URINARY ELIMINATION

Question 1

A pt is prescribed continuous circulation of solution via catheter. What kind of catheter procedure would require this?

1. Intermittent bladder irrigation
2. Urinary diversion
3. Continuous Bladder Irrigation

Answer 1

3.

Question 2

A pt may have continuous bladder irrigation aka three way or through and through irrigation because:

Answer 2

Clot prevention, TURP procedure, catheter obstruction prevention

Question 3

Which of the following steps does not align with specimen collection method via catheter? Select what applies.

1. Clamp catheter tubing 10-30 minutes
2. Use sterile gloves for process
3. Cleanse the port
4. Attach needleless Lock-lauer syringe to port
5. Apply local anesthetic for stimulated comfort
6. Unclamp tubing

Answer 3

1, 3, 4, 6

Question 4

Suprapubic catheter:

Answer 4

Invasive, surgical insertion in abdominal wall above symphysis pubis into bladder, used post-gynecological or bladder surgery

Question 5

Three types of bladder irrigation

Answer 5

open intermittent, closed intermittent, closed continuous

Question 6

Kidney anatomy

Answer 6

bean shaped, reddish brown, found in posterior abdominal wall, right slightly lower than left, 1 M nephrons/kidney,10-13 cm (4-5) inches long and 5-7.5 cm (2-3 inches) wide, weighs 150 gr, 0.5% total body weight

Question 7

kidney function

Answer 7

secrete hormones, control filter absorption and excretion, 30 mL of urine expelled/hr, transfer urine via urethra to bladder

Question 8

Foley cath removal steps:

Answer 8

gloves, PT supine..drape, remove catheter anchor, attach syringe-gravity drain (usually 10 MM), remove slowly..check tip, peri care, record amt., note removal time

Question 9

foley cath insertion:

Answer 9

physician order, french sz balloon, sterile technique, specimen collection PDO, REVIEW LAB PROCEDURE!!

Question 10

Urinary diversion

Answer 10

abdominal surgical opening or urinary elimination ostomy, done on PTs with partial/complete bladder incision (cysectomy) due to malignancy or trauma

Question 11

2 types of urinary diversions:

Answer 11

continent–internal pouch or reservoir, surgically made from intestinal segment, stoma has muscular closure or valve, self catheter 4-6 hours
Incontinent- ileal conduit, single or double ureterostomy, drains urine continuously

Question 12

Abnormal urinalysis colors and odors

Answer 12

Pale (Diabetes Insipidus). Reddish (RBCs), orange (pyridium), black brown (mercury poisoning), milky clarity -cloudy (infection, standing), turbid (prostatic fluid)

Odor—ammonia odor means sitting urine in bladder

Question 13

acute kidney injury/acute renal infection

Answer 13

caused by dye, IVP, happens suddenly, quick drop in BP,
•AKI is reversable
•ARF—kidneys can’t filter waste from blood

Question 14

Renal calculi:

Answer 14

•Formed in kidney, can cause obstruction in ureter or kidney resulting in pain (labia in women testicle in men…belly/backside in all PTs), Urine should be strained for stones to be tested, abnormal colored/hematuric urine, risk for UTI
•caused by dehydration, diabetes, gout

Question 15

Protein found in the urine

Answer 15

Suggests renal disease or damage. R/T fever or stress

Question 16

abnormal urinalysis findings

Answer 16

Specific Gravity 1.010-1.025- decreased- DI, diuretics, excessive intake of water. Increased- DM, Hypovolemia, liver disease, heart failure, IV contrast.
pH- 4.6-8/Acid-DM, fever, starvation, dehydration.
Alkaline- salicylate poisoning, UA infection, sodium bicarbonate.

Question 17

more abnormal urinalysis findings

Answer 17

Glucose- Not normally present. DM
Ketones-Not normally present. acidosis, diabetic ketoacidosis, starvation, or dieting from fat.
Sediments- RBC, WBC, Casts- clumps of material or cells that form in the renal collecting tubes.