GU, Bladder Flashcards
what assessment techniques are you going to use for the Gentialia and reproductive tract?
inspection and palpation
do you need to understand cultural sensitivity for a genitle exam?
yes
what should you ask the patient during a routine head to toe assessment for a GU GR exam?
if they’ve had any s/s of problems
thorough history
t/f: internal exam is done by physicians and APRNs except for cervical dilation in OB?
true
whats important to remember culturally about GU GR exams?
embarrassed to have this assessment done,
some cultures dont openly discuss these issues
some women may not allow male to examine them
what position is this?
dorsal recumbent
what position is this?
lithotomy
what precautions do you use for a GU and GR exam?
standard precautions (wear clean gloves)
what do you need to do before touching patient?
explain procedure and tell them what youre going to do
what will you need to retract on a female patient?
labial folds
should be dry or moist, usually symmetrial, may become atrophied in older age
labia majora
what should the mucous membranes appear like?
dark pink moist
should be intact, pink in color, located above the vaginal orifice.
urethral orfice (urethral meatus)
what should you do before you inspect a male patient?
have them void first
what is hypospadias?
a displaced urethral meatus
which testicle is normally lower?
the left testicle
is a painless enlargement of one tests and a small hard palpable lump the size of a pea on the front or side
testicular cancer
is located on either side of the vertebral column behind the peritoneum and against the dep muscle of the back
kidney
this organ sits behind the symphysis pubis
bladder
how long is the female urethra?
1 to 1.5 inches
how long is the male urethra?
7 to 8 inches
when can children voluntarily control urination?
18 to 24 months
nocturnal enuresis is?
bedwetting that doesnt wake child at night
t/f: Older adults may have decrease in bladder capacity and increased bladder irritability and frequency of contractions. Ability to hold urine decreases.
true
chronic illness, mobility, cognition, and manual dexterity issues put you at an increased risk for?
UTI
how can diabetes affect the bladder?
can cause overactivity of bladder or decrease bladder emptying
how can arthritis/Parkinson’s disease affect toileting?
less timely access to toilet
how does a spinal injury affect urination?
loss of urine control
what does an enlarged prostate cause with urination?
urinary retention
do diuretics change color of urie?
yes
what is phenazopyridine?
a diuretic that changes urine color to orangge
how do anticholinergics affect the bladder?
inhibits bladder contractility
how do sedatives affect the bladder?
reduce ability to recognize/act
what can cystoscopy cause?
trauma
transient dysuria
hematuria
suddenly inability to void when bladder is full or overfull
acute retention
bladder does not empty completely during voiding and urine is held in the bladder
chronic retention
one of the most common types of healthcare associated infection.
urinary tract infection
upper UTI affects?
kidneys
Lower UTI affects?
bladder and urethra
pyelonephritis
severe upper UTI
urosepsis
life-threatening blood infection
symptoms of UTI
burning/pain with urination (dysuria)
urgency (immediate/strong urge to void)
frequency
incontinence (involuntary loss of urine)
tenderness
foul smelling
cloudy urine
transient incontinence
caused by medical conditions
acute confusion
UTI
acute urinary retention
medications, excessive output
mobility issues
depression
is transient incontinence treatable or reversible?
yes
obstacle or disability makes it hard for you to reach or use a toilet in time to urinate
causes from outside urinary tract. (sensory or cognitive impairments, altered mobility, environmental barriers [no assistance to bathroom available, pathway to bathroom not clear, tight clothing, incontinence briefs)
functional incontinence
can urinate but cannot completely empty the urine from their bladders
overdistention of bladder or poor bladder emptying (distended bladder on palpation, high postresidual volume (PVR = amount of urine left in the bladder after voiding and is measured with a bladder scanner [portable ultrasound] or straight catheterization), frequency, involuntary leakage of small amounts of urine, nocturia [awakened from sleep because of urge to void]
Chronic urine retention
when physical movement or activity — such as coughing, laughing, sneezing, running or heavy lifting — puts pressure on your bladder, causing you to leak urine.
Urethra can’t stay closed d/t increased intraabdominal pressure, weakened urinary sphincter (childbirth trauma or prostatectomy) or pelvic floor muscles
stress incontinence
leakage of small amounts of urine when coughing, laughing, sneezing, exercise, walking, standing up from chair) is due to?
stress incontinence
when you have a strong, sudden need to urinate that is difficult to delay.
strong sense of urgency r/t overactive bladder (involuntary contractions of the bladder) = (strong urge, frequency, nocturia, trouble or inability to hold urine once urge occurs).
urgency incontinence