LP5: Elimination Needs

Question 1

What is the Elimination Pattern?

Answer 1

Describes the patterns or excretory function (bowel,bladder, and skin)

Includes use of meds and assistive devices.

Question 2

What is the Physiology of Urinary Elimination?

Answer 2

-Kidneys
-Ureters
-Bladder
-Urethra
-Pelvic floor

Question 3

What are the Normal Patterns of Elimination?

Answer 3

The kidneys produce urine; the rest of the urinary system serves as a drainage system.

Question 4

Normal Urethra Size

Answer 4

Females: 3-5cm long
Males: approx. 20cm long

Question 5

What is the normal capacity of the bladder?

Answer 5

300-600mL

Question 6

What is the normal daily fluid intake?

Answer 6

1500-2500mL/day

Question 7

What is Nocturnal Enuresis?

Answer 7

Involuntary voiding during sleep

Question 8

What is the normal urine output?

Answer 8

60mL/hr; Less than 30mL/hr could indicate kidney shutdown.

Question 9

What are factors that affect urinary elimination?

Answer 9

-Age (older/younger)
-Diet (Diuretics; coffee, tea, dark sodas. Alcohol)
-Medications (May cause urine retention)

Question 10

What color is normal urine?

Answer 10

Straw, amber.

Question 11

What color is abnormal urine?

Answer 11

_Dark amber- concentrated

-Pink, bright red, rusry brown (blood)

Question 12

How is disability associated with urinary incontinence?

Answer 12

Relatde to inability to access bathroom on time secondary to impaired mobility.

Question 13

What is Stress Incontinence?

Answer 13

Related to weak pelvic floor muscles secondary to childbirth.

Question 14

What is Overflow Incontinence?

Answer 14

Related to bladder outlet obstuction secondary to medications.

Retention

Question 15

What does CAUTI stand for?

Answer 15

Catherer- Associated Urinary Tract Infection

Question 16

What id Oliguria?

Answer 16

Not enough urine

Question 17

What is the structure of the GI Tract?

Answer 17

-Mouth
-Esophagus
-Stomach
-Small intenstine
-Large intestine
-Rectum
-Anus

Question 18

What are factors that affect fecal elimination?

Answer 18

-Development
-Diet
-Activity
-Psychogenic
-Habits
-Medications
-Dignostic procedures
-Anesthesia and surgeries
-Pathological conditions
-Pain

Question 19

What is an Ostomy?

Answer 19

An opening for the GI, urinary or respiratory tract onto the skin.

Question 20

What are the different types of ostomies?

Answer 20

-Gatrostomy
-Jejunostomy
-Ileostomy
-Colostomy

Question 21

What is the normal auscultation of BMs?

Answer 21

High-pitched, gurgling, occur irregular.

1-4 sounds in 20 seconds

Question 22

What is a hypoactive or absent BM sound?

Answer 22

Paralytic ileus or peritonitis; hypoactive 1st 24hrs post-op.

-Absent: 0 sounds within 5 minutes
-Hypoactive: 0 sounds heard in 20 seconds. Continue to listen until bowel sound is heard.

Question 23

What is a hyperctive BM sound?

Answer 23

High-pitched, rushing, tinkling sounds; diarrhea or early intestinal obstruction.

> 4 sound in 20 seconds.

Question 24

What is Borborygmus?

Answer 24

A type of hyperactive bowel sound. Also known as stomach growling.

Question 25

What is the abdominal discomfort of Appendicitis?

Answer 25

Sharp pain in the RLQ

Question 26

What is the abdominal discomfort of Cholecystitis?

Answer 26

Sudden pain in the RUQ after eating fatty foods.

Question 27

What is the abdominal discomfort of Gastric Ulcers?

Answer 27

Dull, aching, gnawing epigastric pain.

Question 28

What is the abdominal discomrt of Pancreatitis?

Answer 28

Acute, boring midepigastric pain radiating to the back.