urinary elimination

Question 1

urinary elimination assessment

Answer 1

observation, patient interview and phsyical exa,

Question 2

urinary elimination assessment - Pt interview

Answer 2

• voiding pattern
• description of urine (odor, color)
• elimination problems

Question 3

urinary elimination assessment - physical exam

Answer 3

• abdomen at symphysis pubis
• soft tissues of genitalia
• urethral eatus

Question 4

5 types of urinary incontinence

Answer 4

stress
overflow
urgency
reflex
functional

Question 5

stress incontinence

Answer 5

sudden increase in intra-abdominal pressure causes the involuntary passage of urine

Question 6

stress incontinence examples

Answer 6

during when a patient coughs, sneezes or laughs

during heavy lifting

pregnancy obesity

Question 7

stress incontinence treatment

Answer 7

lifestyle modifications: weight loss

kegel exercise

Question 8

overflow incontinence

Answer 8

urine leaks involuntarily when the bladder becomes too full

Question 9

overflow incontinence treatment

Answer 9

• meds, including laxatives
• double voiding: after the urine flow stops, bear down again to push more urine out
• kegel’s

-suprapubic catheteher

-bladder scan

Question 10

urgency incontinence

Answer 10

immediate and intense desire to void

Question 11

urgency incontinence treatment

Answer 11

-kegels
- UTI treatment
- meds: anticholinergics, beta 3 agonists

Question 12

reflex incontinence

Answer 12

involuntary loss of urine when bladder reaches specific volume

Question 13

reflex incontinence treatment

Answer 13

-bladder training/encourage voiding

-anticholinergics to relax bladder muscles and reduce spams

-intermittent catherization

-oxybutin but NOT for ppl with glaucoma

Question 14

functional incontinence

Answer 14

ability to respond to the need to urinate is impaired
-caused by confusion, dementia, impaired mobility

Question 15

functional incontinence treatment

Answer 15

• offer toileting q2h
• ensure toilet is visible using signs
• assess for cues that the patient may need to urinate (restlessness, trying to remove clothing)

Question 16

urinary elimination diagnostic tests

Answer 16

cystoscopy

lab/blood work

Question 17

renal system lab tests

Answer 17

blood urea nitrogen (BUN), 5-25 mg/dL

creatinine 0.5 - 1.5

urinalysis

creatinine clearance

Question 18

urinary elimination pharmacological therapy

Answer 18

-anticholinergic medications: reduce urinary frequency

-cholinergic medications: promote urination

-dialysis for patients w/ severely reduced or absent renal function

Question 19

glycosuria

Answer 19

kidney’s inability to reabsorn all glucose filtered by the glomeruli

Question 20

polyuria/diuresis

Answer 20

production of abnormally large amounts of urine

Question 21

anuria

Answer 21

absence of urine production

Question 22

oliguria

Answer 22

scant urine production

Question 23

nocturia

Answer 23

voiding at night

Question 24

dysuria

Answer 24

painful or difficult voiding

Question 25

neurogenic bladder

Answer 25

does not perceive bladder fullness

Question 26

nursing care for Pt w/ urinary incontinence

Answer 26

-patient and family teaching -refer for urologic exam -fluid intake management -indwelling or intermittent catheterization

Question 27

complications of urinary retention can lead to

Answer 27

overdistention of bladder weak detrusor muscle inability to urinate

Question 28

manifestations of urinary retention

Answer 28

firm, distended bladder overflow voiding or incontinence decreased urine output