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PN Test 3

QuestionAnswer
What are some functins of the Urinary system? Filters blood. Regulates the amount of water in body. Maintenance of Hemostasis. Manufactures /Hormones. Processing of Wastes.
what are some factors of Maintenance of Hemostasis? Controls water and blood volume Maintains blood pressure Regulates electrolyte levels Maintains pH balances Activates Vitamin D for bone calcification.
What is Renin? A hormone is a protein (enzyme) released into the bloodstream by special kidney cells. It is released in response to decreasing salt (sodium) levels or low blood volume(low blood pressure).
What is Erythropoietin? Hormone(glycoprotein) prduces in the kidneys, stimilated when the oxygen levels drops.
What is Retroperitoneal? Location of the kindeys.
Kidneys 2 that produces urine
What are Nephrons It is the funcitional units of the kidney.
what is the Glomerulus? a tiny ball-shaped structure composed of capillary blood vessels actively involved in the filtration of the blood to form urine.
What are Ureters? There are 2, transport urine from kidney to bladder abut 10-12 inches.
What is the main function of the Bladder? Collects and stores urine.
What is the primary function of the Urethra? Consist of 2 tubes that carries urine from the bladder to the outside of the body.
The Meatus is? The opening
How many mLs of urine can a Adult bladder hold in a single day? 1000mL
How many mLs of urine does a child bladder hold a day? about 240-400mLs of urine
What is Urine formation? Formed in teh nephrons by glomerular filteration, tubular reabsorption, and tubular secreation.
What % of filtrate is reabsorbed? 99
What % of urine is made after filtration? 1
What is the average urine output a day for a adult? 1000-2000mL/1 milliliter of urine every kg of body weight each hour
What is one major factor about I & O? fluid intake should almost equal the amount of output(BLANCE)
What are some Stressor/Factors that Influence(increase) the quantity of Urine? Amount of fluid intake in. Perspiration. Hemorrhage. Blood pressure. Vomiting. External Temp. Drugs. Fever. Various Diseases.
In order, what is the complete Urinary Process, 1-6? 1) urine flows the collection tubules into the renal pelvis. 2) goes down the ureter. 3) enters the bladder. 4) bladder distends. 5) stimulates nerve endings in bladder walls. 6) Brain interprets the messages to empty the bladder.
In order, what are the last 2 steps in the Urinary process? 7) nervous system stimulates the internal and external sphincter muscles controlling the urethra to relax. 8) external muscles in the bladder contract forcing urine out.
What are some Effects of aging on the Urinary system?(Developmental Variable)? Less ability to return to normal after sudden changes in blood volume, electrolytes. direct insults to kidney, like truma,obstructions, and infections. number and size of nephrons decreases, then membrane thickens. blood flow decreases.
What are some effects of aging on the Urinary system?(Continued) Secreation and removal of substance, ammonia. glucose decreases and higher blood sugar levels ar noted. bladder muscles weaker. bladder smaller capacity. enlargment of the prostrate gland(BPH)
What is the desired color of normal urine? light yellow-yellow-amber(straw color)
What should the clarity of urine look like? clear/transparent
Ordor is sometimes referred to as? Aromatic
What is the normal pH balance of urine? 6, but ranging from 4.6-8.0(slightly acidic)
What is the specific gravity of urine? 1.003-1.030
Procedures and Diagnostic test are which stage of prevention? (primary,secondary, tutairy)? Secondary prevetion.
What are some Diagonstic test and procedures? Monitor I & o's. Urinalysis(ph, specific gravity, glucose, ketones, albumin(protein), blood ,WBC,REC,bilirubin). single-voided urine specimen. clean cath or Midstream sample Catheterized specimen. 24 hour specimen collection.
What is the most important Fact to remember when collecting a 24 hour urine specimen? It begins with a empty bladder and ends with a empty bladder.
What is an Double voided specimen test? It is done before a test,Example: residual urine volume test.
What is a NON-INVASIVE nursing intervention to keep up with the client's I & O's? Daily Weights.
What are some Renal fuctions test? BUN test.(Blood Uriea Nitrogen). Creatinine. x-ray,ultrasound, CT, MRI. Specialzied imaging studies. IVP:intravenous pyelogram. Radioactive renogram. Cystomgram/Voiding Cystourethrogram Cystoscopy. Retrograde pyleogram. Renal Biopsy
Uriea means? Formed in the liver.
What re some Renal function test?(Continued) Urodynamic test. Residual Urine Volume.
