anesthesia,surgical trauma, and drying agents, atropine may cause?
Constipation
The expulsion of loose watery unformed stools frequently also known as explosive?
Diarrhea
Continuing diarrhea suggests _, _, _, or a _?
1.chronic colon irritation
2. Intestinal infection
3. food poisoning
4. Parasitic infection
Diarrhea can also be a sign of?
Fecal impaction
Stools have the same shape as the bowels interior which is _, _, or _?
- Round
- Oval
- Cylindrical
Long, thin, pencillike stools suggest a narrowing of the rectum or anal opening which could be caused by a _, or _?
Mass or tumor
Stool that assumes the same irregular shape suggest a _ in the rectum or anus?
Abnormal growth
The gaseous discharge that occurs with or without a bowel movement can have a very strong odor?
Flatus
Floating stools are less dense and suggest what in the stool?
Undigested fats
Is the term used to identify stools with a high fat content?
Steatorrhea
If a stool _ may be an indication of gallbladder disease or cystic fibrosis?
Floats
The presence of _ or _ in stools might be signs of inflammation or infection in the GI system?
Pus or mucus
Food products and medication tablets that goes undigested may be due to?
GI malfunction
Hard and dry or putty like stool that after laxatives and enemas a client still cannot defecate is called?
Fecal impaction
Result of chronic bowel problems?
Immobility, paralysis, or dehydration