Unit V: Urinary Elimination

Question 1

in an adult, the normal urine capacity for the bladder is between ___ & ___ mL of urine

Answer 1

300 – 600

Question 2

what terms refer to the process of emptying the urinary bladder

Answer 2

Micturition, voiding, & urination

Question 3

what happens in an adult when the bladder collects between 250–450 mL of urine

Answer 3

pressure stimulates special sensory nerve ending in the bladder wall called stretch receptors, which stimulates the urge to void

Question 4

what is the purpose of the kidneys

Answer 4

to remove waste from the blood

Question 5

Urine is formed in ___ and travels down ____ into the ___

Answer 5

kidneys, ureters, urinary bladder

Question 6

what must be done to get an accurate understanding of a patient’s fluid and electrolyte balance

Answer 6

record and measure the entirety of their fluid intake and output

Question 7

what should be consider when recording a patient’s intake

Answer 7

1. oral fluids
2. ice chips
3. any food liquid at room temperature
4. tube feedings
5. parenteral fluids
6. IV meds
7. catheter or tube irrigants

Question 8

what should be consider when taking patients output into account

Answer 8

1. urinary output
2. vomit and liquid feces
3. tube drainage
4. wound and fistula drainage

Question 9

what an adequate fluid intake for an adult per day

Answer 9

1,500 to 2,000 mL

Question 10

at what point should urine output be reported to the physician

Answer 10

when it’s less than 30 mL/hr

Question 11

when using a bed pan, what can be used to help facilitate sliding

Answer 11

powder

Question 12

when a patient is confined to the bed what can be done to help facilitate easier elimination

Answer 12

raising the HOB

Question 13

what should be done immediately, once a patient has finished using a bed pan

Answer 13

the removal of the bed pan and cleaning of the perineal area

Question 14

what can be used to measure urine amount when patients voids in a bedpan or bedside commode

Answer 14

a urine measurement container

Question 15

what is urinary catheterization

Answer 15

The introduction of a urinary catheter into a patient’s bladder to allow for the passage of urine out of the body, or to instill fluid into the bladder

Question 16

what the types of catheters

Answer 16

1. straight or intermittent (in & out)
2. Foley’s or indwelling
3. Coude´
4. Condom or Texas Rig

Question 17

which catheter has a curved end which helps get around enlarged prostates

Answer 17

Coude´ catheter

Question 18

which catheters provides less risk for infection but is very cumbersome

Answer 18

Condom or Texas Rig catheter

Question 19

when is the only time that a patient should have a catheter insert

Answer 19

only when it is absolutely necessary

Question 20

in what instances should a patient should be inserted with a Foley catheter

Answer 20

1. has urinary retention
2. is undergoing surgical procedure where an anesthetic is used
3. patient is critically ill and I&O is closely monitored
4. patient losses all voluntary urinary control

Question 21

what are hazards associated with the catheterization

Answer 21

1. Urinary Tract Infections (UTIs)

2. Urethra trauma

Question 22

what is the first and most important preventive measure used to prevent the introduction of bacteria into the urinary tract

Answer 22

handwashing

Question 23

the diameter of Foley catheters are measured using what system

Answer 23

French scale

Question 24

what is the size of the balloon used for adult catheters

Answer 24

10 mL

Question 25

what is the typical adult size used for Foley catheters

Answer 25

14 Fr to #16 Fr

Question 26

concerning Foley catheters; the larger the number, ______

Answer 26

the larger the lumen

Question 27

what position should a client be in to receive a Foley catheter

Answer 27

women: dorsal recumbent
men: dorsal supine