T3: Urinary Elimination (CH. 21) Flashcards

1
Q

___ ___ are not easily discussed with the older population.

A

urinary problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

detection, diagnosis, and treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

health

psychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Their is ___ and ___ of the bladder muscle.

A

hypertrophy

thickening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

___ bladder ability to expand.

A

decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Reduced __ capacity.

A

storage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Daytime urinary ___ increases.

A

frequency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

kidney circulation improves in ___ position.

A

recumbent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

their are changes in cortical control of ___.

A

micturition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

emptying

weaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

There is ___ of large volumes of urine.

A

retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

men: prostatic hypertrophy
women: fecal impaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Kidney ___ ability decreases.

A

filtration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

eliminate drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

adverse drug reactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

There is reduced __ function.

A

renal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Reduced renal function leads to high _____ levels.

A

blood urea nitrogen (BUN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

High BUN levels can lead to:

A

lethargy, confusion, headache, and drowsiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

There is decreased tubular ___

20
Q

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

A

concentration

21
Q

There is an increase in renal threshold for ___.

22
Q

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

A

false-negative

23
Q

Most common form of bacteria in UTI?

24
Q

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

25
Incontinence due to irritation or spasms of bladder wall, causes sudden elimination of urine
Urgency
26
Incontinence due to an excessive accumulation of urine in the bladder
Overflow
27
Incontinence due to inability to sense the urge to void or control urine flow
Neurogenic (reflex)
28
Incontinence due to disabilities that prevent independent toileting
functional
29
Incontinence that is due to a bunch of factors
mixed
30
Which type of incontinence is caused by bladder neck obstructions and medications?
Overflow
31
Bladder muscles fail to contract or periurethral muscles do not relax, leading to _________.
excessive accumulation of urine in the bladder
32
The initial step with incontinence is to:
identify the cause
33
Treatment goals are developed based on the underlying __ and __ of UI.
cause | type
34
__ __ and __ are extremely beneficial to those with urinary incontinence.
positive reinforcement | encouragement
35
Most common infection in older adults/increases with age?
UTI
36
Most common organisms for a UTI?
women: e.coli men: proteus
37
__ __ is 3x more likely in men.
bladder cancer
38
S/S of bladder cancer?
painless hematuria and they resemble UTI's
39
What are some causes of renal calculi (kidney stones)?
immobilization, infection, changes in pH or concentration of urine, chronic diarrhea, dehydration, excessive elimination of uric acid, and hypercalcemia.
40
There is a need for __ while discussing urinary problems with the older adult.
sensitivity
41
Nurses need to consider __ and __ toward urinary incontinence.
fear | anxiety
42
Provide education and ___ expectations.
realistic
43
Use __ and maintain __ when discussing urinary problems with the older adult.
discretion | dignity
44
Limit __ and __ for a patient with glomerulonephritis.
sodium and protein
45
S/S of glomerulonephritis:
oliguria, proteinuria, and hematuria
46
Condition in which there is inflammation of the glomeruli, which filter blood as it passes through the kidneys
glomerulonephritis
47
_____ incontinence: involuntary loss of urine that can have an abrupt or sudden onset and is chronic
Established