What is a Retrograde pyleogram test? Contrast dye injected into ureters through catheter.
What is a Cystocopy test? Veiw inside of bladder through a scop/allow for removal of polyp or tumor.
What is IVP? Intravenous pyelogram test.
Ocult means? Hidden.
What is a Residual Urine Volume Test? test to determin if the client emptied bladder completely. Using double voiding system.
What are some Common Urinary Problems? Urinary incontinence. Transient incontinence. True or total incontinence. Stress incontinence. Reflex incontinence. Urge incontinence. Overflow incontinence.
What is Transient incontinence? Tempary
What is Stress Incontinence? laughing. coughing. sneezing.
What is Overflow Incontinence? bladder is too full.
What are some treatment for Urinary Incontinence? Crede's Maneuver. Kegal Exercises
What is Crede's Maneuver? Technique to manage overflow incontinence. By pressing down or mesaging the stomach to provide flow of urine.
What is Kegal Exercises? treatment for stress and urge incontinence, by contracting your muscles in the anuel area(think of holding urine and letting it go).
What are other Treatment of Incontinence? Electrical stimulation. Pessary. Medication. Surgery.
What are some Nurisng Measures/assist in voiding? Increases Fluids. Intruct client to empty bladder completely. Take plenty of time. Relax. Privacy. Sound of running water Positions. Strengthening floor.
What is Enuresis? Involuntary voiding in bed(Bed wetting)
What is a Urinary Tract Infections? Acute and Chronic Cystits/Acute and chronic. Pyelonephritis.
Signs and Symptoms of UTI? Urgency. Frequency-voids small amount each time. Dysuria/burning sensation. Hematuria(blood in the urine). Abnormaol Components(WEBC's or Pus). Positive Urine Culture.
Signs of UTI in older adult? A change in mental status. Metabolize meds slower May have more than one chronic condition. Changes in behavior/personality, functioning.
Treatment/Prevention of UTI? Meds. order as a rusult of sensitivity. Testing
What steps can be used to prevent UTI in females? Wipe from front to back. Wear cotton panties. No bubble baths. Drink plenty of fluids. Throughly rinse perineum area. Use white usented toilet paper.
What are reason can introduce a UTI in females? Sexual activity. Acidify Urine(vitamine C to acidify urine and prevent growth of bacteria.)
What causes Acute Pyelonephritis? Ecoli
What is Acute Pyleonephritis? Inflammation of renal pelvis and medulla.
What is the most common form of kidney disease? Acute Pyelonephritis
What are some Signs/Sysmptoms of Acute Pyelonephritis? Rapid onset/fever/chills. Flank pain. Pyuria. Nausea/vomiting. Headache.
What is Interstitial Cystitis? Autoimmne and inflammatory in nature. More common in women ages 20-50 years.
Signs/Sysmtpoms of Interstitial Cystitis? Strong/frequent urge to void. Pelvic pain. Voiding not painful. Urine is usually free of bacteria.
What are some Treatment/Nursing Considerations of Interstitial Cystitis? Chronic. No cure. Disease worsen under stress. Glomerulonephritis:(Bright desease).
What is Acute Glomerulonephritis? Often appears 2-3 weeks after a URI or Scarlet Fever.(same streptoccus that causes "Strep throat")
Signs/Symptoms of Acute Glomerulonephritis? Pale puffy face. Voids frequent at night. Hematuria,smoky urine. Headaches, irritability. Albumin,RBC's casts presents urine. BP increases. Possible seziure. "IF UNTEATED: LEAD TO DEATH."
Treatment/Medical/Nursing Interventions of Glomerulonephritis? Antibiotics. Bed rest
What are some Nursing Measures of Glomerulonephritis? I & O's. Weight. Encourage fluids. Provide skin care and oral hygiene. Dietry Instructions. Monitor vital signs.
Signs/Symptoms of Chronic Glomerulonephritis similar to Acute? Pulmaonary edema. Increased BP. Congestive heart faliure. Ultimately renal failure.
Treatment for Chronic Glomerulonephritis? Antihypertensive medication. Restrict salt and water intake. Low protein diet.
What are some Obstructive disorders Of the Ureteral & Utethral stricures? Calculi. Groth spasms.
What is Urlithiasis? formation of kidney stores.
What are some Treatment of Urlithiasis? Sticutre.
What is Sticutre? Fibrous bands that form along the uretes and interfear with urine passage.
