Term
| The nurse recognizes that urinary elimination changes may occur even in healthy older adults because |
|
Definition
| The amount of urine retained after voiding increases. |
|
|
Term
| During assessment of the client with urinary incontinence, the nurse is most likely to assess for which of the following? Select all that apply. |
|
Definition
Perineal skin irritation
Fluid intake of less than 1,500 mL/day
History of frequent urinary tract infections
A fecal impaction |
|
|
Term
| Which action represents the appropriate nursing management of a client wearing a condom catheter? |
|
Definition
| Check the penis for adequate circulation 30 minutes after applying. |
|
|
Term
| The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action? |
|
Definition
| Leaves the catheter in place and gets a new sterile catheter. |
|
|
Term
| Which statement indicates a need for further teaching of the home care client with a long-term indwelling catheter? |
|
Definition
| “Soaking in a warm tub bath may ease the irritation associated with the catheter.” |
|
|
Term
| During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate? |
|
Definition
| Urge Urinary Incontinence |
|
|
Term
| A female client has a urinary tract infection (UTI). Which teaching points by the nurse would be helpful to the client? Select all that apply. |
|
Definition
Review symptoms of UTI with the client.
Wear cotton underclothes. |
|
|
Term
| The nurse will need to assess the client’s performance of clean intermittent self-catheterization (CISC) for a client with which urinary diversion? |
|
Definition
|
|
Term
| Which focus is the nurse most likely to teach for a client with a flaccid bladder? |
|
Definition
| Credé’s maneuver: apply gentle manual pressure to the lower abdomen. |
|
|
Term
| Which of the following behaviors indicates that the client on a bladder training program has met the expected outcomes? Select all that apply. |
|
Definition
Practices slow, deep breathing until the urge decreases.
Performs pelvic muscle exercises. |
|
|
Term
| The most common urinary diversion is the ileal conduit or ileal loop: True or False? |
|
Definition
| True: This is a urinary diversion in which the client must wear an external pouch over the stoma to collect the continuous flow of urine |
|
|
Term
| The paired kidneys are situated on either side of the spinal column, behind the peritoneal cavity: True or False? |
|
Definition
| True: As well, the right side is slightly lower than the left due to the liver. |
|
|
Term
| What is the primary regulator of fluid and acid base balance in the body? |
|
Definition
|
|
Term
|
Definition
| the failure of the kidneys to produce urine, resulting in a total lack of urination or output of less than 100 mL per day in an adult |
|
|
Term
|
Definition
| client postpones voiding, resists or inhibits the sensation of urgency, and voids according to a timetable rather than according to the urge to void |
|
|
Term
| Blood urea nitrogen (BUN) |
|
Definition
| a measure of blood level of urea, the end product of protein metabolism |
|
|
Term
|
Definition
| a test uses 24-hour urine and serum creatinine levels to determine the glomerular filtration rate, a sensitive indicator of renal function |
|
|
Term
|
Definition
| manual exertion of pressure on the bladder to force urine out |
|
|
Term
|
Definition
| the smooth muscle layers of the bladder |
|
|
Term
|
Definition
| the technique by which blood is filtered for the removal of body wastes and excess fluid |
|
|
Term
|
Definition
| the production of large amounts of urine by the kidneys without an increased fluid intake |
|
|
Term
|
Definition
| agents that increase urine secretion |
|
|
Term
|
Definition
| painful or difficult voiding |
|
|
Term
|
Definition
| bed-wetting; involuntary passing of urine in children after bladder control is achieved |
|
|
Term
|
Definition
|
|
Term
|
Definition
| a tuft of capillaries in the kidney surrounded by Bowman's capsule |
|
|
Term
|
Definition
| attempts to keep clients dry by having them void at regular intervals; also referred to as timed voiding or scheduled toileting |
|
|
Term
| Ileal conduit (ileal loop) |
|
Definition
