Urinary Elimination

Question 1

Oliguria

Answer 1

Diminished urine output of 35cc over 24 hours

Question 2

Dribbling

Answer 2

Leakage of urine despite voluntary control

Question 3

Functional incontinence

Answer 3

Total uncontrollable and continuous loss of urine

Question 4

Residual urine

Answer 4

Irvine in bladder after urination

Question 5

Minimal urinary output

Answer 5

30 ml per hour

Question 6

Anuria

Answer 6

Kidney don’t produce urine

Question 7

Dysuria

Answer 7

Painful urination

Question 8

Gycosuria

Answer 8

Blood sugar in urine

Question 9

Nocturia

Answer 9

Waking during the night to urine

Question 10

Polyuria

Answer 10

Urinates more than usual

Question 11

Proteinuria

Answer 11

Protein in urine

Question 12

Pyuria

Answer 12

Abnormal number of WBC in urine

Question 13

Turbidity

Answer 13

Fresh should be clear

Question 14

Anticoagulants

Answer 14

Red urine

Question 15

Diuretics

Answer 15

Pale yellow

Question 16

PyridiUm

Answer 16

Orange or orange red urine

Question 17

(E)lavilv

Answer 17

Green or blue green urine

Question 18

Levodopa

Answer 18

Brown or black urine

Question 19

Factor effecting urination

Answer 19

• When body is functioning well the kidneys help the body balance the intake and output which should be about equal
• when the body is dehydrated the kidneys overuse or fluid and producing more concentrated urine and the amount is decreased when dehydrated, with fluid overload the kidneys excrete and large quantity of diluted urine

Question 20

Muscle tone

Answer 20

During prolonged periods of immobility, decreased bladder in Spencer tone came result in poor urination control and urinary stasis

People with indwelling urinary catheter lose bladder tone

Question 21

Diseases associated with renal problems include

Answer 21

• congenital urination
• polycystic kidney disease

Renal failure is a condition in which the kidneys fail to remove Mela Bolick and products from the blood and are unable to regulate fluid, electrolyte and pH balance

Question 22

Urinary elimination special considerations for post operative needs

Answer 22

• Monitor intake and output
• assist in assuming normal position to void by using an upright position went on a bedpan and using a bedside commode
• assess male patient to stand upright to avoid with a urinal
• assess for bladder distention by palpating above the symphysis pubis if the patient has not voided within eight hours after surgery or if the patient has been avoiding frequently in amounts less than 50 mL
• maintain prescribed intravenous fluid infusion rates
• encourage oral fluid intake
• provide privacy
• Initiate catheterization if prescribed

Question 23

Routine urinalysis

Answer 23

• does not require sterile technique

- Clean bed pan, you’re not or hat in toilet

Question 24

Clean- catch or midstream specimen

Answer 24

Collect during midstream

Question 25

Catheterizing

Answer 25

- indwelling catheter or in an out catheterization into bladder - Sterile specimen

Question 26

24 hour urine specimen

Answer 26

- collect all urine in a 24 hour period - please sign on patient’s bathroom door as a reminder - ask patient to empty bladder, discard this urine, thank light a voided for the next 24 hours. At the end of the 24 hours ask the patient to do it now and send entire specimen to the lab

Question 27

Assessing elimination patterns

Answer 27

- patient voiding habits - current and past boarding difficulties - recent changes - frequency/ amount - In infants make sure to you by the way how many wet diapers produced per day - evaluate how many wet briefs the incarnate older adult places per day If patient is out of normal place pattern may change

Question 28

Cystoscopy

Answer 28

Nurses responsibility obtain information/consent provide sedation and pain meds if prescribed

Question 29

Intravenous pyrlogram

Answer 29

Radiographic examination of the kidney and ureter after contrast material is injected intravenously

Question 30

Retrograde pyelogram

Answer 30

Keep patients NPO, obtain history, including allergies

Question 31

Renal calculi

Answer 31

- A pebble made from waste molecules in the urine Signs: pain usually inside of admin or back, nausea/vomiting, blood in urine/frequent urination Can cause blockage- urinate obstruction Treatment/ interventions: increase fluid intake, stone removal

Question 32

Urinary retention

Answer 32

- retains urine after voiding - feelings of pressure, discomfort, tenderness over the synthesis pubis, restlessness and diaphoresis Key assessment: - absence of urinary output- may still have urge to void - distended bladder

Question 33

Coffee effect

Answer 33

Act as a diuretic making patient urinate frequently

Question 34

Measuring intake and output output

Answer 34

INTAKE: - includes all PO, TF/PEG and IV - all liquid food and fluids OUPUT: - bedpan, urinal, toilet hat - disposable briefs - catheter drainage bag

Question 35

What to assess when assessing urinary system

Answer 35

- urinary function - skin color, texture, turgor - characteristics of urine - measure food/fluid * if blood in female sample ask about period

Question 36

Emotional stress effect

Answer 36

May cause frequency

Question 37

Nursing interventions

Answer 37

- focus on maintaining and promoting normal urinate patterns - how to assist to meet their goals to overcome fluid deficits - increase fluids - monitor I&O - take to BR timely - privacy - teach hygiene and infection control

Question 38

Stress inconvenience

Answer 38

When intra-abdomen pressure increases, urinary dribbling of approximate loss of 50 ml or less