Chp 34- Urinary Elimination & Altered Urinary Fx

Question 1

Most important factor of urinary output

Answer 1

Person’s fluid intake will determine their output

Question 2

Loss of body (general) fluid means urinary elimination will be increased or decreased?

Answer 2

Decreased; look for S&S of hypovolemia

Question 3

Alcohol suppresses ADH. T or F

Answer 3

True

Question 4

What is necessary to be continent/ make it bathroom successfully cognition wise?

Answer 4

A&O

Question 5

Does body position effect urinary elimination? Y or N

Answer 5

Yes; patients are typically laying down but men eliminate standing while women eliminate sitting

Question 6

Patient Education for UTI

Answer 6

Wipe properly front to back
Avoid urinary retention

Question 7

S&S of UTI Include

Answer 7

dysuria
hematuria
abdominal pain
urinary frequency
burning

Question 8

Low BP can result in decreased urine ouput. WHy?

Answer 8

Loss of fluids/blood can lead to low BP.. meaning low perfusion to organs and kidney has no perfusion of blood, 02, nutrients to function correctly

Question 9

How much urine do u need to produce per hour?

Answer 9

At least 30 ccs

Question 10

Spinal Cord Injuries can result in _____ due to affected messaging/signaling from the brain

Answer 10

Urinary incontinence
Urinary retention

Question 11

Treatment for incontinence

Answer 11

Suprapubic catheter placement; reduces risk for infection

Question 12

Treatment for retention

Answer 12

Self catheterize

Question 13

What should nurse monitor after catheter removal?

Answer 13

That pt has void within 8 hrs post catheter removal

Question 14

a PERMANENT surgical procedure that creates an opening in the abdomen to allow urine to exit the body

Answer 14

Urostomy

Question 15

a medical emergency that occurs when the kidneys stop producing urine, or when urine output is less than 100mLs or 500 ccs in a day

Answer 15

Anuria

Question 16

excessive urination; when body produces more than 2,500 to 3,000 mL or CCs in 24 hours

Answer 16

Polyuria

Question 17

Low urine output; less than 500 mL / ccs of urine in 24 hours

Answer 17

oliguria

Question 18

Painful voiding

Answer 18

Dysuria

Question 19

blood in urine

Answer 19

hematuria

Question 20

involuntary voiding, With no underlying pathological cause, that occurs in children and adults who are old enough to have bladder control

Answer 20

enuresis
at bedtime, its is bedwetting

Question 21

Urinary retention primarily seen in

Answer 21

post op pts
spinal injurys
older adults

Question 22

a condition where the bladder is unable to empty completely, causing urine to build up and eventually leak out uncontrollably

Answer 22

urinary retention w/ overflow

Question 23

Triggers for urinary incontinence

Answer 23

Stress
Laughing
Urge

Question 24

a type of urinary incontinence that occurs when the bladder contracts without warning or the urge to urinate.

Answer 24

reflex urinary incontinence

Question 25

you can’t get to or use a toilet in time to urinate in a normally continent person

Answer 25

functional urinary incontinence

Question 26

a condition where you are unable to control your bladder and leak urine continuously.

Answer 26

total urinary incontinence