What is the Nursing Intervention for Urlithiasis? Stain urine.
What are the 2 types of Urinary Diversions? Cutanesous diversion. Continent diversions.
What is Renal Failure? When kidneys no loger meet everyday demands
What are some Signs/Symptoms of Renal Failure? Oliguria
What is Oliguria? Output less 400 mL in 24 hrs.
What are some Nursing Measures of Acut/Chronic Renal Failure? dietary. measures I & O. conscerve client energy.
What does a Catheter look like? Latex or vinyl tube inserted to remove urine.(about 24" long)
What are the types of Catheters? Straight-intermittent & Retention -indwelling(foley)
What is Catherization? obtain sterile specimen. measure rsidual urine. empyt bladder prevent or relieve distention. manage incontinence, post-op & GU surgery.
What is the MOST common complication with Catherization? Infection.
What are some Ways to prevent infection/care of client with indwelling catheter? Good hand washing. keep system closed. prevent backflow of urine. never remove over 750 cc of urine during intital insertion. good perineal care. increases fluids. acidfiy urine. provide privacy. proper draping of client. patient education.
What is the correct way to perform Bladder irrigations? continuous to intermittent.
What is Digestion? Breakdown of food into usable materials for energy.
What is Absorption? process of transferring food elements into the circulating system.
What are some Examples of Digestive system? proteins are made up of amino acids that are linked. Enzymes break these link so amino acids are absorbed into blood stream and carried to other parts of the body.
What are the 2 types of Digestion? Mechanical. Chemical.
What is Mechanical digestion? Physical breakdown
What is Chemical digestion? breakdown of food with enzymes, acids , and water.
What are Enzymes? Mucous membrane lining of G.I. tract and Water.
What are some Factors about Salivary glands? secrete saliva. pH level is 6 or 7. we put out a 1/2 of gallon of saliva a day.
What is the Esophagus? moves food froom mouth to stomach. "peristalsis." it's 10 to 12 inches long.
What is the function of the Stomach? churn and mix contents with gastric juices.
Where is Chyme located in the Stomach? Got to find this out?
The Small intestine? most digestion occurs here. "logiest" of the two. divided about 3 parts.
How long is the Small intestine? 20 feet in length.
The Small Intestine is made up of 3 parts? Pyloric sphincter. Duodenum. Jejunum.
What is the Pyloric sphincter? Begining of the small intestine.
What is the Duodenum? receives digestive juices from the liver and pancreas.(C-shaped)
What is the Jejunum? It is referred to as the "FASTING Part" of the small intestine. Nothing really goes on here.
What are some Facts about the intestine? Walls of small intestine are lined with villi. absorb amino acids and simple sugars. fat nutrients pass through lymph vessels.
What is the function of the Large intestine/ forms and expels feces.
How does the process of the Large intestine work? Move from small intestine into large. Water and needed chemicals are absorbed back into the blood stream. Remaining waste travels to the rectum and passed through the anus.
What is Dietary fiber? aids in the process of peristalsis and prevents constipation.
The Rectum? Expels feces. Last 8 inches of the large intestine.
What is the funciton of the Liver? produces bile(break down fat, and detoxify the blood,stores fat soluable vitamines)
What is the function of the Gallbladder? stores bile. 3 to 4 inches. pear shaped.
What is teh function of the Pancreas? produces pancreatic juice. Long, fish shaped. 6 inches in legnth. sits behind the stomach. 3 main enzymes: ?
What is Pertoneum? Regulation of food intake
What is the Hypothalamus? One center stimulates eating another signals to stop eating.
What are U looking for when look at the Characteristics of Feces/Stook? Color. Consistency. Shape. Presence of Infection. Presence of parasites. Odor.
What are some ABNORMAL FINDINGS OF FECES/STOOL? Consistency:liquid,watery,unformed,very hard, or dry. Shape: balls, clumps, or broken-off chunks. Presence of Infection: pus,excessive mucus.
What sphincter prevents backup of stomach contents into the esophagus? Lower esophageal.
Which Valve prevents backup of fecal material from the large intestine into the small intestine? Ileocecal.
Which sphincter prevents backup of duodenal contents into the stomach? Pyloric.
The absorption of most of the end products of digestion occur in the Small intestine.
The digesion of protein begins in the? Stomach.
Water and vitamins produced by the normal flora are absorbed in the? Large intestine.
The site of action of bile and pancreatic enzymes is? The small intestine.
