T3: Urinary Elimination (CH. 21)

Question 1

___ ___ are not easily discussed with the older population.

Answer 1

urinary problems

Question 2

With urinary issues being difficult to discuss in the older population, this may result in delayed __, __, and __.

Answer 2

detection, diagnosis, and treatment

Question 3

Urinary problems negatively impacts total body ___ and ___ well-being.

Answer 3

health

psychosocial

Question 4

Their is ___ and ___ of the bladder muscle.

Answer 4

hypertrophy

thickening

Question 5

___ bladder ability to expand.

Answer 5

decreased

Question 6

Reduced __ capacity.

Answer 6

storage

Question 7

Daytime urinary ___ increases.

Answer 7

frequency

Question 8

kidney circulation improves in ___ position.

Answer 8

recumbent

Question 9

their are changes in cortical control of ___.

Answer 9

micturition

Question 10

Their is inefficient neurological control of bladder ___ and ___ bladder muscle.

Answer 10

emptying

weaker

Question 11

There is ___ of large volumes of urine.

Answer 11

retention

Question 12

Retention of large volumes of urine leads to what in men and what in women?

Answer 12

men: prostatic hypertrophy
women: fecal impaction

Question 13

Kidney ___ ability decreases.

Answer 13

filtration

Question 14

The decrease of kidney filtration affects the ability to ___ ___.

Answer 14

eliminate drugs

Question 15

The decrease in the ability to eliminate drugs leads to a potential for ____.

Answer 15

adverse drug reactions

Question 16

There is reduced __ function.

Answer 16

renal

Question 17

Reduced renal function leads to high _____ levels.

Answer 17

blood urea nitrogen (BUN)

Question 18

High BUN levels can lead to:

Answer 18

lethargy, confusion, headache, and drowsiness

Question 19

There is decreased tubular ___

Answer 19

function

Question 20

The __ of urine changes in response to water and/or sodium excess/depletion.

Answer 20

concentration

Question 21

There is an increase in renal threshold for ___.

Answer 21

glucose

Question 22

There are ___ results for glucose in the urine without symptoms.

Answer 22

false-negative

Question 23

Most common form of bacteria in UTI?

Answer 23

e-coli

Question 24

Incontinence when pressure is placed on the pelvic floor (laughing, coughing, sneezing)

Answer 24

Stress

Question 25

Incontinence due to irritation or spasms of bladder wall, causes sudden elimination
of urine

Answer 25

Urgency

Question 26

Incontinence due to an excessive accumulation of urine in the bladder

Answer 26

Overflow

Question 27

Incontinence due to inability to sense the urge to void or control urine flow

Answer 27

Neurogenic (reflex)

Question 28

Incontinence due to disabilities that prevent independent toileting

Answer 28

functional

Question 29

Incontinence that is due to a bunch of factors

Answer 29

mixed

Question 30

Which type of incontinence is caused by bladder neck obstructions and medications?

Answer 30

Overflow

Question 31

Bladder muscles fail to contract or periurethral muscles do not relax,
leading to _________.

Answer 31

excessive accumulation of urine in the bladder

Question 32

The initial step with incontinence is to:

Answer 32

identify the cause

Question 33

Treatment goals are developed based on the underlying __ and __ of UI.

Answer 33

cause

type

Question 34

__ __ and __ are extremely beneficial to those with urinary incontinence.

Answer 34

positive reinforcement

encouragement

Question 35

Most common infection in older adults/increases with age?

Answer 35

UTI

Question 36

Most common organisms for a UTI?

Answer 36

women: e.coli
men: proteus

Question 37

__ __ is 3x more likely in men.

Answer 37

bladder cancer

Question 38

S/S of bladder cancer?

Answer 38

painless hematuria and they resemble UTI’s

Question 39

What are some causes of renal calculi (kidney stones)?

Answer 39

immobilization, infection, changes in pH or concentration of urine, chronic diarrhea, dehydration, excessive elimination of uric acid, and hypercalcemia.

Question 40

There is a need for __ while discussing urinary problems with the older adult.

Answer 40

sensitivity

Question 41

Nurses need to consider __ and __ toward urinary incontinence.

Answer 41

fear

anxiety

Question 42

Provide education and ___ expectations.

Answer 42

realistic

Question 43

Use __ and maintain __ when discussing urinary problems with the older adult.

Answer 43

discretion

dignity

Question 44

Limit __ and __ for a patient with glomerulonephritis.

Answer 44

sodium and protein

Question 45

S/S of glomerulonephritis:

Answer 45

oliguria, proteinuria, and hematuria

Question 46

Condition in which there is inflammation of the glomeruli, which filter blood as it passes through the kidneys

Answer 46

glomerulonephritis

Question 47

_____ incontinence: involuntary loss of urine that can have an abrupt or sudden onset and is chronic

Answer 47

Established