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Nursing Fundamentals > GU and Bladder: 6 Questions > Flashcards

GU and Bladder: 6 Questions Flashcards

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1
Q

What is the position for an External Exam? (Nurse)

A

Dorsal Recumbent

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2
Q

What is the position for the Internal Exam? (Provider)

A

Lithotomy

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3
Q

What device is used for assessing Female Genitalia?

A

Speculums

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4
Q

What is the first part in the Female Genitalia?

A

Clitoris

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5
Q

What is the second hole in the Female Genitalia?

A

Urethral Orifice / Bladder-Catheter

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6
Q

What is the third hole in the Female Genitalia?

A

Vagina

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7
Q

What is the area called between the anus and vagina?

A

Perineum

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8
Q

What is the fourth hole in the Female Genitalia? ?

A

Anus

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9
Q

What positions do men stand in for genitalia assessment?

A

Standing or Supine

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10
Q

What is the hole in the Penis ?

A

Meatus

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11
Q

What do you assess for in a mens anus?

A

Hemorrhoids

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12
Q

What is the order of the urinary tract?

A

Kidneys
Ureters
Bladder
Urethra

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13
Q

Urine is created here as the nephrons filter waste from the blood.

A

Kidneys

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14
Q

Carry urine waste to the bladder.

A

Ureters

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15
Q

Holds the Urine

A

Bladder

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16
Q

Carries urine from the bladder to outer opening.

A

Urethra

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17
Q

Hold long is a mans Urethra?

A

7-8 inch

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18
Q

How long is a woman’s urethra?

A

1-1.5 inch

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19
Q

Who is at risk for more UTI’s?

A

Women

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20
Q

The sudden inability to void when bladder is full?

A

Acute Urinary Retention

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21
Q

Bladder does not empty completely during the void and urine is retained?

A

Chronic Urinary Retention

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22
Q

What do indwelling catheters increase the risk of ?

A

UTI’s

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23
Q

What is effected by Upper UTI?

A

Kidneys

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24
Q

What is effected by Lower UTI?

A

Bladder and Urethra

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25
Q

How do you treat UTI?

A

Antibiotics

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26
Q

What are the symptoms of a UTI?

A

Dysuria, urgency, frequency, incontinence, suprapubic tenderness, foul smell, and CLOUDY URINE

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27
Q

Are UTI more common in older adults?

A

Yes; increase confusion, fatigue, falls, decrease temp.

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28
Q

What is urinary incontinence ?

A

Involuntary loss of urine

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29
Q

Causes from outside urinary tract?

A

Functional Urinary Incontinence

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30
Q

Causes by medical conditions; usually reversible?

A

Transient Urinary Incontinence

31
Q

Urethra can’t stay closed due to increased intra abdominal pressure, weakened urinary sphincter or pelvic floor muscles (leak when laughing or coughing) ?

A

Stress Urinary Incontinence

32
Q

Strong sense of urgency due to overactive bladder.

A

Urge Urinary Incontinence

33
Q

Predictable intervals of urine loss when bladder reaches specific volume due to spinal cord damage.

A

Reflex Urinary Incontinence

34
Q

Patient must catheterize the pouch 4 to 6 times a day (permanent; not reversible)

A

Continent Urinary Reservoir

35
Q

Had the bladder removal (cystectomy) or for significant bladder dysfunction.

A

Urinary Diversions

36
Q

During physical assessment of the GU/Bladder, what do assess for Kidneys?

A

Flank Pain
Assess for tenderness

37
Q

During physical assessment of the GU/Bladder, what do assess for Bladder?

A

Inspect and Palpation
Swollen Belly
PVR (Post Void Residual Volume)
Straight catheter

38
Q

During physical assessment of the GU/Bladder, what do assess for Urethral Meatus?

A

Inspection
Indwelling Catheter

39
Q

During physical assessment of the GU/Bladder, what do assess for Perineal Skin?

A

Assess skin for damage from moisture, especially urine.
Inspect for any erythema, skin erosion, burning, itching.

40
Q

Patient education of the GU/Bladder?

A

Fluid intake
Diet
Bladder and Bowel Emptying
Hygiene Habits
Pelvic Floor Muscle Training
Blood Retraining
Symptoms of UTI

41
Q

What are the characteristics of Urine?

A

Color, Clarity, Odor

42
Q

What number is concerning for urine output?

A

30 mL/Hr

43
Q

What do you assess if a patient has not voided in 3-6 hours and has had fluid intake.

A

Urinary Retention

44
Q

Pale straw to Amber color of urine?

A

Normal

45
Q

Dark Amber color of urine ?

A

Associated with liver damage

46
Q

Hematuria that is Dark Red color of urine?

A

Bleeding from Kidneys and Ureters.

47
Q

Hematuria that is Bright Red color of urine?

A

Bleeding from the Bladder or Urethra

48
Q

What clarity should be urine ?

A

Transparent

49
Q

What could cloudiness urine indicate?

A

Renal disease, bacteria, or WBC’s

50
Q

Blood clots and hematuria is a sign of what?

A

Catheter Blockage

51
Q

What are the normal labs of WBCs?

A

2-5/hpf

52
Q

What are the normal labs of RBCs?

A

4-5/hpf

53
Q

What are the normal labs of pH?

A

4.5 to 8.0

54
Q

What are the normal labs of specific gravity?

A

1.005 to 1.030

55
Q

What does higher specific gravity indicate ?

A

Dehydration, reduced renal blood flow, and increase in ADH secretion.

56
Q

What does lower specific gravity indicate ?

A

Over hydration, early renal disease, and inadequate ADH secretion.

57
Q

Protein relates to what?

A

Kidney Function

58
Q

What if bacteria is present ?

A

Infection or Colonization

59
Q

What is the fourth leading cause of healthcare associated infections?

A

CAUTI

60
Q

What should a patient do before an Ultrasound of the Renal bladder?

A

Void

61
Q

One time catheterization for bladder emptying (straight cath).

A

Intermittent catheter

62
Q

Remains in place for a period of time.

A

Indwelling catheters

63
Q

How many lumens is a straight catheter?

A

Single lumen

64
Q

How many lumens is a indwelling catheter?

A

Double lumen

65
Q

How many lumens is a continuous bladder irrigation?

A

Triple lumen

66
Q

A curved tip to maneuver past enlarged prostate.

A

Coude-tip catheter

67
Q

What size is a mens catheter?

A

10 to 12FR

68
Q

What size is a women’s catheter?

A

12 to 14FR

69
Q

What size is a children’s catheter?

A

8 to 10FR

70
Q

What size is an infants catheter?

A

5 to 6FR

71
Q

What size is the balloon for an adult?

A

10mL

72
Q

What size is the balloon for a child?

A

3mL

73
Q

What size is the balloon for a continuous bladder irrigation ?

A

30 mL

74
Q
A

Nursing Fundamentals (10 decks)

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