Urinary Elimination

Question 1

Normal specific gravity:

Answer 1

1.0053-1.030

Question 2

Normal urine output:

Answer 2

80 mL/hr

Question 3

Normal pH of urine:

Answer 3

4.6-8.0

Question 4

Diminished urinary output in relation to fluid intake:

Answer 4

Oliguria

Question 5

Side effect of anesthetic agents on urinary system?

Answer 5

Can decrease bladder contractility and/or sensation of bladder fullness, causing urinary retention

Question 6

Leakage of urine associated with strong urge to void:

Answer 6

Urge urinary incontinence

Question 7

Recommended when pt is experiencing stress incontinence:

Answer 7

Kegel exercises (pelvic floor exercises)

Question 8

Indwelling foley catheter is a solution for:

Answer 8

Urine retention

Question 9

Finding to be expected on a pt with urinary incontinence:

Answer 9

Reddened irritated skin on buttocks

Question 10

Associated sxs of cystitis (inflammation of bladder):

Answer 10

Hematuria, foul-smelling cloudy urine, urgency/frequency

Question 11

Associated sxs of upper urinary tract infection (pyelonephritis):

Answer 11

Flank pain, fever, chills

Question 12

Steps for needleness closed irrigation catheter technique:

Answer 12

1. Draw up prescribed amount of sterile solution ordered.
2. Clamp catheter just below specimen port.
3. Twist needleless syringe into port.
4. Clean injection port.
5. . Inject prescribed solution.
6. Remove clamp and allow to drain.

Question 13

Clean-voided urine specimen for female pt- patient teaching:

Answer 13

Hold labia apart while voiding into specimen cup

Question 14

Dark amber urine indicates:

Answer 14

High conc. of bilirubin in pt with liver disease

Question 15

Phenazopyridine changes urine:

Answer 15

Orange color

Question 16

Allergic reaction to IV contrast:

Answer 16

Fever, rash, difficulty breathing

Question 17

When to take postvoid residual bladder scan:

Answer 17

10 minutes s/p voiding

Question 18

Caude catheter is used for:

Answer 18

Middle aged male who needs bladder irrigation

Question 19

Indwelling catheter procedures: (3)

Answer 19

• Empty drainage bag when half full
• Kinking cath tubing to obtain urine specimen
• Secure cath tubing to pt’s thigh

Question 20

Inadequate bladder emptying: (5)

Answer 20

Abd pain/distention
Sensation of incomplete emptying
Incontinence
Dribbling of urine
Voiding in small amounts

Question 21

Antimuscarinics decreases:

Answer 21

Sxs of urgency, frequency, urgency urinary incontinence episodes, nocturia

Question 22

Sxs of urinary retention:

Answer 22

Small-volume voiding

Pain over symphysis muscle

Question 23

How to care for catheter:

Answer 23

• Cleanse first 4 in. every 8 hrs
• Assess skin/meatus for inflammation
• Flush cath w/ 30-60 mL of water, not saline

Question 24

Continuous bladder irrigation (CBI) keeps bladder:

Answer 24

Free of blood clots

Question 25

Bethamechol chloride:

Answer 25

Treats urinary retention

Question 26

Tamsulosin and silodosin:

Answer 26

Relaxes smooth muscle

Question 27

Finasteride and dutasteride:

Answer 27

Shrinks prostate

Question 28

Dark red urine indicates bleeding from:

Answer 28

Kidney or ureters

Question 29

Bright red urine indicates bleeding from:

Answer 29

Bladder or urethra

Question 30

Urine culture takes:

Answer 30

48-72 hrs

Question 31

DIAPPERS:

(factors involved w/ incontinence):

Answer 31

D- delirium
I- infection 
A- atrophic urethritis & vaginitis (due to old age)
P- pharmaceuticals
P- psychological disorders
E- endocride (heart failure)
R- restricted mobility
S- stool impaction

Question 32

Excessive urination caused by diuretics, high fluid intake, uncontrolled DM:

Answer 32

Polyuria