Exam 3 - Urinary Elimination Definitions Flashcards

1
Q

Bacteremia

A
  • a life threatening bloodstream infection
  • also known as urosepsis
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2
Q

Bacteriuria

A
  • bacteria in the urine
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3
Q

Catheter-associated urinary tract infection

A
  • CAUTI
  • costly and preventable
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4
Q

Catheterization

A
  • the placement of a tube through the urethra into the bladder to drain urine
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5
Q

Cystitis

A
  • irritation of the bladder
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6
Q

Dysuria

A
  • burning or pain with urination
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7
Q

Hematuria

A
  • blood in the urine
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8
Q

Micturition

A
  • occurs when the brain triggers the bladder to empty, the bladder contracts, the urinary sphincter relaxes, and urine leaves the body through the urethra
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9
Q

Nephrostomy

A
  • small tubes that are tunneled through the skin into the renal pelvis
  • placed to drain the renal pelvis when the ureter is obstructed
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10
Q

Pelvic floor muscle training

A
  • can help with urinary incontinence
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11
Q

Postvoid residual (PVR)

A
  • the amount of urine left in the bladder after voiding and is measured with either ultrasonography or straight catheterization
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12
Q

Proteinuria

A
  • protein in the urine
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13
Q

Pyelonephritis

A
  • a serious upper UTI
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14
Q

Suprapubic catheter

A
  • urinary drainage tube inserted surgically into the bladder through the abdominal wall above the symphysis pubis
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15
Q

Urinary incontinence (UI)

A
  • the complaint of any involuntary loss of urine
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16
Q

Urinary retention

A
  • inability to empty the bladder partially or completely
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17
Q

Ureterostomy

A
  • a permanent incontinent urinary diversion created by transplanting the ureters into a closed off part of the ileum and bringing the other end out onto the abdominal wall forming a stoma
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18
Q

Urgency incontinence

A
  • involuntary leakage associated with urgency
19
Q

Stress incontinence

A
  • involuntary loss of urine associated with effort or exertion on sneezing or coughing
20
Q

Overflow incontinence

A
  • continuous dribbling or leakage
21
Q

Urgency

A
  • an immediate and strong desire to voice that is not easily deferred
22
Q

Frequency

A
  • voiding more than 8 times during waking hours and/or at decreased intervals, such as less than every 2 hours
23
Q

Hesitancy

A
  • delay in start of urinary stream when voiding
24
Q

Polyuria

A
  • voiding excessive amounts of urine
25
Q

Oliguria

A
  • diminished urinary output in relation to fluid intake
26
Q

Nocturia

A
  • awakened from sleep because of the urge to void
27
Q

Dribbling

A
  • leakage of small amounts of urine despite voluntary control of micturition
28
Q

Gross hematuria

A
  • blood is easily seen in the urine
29
Q

Microscopic hematuria

A
  • blood not visualized but measured on urinalysis
30
Q

Acute retention

A
  • suddenly unable to void when bladder is adequately full or overfull
31
Q

Chronic retention

A
  • bladder does not empty completely during voiding, and urine is retained in the bladder
32
Q

assessing for CVA tenderness

A
  • costovertebral angle
  • kidney infection
33
Q

at what point should you be concerned with urine output

A
  • when it is less than 30ml/hr for 2 hours
34
Q

how can you obtain urine

A
  • clean-voided or clean-catch/mid-stream urine specimen
  • urinary catheter
  • urinary diversion
35
Q

abdominal xray - KUB

A
  • determines size, shape, symmetry, location of structures of the urinary tract
  • common uses: detect and measure urinary calculi
  • NO special preparation
36
Q

DOs for skin care

A
  • identify and treat early
  • use skin risk assessment tools
  • use appropriate skin barrier products
  • ensure adequate hydration
  • consult WOCN if needed
37
Q

DONTs of skin care

A
  • use traditional soap and water
  • double padding the bed
  • leave soiled pads
38
Q

single lumen/straight catheter

A
  • intermittent catheterization
  • one time catheterization for bladder emptying
39
Q

indwelling catheter

A
  • reminds in place over a period of time
40
Q

triple lumen indwelling catheter

A
  • used for continuous bladder irrigation or when medication instillation into the bladder is necessary
41
Q

coude tip catheter

A
  • a catheter with a curved end that helps maneuver through the prostatic urethra
42
Q

suprapubic catheter

A
  • urinary drainage tube inserted surgically into the bladder through the abdominal wall above the symphysis pubis
  • used when blockage of urethra or when indwelling catheter causes irritation
43
Q

external catheters

A
  • males: condom catheter
  • females: purewick
44
Q

when should a patient be voiding after catheter removal

A
  • within 6-8 hours