| urinary diversion in which the client must wear an external pouch over the stoma to collect the continuous flow of urine |
|
|
Term
|
Definition
| a flushing or washing out with a specified solution; administration of a solution to wash out the conjunctival sac to remove secretions or foreign bodies or to remove chemicals that may injure the eye |
|
|
Term
|
Definition
| referring to the urinary meatus, which is the external opening from the urethra to the surface of the body |
|
|
Term
|
Definition
|
|
Term
|
Definition
| diversion of urine from a kidney to a stoma |
|
|
Term
|
Definition
| interference with the normal mechanisms of urine elimination in which the client does not perceive bladder fullness and is unable to control the urinary sphincters; the result of impaired neurologic function |
|
|
Term
|
Definition
| voiding two or more times at night |
|
|
Term
|
Definition
| involuntary urination at night |
|
|
Term
|
Definition
| the need for older adults to arise during the night to urinate |
|
|
Term
|
Definition
| production of abnormally small amounts of urine by the kidney |
|
|
Term
|
Definition
| cleansing of the perineum (genitalia) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| supplements habit training by encouraging the client to try to use the toilet (prompting) and reminding the client when to void |
|
|
Term
|
Definition
|
|
Term
|
Definition
| the amount of urine remaining in the bladder after a person voids |
|
|
Term
|
Definition
| an indwelling catheter that has been surgically placed in the bladder through the abdominal wall, either with or without a urethrally placed catheter |
|
|
Term
|
Definition
| a triangular area at the base of the bladder marked by the ureter openings at the posterior corners and the opening of the urethra at the anterior corner |
|
|
Term
|
Definition
| type of urinary diversion that involves surgery of the ureters |
|
|
Term
|
Definition
| the feeling that one must urinate |
|
|
Term
|
Definition
| the need to urinate often |
|
|
Term
|
Definition
| a delay and difficulty in initiating voiding; often associated with dysuria |
|
|
Term
|
Definition
| the accumulation of urine in the bladder and inability of the bladder to empty itself |
|
|
Term
| Urination (micturition, voiding) |
|
Definition
| the process of emptying the bladder |
|
|
Term
|
Definition
| surgical production of an opening into the bladder |
|
|
Term
| A client with an indwelling catheter reports a need to urinate. Which of the following interventions should the nurse perform? |
|
Definition
| Check to see if the Catheter is patent |
|
|
Term
| Which of the following nursing interventions is correct when performing a 24-hour urine specimen test? |
|
Definition
| Discard the first voiding: Note the time: Collect all voidings after and keep on ice: |
|
|
Term
| What should you do if a urine culture is ordered? |
|
Definition
|
|
Term
| What should you do if a urinalysis is ordered? |
|
Definition
| as the client to urinate and pour urine into a specimen container |
|
|
Term
| Which position promotes a clients normal eliminations? |
|
Definition
| Sitting. Supine makes it difficult to empty bladder completely |
|
|
Term
| which of the following interventions is appropriate when a nurse performs a catheterization on a female client? Select all that apply: |
|
Definition
Provide privacy
maintain surgical asepsis throughout the procedure
position the client supine with knees bent and apart |
|
|
Term
|
Definition
| between 300-600 mL of urine |
|
|
Term
| how many times can an infant urinate a day |
|
Definition
|
|
Term
| characteristics of healthy infant urine |
|
Definition
odorless, colorless, specific gravity (1.008)
unable to concentrate urine effectively |
|
|
Term
| when do children achieve full urinary control |
|
Definition
| 4-5 years, daytime control usually achieved by 3 |
|
|
Term
| when do kidneys reach maximum size? |
|
Definition
| between 35-40 years of age |
|
|
Term
| when do kidneys begin to decrease in size/function |
|
Definition
|
|
Term
| what are factors effecting voiding in older adults |
|
Definition
-enlarged prostates inhibit complete emptying, can lead to incontinence
