Module 4: Urinary & Bowel Elimination Flashcards
Describe the order of organs urinary system
Kidneys (filter waste products from metabolism), ureter (transport urine from kidneys to bladder), bladder (holds urine until the volume triggers a sensation of urge), urethra (bladder contracts, urinary sphincter relaxes, urine leaves body through urethra)
Describe the order of organs digestive system
mouth, esophagus, stomach, small intestine, large intestine, anus
Define peristalsis
Series of unvoluntary wave length motion that moves food along the intestinal tract
What are the factors that impact the production and elimination of urine
- Growth & development
- Sociocultural factors
- Psychological factors
- Personal habits
- Fluid intake
- Pathological condition
- Surgical procedures
What are the three most common urinary elimination problems?
Urinary retention, urinary tract infection, urinary incontinence
Name six symptoms associated with urinary alterations
enlarged prostate, or benign prostatic hyperplasia
bladder outlet obstruction, such as urethral stricture or scar tissue in the bladder neck
pelvic organ prolapse, including cystocele and rectocele
urinary tract stones, also called calculi
constipation
pelvic masses, such as noncancerous or cancerous tumors, fibroids, polyps, or clots
tight pelvic floor muscles
Most common bowel elimination problems
constipation/bladder MOST COMMON but also impaction, incontinence, hemorrhoids, flatulence
Name the four major parts of nursing assessment
Self-care ability, cultural consideration, health history, nursing history (pattern of elimination, symptoms experienced/OLDCARTS)
define urinary urgency
feeling the urge to urinate
define dysuria
pain/discomfort associated w/ voiding.
define frequency
voiding more than 8 times during waking hours
define hesitancy
can’t void because of nervousness
define polyuria
voiding excessive amont of urine. difference is volume is larger than simply more frequently
define oliguria
diminished amount of volume
define nocturia
urinating at night
define hematuria
blood in urine
name some factors of elimination.
elimination pattern, surgery/illness, medications, urine/stool characteristics, routines, emotional state, bowel/urinary diversions, exercise, appetite changes, pain/discomfort, diet history, social history, daily fluid intake, mobility and dexterity.
type 1 bowel movement
hard small lump
type 2 bowel movement
lumpy sausage
type 3 bowel movement
sausage with cracks
type 4 bowel movement
smooth and soft, long
type 5 bowel movement
soft blobs
type 6 bowel movement
fluffy pieces
type 7 bowel movement
watery
Name four common urinary diagnostic tests
UA, culture
– Computed
tomography (CT)
– Intravenous
pyelogram (IVP)
– Ultrasound
– Cystoscopy (invasive)
Name four common bowel diagnostic tests
- Occult blood testing
- Endoscopy
- X-rays
- Ultrasound
- CT
- MRI
Responsibilities after
testing include
pt outcome, fluid intake, pt education
Common nursing Dx/problems for urinary
- Urinary incontinence
– Functional
– Stress
– Urge - Risk for infection
- Toileting self-care deficit
- Impaired skin integrity
- Impaired urinary
elimination - Urinary retention