Chpt 24: Urinary Elimination Flashcards

1
Q

over-active bladder

A

aka incontinence

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2
Q

mixed incontinence

A

combination of stress incontinence and urge incontinence

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3
Q

over-flow incontinence

A

loss of small amounts of urine that leak from a bladder that is always full

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4
Q

functional incontinence

A

occurs when the person has bladder control but can’t use the toilet in time

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5
Q

urinary frequency

A

voiding at frequent intervals

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6
Q

stress incontinence

A

when urine leaks during exercise and certain movements that cause pressure on the bladder

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7
Q

uriniary urgerncy

A

need to void at once

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8
Q

urge incontinence

A

loss of urine in response to a sudden urgent need to void

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9
Q

reflex incontinence

A

loss of urine at predictable intervals when the bladder is full

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10
Q

oliguria

A

scant amount of urine, usually less than 500mL in 24hrs

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11
Q

transcient incontinence

A

temp. occasional incontinence thats reversed when the cause is treated

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12
Q

urinary retention

A

inability to void

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13
Q

what system removes solid wastes from the body

A

digestive system

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14
Q

what a health amount of urine

A

1500mL

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15
Q

what can you do if the person has difficulty starting the urine stream

A

run water

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16
Q

what food can make your pee bright yellow

A

carrots or sweet potatoes

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17
Q

what should be reported or recorded at once when caring for infant (reguarding the urinary system)

A

if the infant hasn’t had a wet diaper in several hours

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18
Q

when youre getting ready to give a person the bedpan, what should you do to the bed

A

raise the head of the bed slightly for the person’s comfort

19
Q

where are urinals typically placed

A

bed rails

20
Q

how do you help a man who’s unable to stand when he needs to use a urinal

A

place and hold the urinal for him

21
Q

when is a commode used

A

when the person needs to be in the normal position for elimination

22
Q

when you place a commode over the toilet what should you always do

A

lock the wheels

23
Q

when caring for an incontinent person who often wets right after you’ve changed them

A

talk to the nurse if youre becoming impatient

24
Q

when a person with dementia what measures may help keep the person clean and dry?

A

observe for signs that the person may need to void, such as pulling at the clothing

25
Q

what should you doc. when applying an incontinence product

A

date, time, and your initials on the new product

26
Q

whats to goal of bladder training

A

control of urination

27
Q

when you’re assisting the person with habit training to have normal elimination, when is voiding scheduled?

A

voiding is scheduled at regular times to match person’s voiding habits

28
Q

where you assist with bladder training for a person with an indwelling catheter what do you do

A

at first, clamp the catheter for 1 hour

29
Q

BM

A

bowel movement

30
Q

what substances increase urine production

A

cofee
tea
alcohol
some drugs

31
Q

fracture pans are used for….

A
w/ casts
in traction
limited back motion
after spinal cord injury
hip fracture
hip replacement/ surg.
osteoporosis/arhtritis
32
Q

a bariatric bedpan place with what end under the butt?

A

Small end

33
Q

what overservations are important when a person vids in a bedpan or urinal

A
wine color, clarity, color
amount
prescence of particle
hematuria
complaints
34
Q

what 3 complaints should you report

A

urgerncy, burning, dysuria

35
Q

when youre handling bedpans urinals and commodes and their contents you should follow

A

standard precautions

bloodborne pathogen standard

36
Q

when delegated to provide a urinal what guidelines should you follow

A
how its used sitting, standing eyc
help needed
if man needs support to stand
leave room/ stay with person
nurse needs to observe urine before disposal
observations 2 report and record
when 2 report observations
what patient/res. concerns to report @ once
37
Q

when you transfer a person to commode from bed, you must practice safe transfer procedures and use a ______ and ____ the wheels

A

transfer belt

lock the wheels

38
Q

whats the risk factors and causes of incontinence related to women,men,age,weight,smoking,diabetes

A

women pregnancy child birth, menopause
men-prostate probs
-age-bladder muscles lose strength, holds less urine
smoking- cough increases pressure on bladder, overactive
diabetes- nerve amage

39
Q

who are alcohol, bladder irritation, caffeine, constipation, increased fluid intake, urinary tract infection related to transcient incontinence

A

alcohol: stim. bladder, urge incontinence, increase urine production
bladder irritation cause by: some drinks/food
caffeine: increase urine production
constipation or fecal impaction: irritates nerves
urinary tract infection: irritates bladder, urge needed to void

40
Q

when you’re delegated to apply incontinence products you need this info from the nurse and care plan:

A
size
product
barrier cream needed? What cream
observe to report
when 2 report observations
res. concerns to report
41
Q

what observations should you report and record when you are delegated to aply incontincence products

A

urine color
leakage
hematuria
pain, itching, burning, irritation, need to void
amnt of urine
a poor product fit
s/s of skin breakdown redness, irritation, etc.

42
Q

when you provide pernial care after a person is incontinent remember to…

A

folow standard precautions & Blood Born pathogen standard
follow care plan, use soap’s words
expose only pernial area
dry the pernial area and butt
protect person and dry garments and linens
remove wet; incontinence products

43
Q

the catheter is clamped for 1 hour at first and over time, 3-4 hours when what is done

A

bladder training is being done