Urinary Elimination

Question 1

What do the kidneys do?

Answer 1

filter debris out of the blood stream and into urine to be expelled from the body

Question 2

where are the kidneys located?

Answer 2

retro perineal

Question 3

metabolic waste

Answer 3

creatinine & urea & bilirubin

Question 4

what does creatinine show

Answer 4

shows breakdown of muscle tissues & protein

Question 5

what does urea show

Answer 5

breakdown of proteins

Question 6

what does bilirubin show

Answer 6

breakdown of RBC

Question 7

what does rennin do/ what is it?

Answer 7

anti diuretic hormone
-triggered with LBP, dehydrated
regulates BP

Question 8

What does the glomerular filtration scale measure?

Answer 8

measures creatinine in the blood stream

the more in the blood=less kidneys are filtering

Question 9

what is a normal/good GFR score?

Answer 9

GFR 90 -120

Question 10

what does GFR stand for?

Answer 10

Glomerular Filtration Rate

Question 11

what is specific gravity?

Answer 11

measure of dissolved solutes in urine

less h2O = more solute

Question 12

what is normal urines specific gravity range?

Answer 12

1.002-1.030

Question 13

Enuresis

Answer 13

involuntary elimination of urine
normal in kids
neuro effects

Question 14

what is a neurogenic bladder

Answer 14

nervous system no longer controlling bladder

Question 15

ingested factors that affect urinary function

Answer 15

caffeine
alcohol
diuretics
diet-sodium
activity-sweat/fluid loss

Question 16

how do anticholinergics affect urination?

Answer 16

urge incontinence- increase capacity of bladder, by relaxing its muscles

Question 17

how do antidepressants affect urination?

Answer 17

stress incontinence- relaxes bladder muscles and the nerves that control the bladder sphincter

Question 18

how to antispasmodics affect urination?

Answer 18

urge incontinence- increase capacity of bladder by relaxing its muscles

Question 19

What symptoms should you look for with a PT with a urinary problem?

Answer 19

-odor
-color
-urgency
-labs- creatinine
-I&O- more out than in
-back pain
-skin integrity
-cognitive status
-cognitive changes-confusion

Question 20

what are different types of catheters?

Answer 20

indwelling, straight, suprapubic

Question 21

avg mL of urine produced per hour & per day

Answer 21

50-60
1500

Question 22

What is an indwelling catheter?

Answer 22

foley stays in the patient- usually with a balloon

Question 23

what is a straight catheter?

Answer 23

single use drain- insert, drain, takeout

*good for sterile urine samples

Question 24

what is a suprapubic catheter?

Answer 24

bypasses the urethra all together- hole in ABD and straight into bladder

Question 25

nursing responsibilities with urination

Answer 25

Toileting routines-q2h
Assist with positioning / personal hygiene
Increase fluid intake
Collect specimens
UA / culture
Know differences between ways to collect the urine sample
Clean catch, sterile, 24 hour sample

Question 26

ways to collect a urine sample

Answer 26

clean catch, sterile, 24 hour sample

Question 27

what is a clean catch?

Answer 27

mid-stream collection

Question 28

what is a sterile sample?

Answer 28

from a catheter-straight or foley

Question 29

what is a 24 hour sample?

Answer 29

all urine is collected -except 1st void

shows totals-proteins, creatinine, etc…