Genitourinary

Question 1

500 mL of fluid weight

Answer 1

1 pound

Question 2

Amount of plasma received by kidneys every day

Answer 2

180 liters

Question 3

Urine produced per day

Answer 3

1200-1500 mL

Question 4

Minimum UOP per hour

Answer 4

30 mL

Question 5

Renin/angiotensin mechanism

Answer 5

Regulates BP to maintain blood flow to kidneys during hypovolemic states

Question 6

Erythropoietin

Answer 6

Stimulates RBC production in bone marrow

Question 7

Kidney functions

Answer 7

Filtration
Fluid and electrolyte balance
Maintenance of RBC volume

Question 8

Frequency of peristaltic waves moving urine to bladder

Answer 8

10-15 seconds

Question 9

Bladder storage

Answer 9

600-1000 mL

Question 10

Micturition reflex

Answer 10

Stimulated by 150-200 mL of urine

Question 11

Female urethra length

Answer 11

4-6.5 cm

Question 12

Male urethra length

Answer 12

20 cm

Question 13

Polyuria

Answer 13

Elevated UOP

Question 14

Oliguria

Answer 14

Low UOP

Question 15

Anuria

Answer 15

No urine production (need foley to diagnose)

Question 16

Prerenal/suprarenal

Answer 16

Kidney function affected by inadequate blood flow or other alteration outside GU system

Question 17

Renal function

Answer 17

Direct dysfunction of kidney

Question 18

Postrenal function

Answer 18

Outflow of urine obstructed (clots, stones, tumors, trauma)

Question 19

Factors affecting urination

Answer 19

Muscle tone
Surgery
Neurological issues
Psychosocial issues

Question 20

At-risk clients

Answer 20

Women
Older adults
Infants
Trauma patients

Question 21

Causes of urinary incontinence

Answer 21

Urge
Stress
Overflow
Reflex

Question 22

Urinary hesitancy and retention at-risk clients

Answer 22

Narcotic use
Post Foley catheter
Enlarged prostate
Childbirth

Question 23

Incontinence interventions

Answer 23

Pelvic muscle strengthening
Voiding schedule
Clear path to toilet
Space fluids every 2 hours
Decrease fluids before bedtime
Promote complete emptying

Question 24

UTI prevention interventions

Answer 24

Perineal care
Fluid intake 2-3 liters per day
Complete bladder emptying
Blood glucose control
Maintain mobility

Question 25

Perineal care frequency

Answer 25

After each void if incontinent

Every shift if continent or catheter present

Question 26

CAUTI prevention

Answer 26

Insert ONLY for appropriate indications
Leave in place only as long as needed
Ensure only trained persons insert & maintain
Insert using aseptic technique & sterile equipment (acute care setting)
Maintain closed drainage system
Maintain unobstructed urine flow
Practice hand hygiene & standard precautions (or appropriate isolation) according to CDC HICPAC guidelines

Question 27

Nephrostomy tube

Answer 27

Catheter all the way to kidneys

Question 28

Urostomy (ill conduit)

Answer 28

Surgical creation of a stoma

Question 29

Internal reservoir

Answer 29

Surgically created pouch with valve and stomal opening for catheterization intermittently or pouch replaces bladder