Chpt 24: Urinary Elimination Flashcards
over-active bladder
aka incontinence
mixed incontinence
combination of stress incontinence and urge incontinence
over-flow incontinence
loss of small amounts of urine that leak from a bladder that is always full
functional incontinence
occurs when the person has bladder control but can’t use the toilet in time
urinary frequency
voiding at frequent intervals
stress incontinence
when urine leaks during exercise and certain movements that cause pressure on the bladder
uriniary urgerncy
need to void at once
urge incontinence
loss of urine in response to a sudden urgent need to void
reflex incontinence
loss of urine at predictable intervals when the bladder is full
oliguria
scant amount of urine, usually less than 500mL in 24hrs
transcient incontinence
temp. occasional incontinence thats reversed when the cause is treated
urinary retention
inability to void
what system removes solid wastes from the body
digestive system
what a health amount of urine
1500mL
what can you do if the person has difficulty starting the urine stream
run water
what food can make your pee bright yellow
carrots or sweet potatoes
what should be reported or recorded at once when caring for infant (reguarding the urinary system)
if the infant hasn’t had a wet diaper in several hours
when youre getting ready to give a person the bedpan, what should you do to the bed
raise the head of the bed slightly for the person’s comfort
where are urinals typically placed
bed rails
how do you help a man who’s unable to stand when he needs to use a urinal
place and hold the urinal for him
when is a commode used
when the person needs to be in the normal position for elimination
when you place a commode over the toilet what should you always do
lock the wheels
when caring for an incontinent person who often wets right after you’ve changed them
talk to the nurse if youre becoming impatient
when a person with dementia what measures may help keep the person clean and dry?
observe for signs that the person may need to void, such as pulling at the clothing
what should you doc. when applying an incontinence product
date, time, and your initials on the new product
whats to goal of bladder training
control of urination
when you’re assisting the person with habit training to have normal elimination, when is voiding scheduled?
voiding is scheduled at regular times to match person’s voiding habits
where you assist with bladder training for a person with an indwelling catheter what do you do
at first, clamp the catheter for 1 hour
BM
bowel movement
what substances increase urine production
cofee
tea
alcohol
some drugs
fracture pans are used for….
w/ casts in traction limited back motion after spinal cord injury hip fracture hip replacement/ surg. osteoporosis/arhtritis
a bariatric bedpan place with what end under the butt?
Small end
what overservations are important when a person vids in a bedpan or urinal
wine color, clarity, color amount prescence of particle hematuria complaints
what 3 complaints should you report
urgerncy, burning, dysuria
when youre handling bedpans urinals and commodes and their contents you should follow
standard precautions
bloodborne pathogen standard
when delegated to provide a urinal what guidelines should you follow
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
when you transfer a person to commode from bed, you must practice safe transfer procedures and use a ______ and ____ the wheels
transfer belt
lock the wheels
whats the risk factors and causes of incontinence related to women,men,age,weight,smoking,diabetes
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
who are alcohol, bladder irritation, caffeine, constipation, increased fluid intake, urinary tract infection related to transcient incontinence
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
when you’re delegated to apply incontinence products you need this info from the nurse and care plan:
size product barrier cream needed? What cream observe to report when 2 report observations res. concerns to report
what observations should you report and record when you are delegated to aply incontincence products
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.
when you provide pernial care after a person is incontinent remember to…
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
the catheter is clamped for 1 hour at first and over time, 3-4 hours when what is done
bladder training is being done
