Elimination

Question 1

The passage of urine through the urinary tract by means of the urinary sphincter and urethra

Answer 1

Urinary elimination

Question 2

Reduced urinary output

Answer 2

Oliguria

Question 3

Absence of urinary output

Answer 3

Anuria

Question 4

Pain or difficulty of urination

Answer 4

Dysuria

Question 5

Blood in urine

Answer 5

Hematuria

Question 6

Excessive urine output

Answer 6

Polyuria

Question 7

Promotion of increased urine output

Answer 7

Diuresis

Question 8

Medications that cause urinary retention

Answer 8

Anticholinergics, Antidepressants, Antihistamines, Opioids, etc.

Question 9

Common causes of transient incontinence

D. I. A. P. P. E. R. S

Answer 9

Delirium 
Infection
Atrophic Urethritis 
Pharmaceuticals 
Psychologic 
Excess Urine Output
Restricted Mobility
Stool Impaction

Question 10

Accumulation of urine in the bladder from obstruction, urethral edema, trauma, childbirth–may result in 2000-3000 ml urine–causes bladder spasms & can result in nerve damage to bladder and sphincter

Answer 10

Urinary Retention

Question 11

An enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue

Treated with 5-alpha redux taste inhibitors (Proscar)
Herbal - Saw Palmetto

Answer 11

Benign Prostatic Hypertrophy

BPH

Question 12

Promotion of Normal Elimination

P. O. O. P. E. R. S. C. O. O. P.

Answer 12

Position-upright, sitting
Output- adequate hydration
Offer fluids 
Privacy
Exercise 
Report results

Size
Consistency
Occult blood
Odor
Peristalsis

Question 13

Medications that help prevent or treat constipation…

Answer 13

Colace & Surfak (stool softeners)

Citrucel & Fibercon ( fiber- additives)

Mineral oil & Glycerin ( librication)

Question 14

The most common cause of antimicrobial-associated diarrhea and is a common health care-associated pathogen.
Antibiotic therapy is most likely the cause b/c good flora in the intestines is interrupted allowing the bad bacteria to multiply

Answer 14

Clostridium Difficile (C. diff)

Question 15

What is the preferred drug for C. diff?

Answer 15

Metronidazole (unless allergic)

Question 16

Large, loose stools

Peri umbilical or RLQ pain

Answer 16

Small bowel diarrhea

Question 17

Frequent, small, loose stools

Cramps, LLQ pain or cramping

Answer 17

Large bowel diarrhea

Question 18

An increase in mobility of the colon in response to stretch in the stomach and byproducts of digestion in the small intestines

Answer 18

Gastrocolic reflex

Question 19

What effect does milk have on elimination?

Answer 19

Milk products slow peristalsis

Question 20

Normal urine output for adults? Children?

Answer 20

Adults: 30-50 mLs/hr

Children: 1-2 mL/kg/hr

Question 21

What is Barium incompatible with in the human body?

Answer 21

Aluminum and Potassium

Question 22

What is the prep for an ERCP

Endoscopic Retrograde Cholangiopancreatograohy

Answer 22

NPO for 6-8 hours before test; check for shell fish allergies b/c a dye is used

Question 23

What effects does pregnancy have on elimination?

Answer 23

Growing uterus exerts pressure on rectum, peristalsis slows in 3rd trimester, constipation is common & may lead to development of hemorrhoids

Question 24

What is the enema position?

Answer 24

SIMS position on left side

Question 25

A single proximal section of the colon brought to abdominal wall to form a stoma- distal portion of the colon & rectum is either removed or sewn closed

Answer 25

End Colostomy

Question 26

Performed when closure & reversal of colostomy is anticipated. The loop of bowel is brought to surface of abdomen. Plastic or metal rod holds loop at surface; opening in bowel drains feces

Answer 26

Loop Colostomy

Question 27

The passage of stool through the intestinal tract and dispelling the stool by means of intestinal smooth muscle contraction

Answer 27

Bowel elimination