-post menopausal women have decreased hormone (estrogen) levels, which cause decrease in perineal tone and support of bladder, cagina, and surrounding tissues
-joint pain, previous surgeries, and intramuscular problems inhibit mobility
-cognitive impairment effects knowing the need or how to go |
|
|
Term
| what are nursing interventions to improve voiding problems in older adults? |
|
Definition
-medications
-surgery
-behavioral training
-ease of access
-habit training |
|
|
Term
| The TOILETED method of identifying possible contributing factors for transient urinary incontinence |
|
Definition
T- thin and dry vaginal and urethral epithelium
O-Obstruction
I-Infection
L- Limited mobility
E- environment or psychological factors
T- therapeutic medications
E- Endocrine disorders (i.e. diabetes)
D- Delirium |
|
|
Term
| Functional urinary incontinence |
|
Definition
| Inability of usually continent person to reach toilet in time to avoid unintentional loss of urine |
|
|
Term
| Overflow urinary incontinence |
|
Definition
| involuntary loss of urine associated with overdistension of the bladder |
|
|
Term
| Reflex urinary incontinence |
|
Definition
| involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached |
|
|
Term
| Stress urinary incontinence |
|
Definition
| sudden leakage of urine with activities that increase intra abdominal pressure |
|
|
Term
| Urge urinary incontinence |
|
Definition
| involuntary passage of urine occurring soon after a strong sense of urgency to void |
|
|
Term
| Risk for urge urinary incontinence |
|
Definition
| at risk for involuntary loss of urine occurring soon after a sudden, strong sense of urinary urgency |
|
|
Term
| Normal amount of urine in 24 hours (adult) |
|
Definition
|
|
Term
| Abnormal amount of urine in 24 hours |
|
Definition
| any under or large amount over |
|
|
Term
| Normal color/clarity of urine |
|
Definition
| straw, amber, transparent |
|
|
Term
| abnormal color/clarity of urine |
|
Definition
| dark amber, cludy, dark orange, red or brown, mucous plugs, viscid, thick |
|
|
Term
|
Definition
|
|
Term
|
Definition
| offensive (urine high in glucose smells sweet) |
|
|
Term
| what is NOT Present in normal urine |
|
Definition
| glucose, ketone bodies (acetone), blood |
|
|
Term
| During discharge planning, the nurse is teaching the client ways to prevent a recurrence of a UTI. What are correct actions? |
|
Definition
-Always wipe from front to back
-drink eight 8-oz glasses of water a day
-wear cotton rather than nylon undergarments
-avoid tight fitting pants or other clothing that could cause irritation |
|
|
Term
| what are benefits of intermittent self catheterization. |
|
Definition
- protects upper urinary tract from reflux
-reduces incidences of UTIs
_enables client to retain independence and gain control of bladder
-allows for normal sexual relations without incontinence. |
|
|
Term
| what is correct pelvic muscle exercise(kegel) method? |
|
Definition
-contract pelvic muscles pulling rectum, vagina, and urethra up
-hold for 3-5 seconds, then release for 3-5 seconds
-each contraction 10 times, repeat 3xs daily
-gradually increase hold for 10 seconds for each contracture and relaxation period
-develop a schedule to remind when to perform exercise
-perform anytime you engage in activity that increases intra abdominal prssure (i.e. sneezing) |
|
|
Term
| symptoms of a bladder infection |
|
Definition
-frequent urge to urinate,
-pain or burning on urination
-urine often appears cloudy and occasionally reddish if blood is present
-urine may develop an unpleasant odor
-Women often have lower abdominal discomfort or feel bloated and experience sensations like their bladder is full.
-Women may also complain of a vaginal discharge, especially if their urethra is infected
-Although men may complain of dysuria, frequency, and urgency, other symptoms may include rectal, testicular, penile, or abdominal pain.
-Men with a urethral infection, especially if it is caused by an STD may have a pus-like drip or discharge from their penis
-Toddlers and children with UTIs often show blood in the urine, abdominal pain, fever, and vomiting along with pain and urgency with urination |
|
|
