Urinary Elimination

Question 1

What is the normal amount of urine for adults within 24 hours?

Answer 1

1200-1500 mL

Question 2

What is the normal pH level of urine?

Answer 2

4.5-8

Question 3

What is the normal specific gravity of urine?

Answer 3

1.010-1.025

Question 4

The production of abnormal large amounts of urine

Answer 4

Polyuria

Question 5

The low urine output usually less than 500 ml/day or greater than 30 ml/hr for an adult

Answer 5

Oliguria

Question 6

It refers to lack of urine production (<100ml/day)

Answer 6

Anuria

Question 7

Voiding two or more times at night

Answer 7

Nocturia

Question 8

Voiding that is either painful or difficult

Answer 8

Dysuria

Question 9

Delay and difficulty in initiating voiding

Answer 9

Urinary hesitancy

Question 10

Involuntary urination

Answer 10

Urinary incontinence

Question 11

Involuntary urination in children beyond 4-5 years old

Answer 11

Enuresis

Question 12

Leakage of less than 50 ml of urine as a result of sudden increase in intraabdominal pressure

Answer 12

Stress incontinence

Question 13

Continuous and unpredictable loss of urine

Answer 13

Total incontinence

Question 14

Involuntary loss of urine occurring at somewhat predictable intervals when specific bladder volume is reached

Answer 14

Reflex incontinence

Question 15

Involuntary unpredictable passage of urine

Answer 15

Functional incontinence

Question 16

Accumulate of urine in the bladder with the associated inability of the bladder to empty itself

Answer 16

Retention

Question 17

Introduction of the catheter into the urinary bladder

Answer 17

Urinary Catheterization

Question 18

It is a single-lumen tube with a small eye or opening from the insertion tip. This is used for a short term and for men with prostatic hypertrophy because it is less traumatic on insertion.

Answer 18

Straight Catheter

Question 19

It is a double lumen catheter. The larger lumen drains the urine from the bladder and the smaller lumen is used to inflate the balloon to hold the catheter in place within the bladder and used for the long term.

Answer 19

Two-way Foley catheter (retention)

Question 20

The catheter that is used for clients who require continuous or intermittent bladder irrigation, which has a third lumen through which sterile irrigating fluid can flow into the bladder.

Answer 20

Three-way Foley catheter

Question 21

What is the purpose of Urinary catheterization?

Answer 21

• To relieve bladder distension
• To instill medication into the bladder
• To irrigate the bladder
• To measure the urine output accurately
• To collect sterile urine specimen
• To measure residual urine. Residual urine is the amount of urine retained in the bladder after forceful voiding
• To maintain continence to incontinent patients
• To promote healing of the genito-urinary structures postoperatively
• To empty the bladder in preparation for diagnostic procedures and surgery

Question 22

True or False:

It is important to perform perineal care before the procedure of urinary catheter administration

Answer 22

True

Question 23

True or False:

The normal sizes of a catheter to be used:

• Male: Fr. 16-18
• Female: Fr. 12-14

Answer 23

True

Question 24

True or False:

The normal length of catheter insertion is:
• Male: 6-9 inches
• Female: 3-4 inches

Answer 24

True

Question 25

True or False:

If the purpose of catheterization is to relieve bladder distension, practice gradual decompression to prevent shock. Only 750-1000ml of urine is to be drained at a time.

Answer 25

True