The passageway for food into the stomach from the mouth is called? Esophagus.
Voluntary control of defecation is provided by? External anal sphincter.
The watery secretion that permits taste and swallowing is produced by? Salivary glands.
The process of mechanical digestion is accomplished by? The Teeth and Tongue in the Mouth.
The structures in the small intestine that contain capillaries and lacteals for absorption are? Villi
The part of the colon that contracts in teh defecation relfex is the? Rectum.
The digestive function of the liver is the production of? Bile by the hepatocytes.
Flexible or rigid device consisting of a tube and optical system for observing the inside of a hollow organ or cavity is called? Endoscope donscepeo.
Gurgling and clicking heard over the abdomen caused by air and fluid movement from peristaltic action normally occuring every 5 to 15 seconds at a rate of 5 to 35 per minute is? Bowl Sound.
Examiniation of teh upper portion of the rectum with an endoscope is called? Glonoscopy.
Feeding via a tube placed in the stomach is called? Gauage.
Immovable accumulation of feces in the bowls is called? Impaction.
Resin obtained from trees to test for occult blood in feces is called? Guaiac.
A device consisting of a fluorescent screen that makes teh shadows of objects interposed between the tube and the screen visible is called? Fluoroscope.
Fatty stools are called? Steatorrhea.
A test performed to measure secretions of hydrochloric acid and pepsin in the stomach is called? Gastric analysis.
Examination of the stomach and abdominal cavity by use of an endoscop is called? Gastroscopy.
Testing stool for excessive amounts of fat is which laboratory test? Stool for lipids
Testing stool for the presence of pathogenic organisms in the GI tract is performing which lab test? Stool cultures.
Testing stool for blood that is not visible to the eye is performing which lab test? Stool for occult blood
Levels may indicate colorectal or other cancer is performing which lab test? Carcinoembryonic antigen(CEA)
Testing stool for instestinal infections caused by parasites is performing which lab test? Stool for ova and parasites.
Which pancreatic enzyme digests polypeptides to short chains of amino acids? Trypsin
Which pancreatic enzyme digests emulsified fats to fatty acids and glycerol? Lipase.
Which pancreatic enzyme digests starch to maltose? Amylase.
Liver or gallbladder disease may cause pale or what color stools? Glay colored.
Liver disease may cause what disorders? Clotting
A liver scan recordsWHICH material taken up by the liver to form a compostie "picture" of the liver? Raidoactive material
After a liver biopsy, the patient lies on the right side for how many hours? 2 hours
After a liver biopsy, nurisg care focuses on monitoring for? Bleeding.
Which of the following structures are connected by the ileocecal valve? Colon to the small intestine.
Mechanical digestion in the stomach is accomplished by which of the following structures? Smooth muscle layers.
Gastric juice comtributes to teh digestion of which of the following tyopes of nutrients? Proteins
The enzymes of the small intestine contribute to the digestion of which of the following types of nutrients? Disaccharides.
which of the following sturctures carries bile and pancreatic juices to the duodenum? Common bile duct.
Which of the following diagnostic procedures on stool specimens must the nurse collect using a sterile technique? Stool culture.
Which of the following colors would the nurse recongnize as an expected finding for the patient's stools immediately after a barium swallow? White
Which of the following does teh nurse understand is the PRIMARY reason a patient is NPO until teh gag reflex returns after an EGD procedure? To prevent aspiration.
Which of the following positions would the nurse be correct in using for nasogastric(NG) tube insertion? High-Fowler's
Bowel sounds heard as soft clicks and gurgles at a rate of 4 per minute would be documented by the nurse as which of the following types of findings? Hypoactive
Which of the following diagnostic procedures requires that a patient be nil per os(NPO)? 1) Upper GI series(barium swallow). 2)Magnetic resonance imaging(MRI). 3)Esophagogastroduodenoscopy(EGD). 4)Computed tomography(CT) scan. 5)Endoscopic retrograde cholangiopancreatography(ERCP).
Which of the following nurisng diagnoses would be most appropriate to include in the patient's plan of care follwoing a barium swallow? risk for constipation. Deficient knowledge.
What is Blood in the urine called? Hematuria.
What is another name for Painful urination? Dysuria.
What is Nocturia? Voiding during the night.
What is decreased urine output(<400mL per 24 hours)? Oliguria.
What is another name for Bedwetting? Enuresis.
What is Absence of urination? Anuria.
What is Polyuria? Excessive urination(>2000 mL per 24 hours).
What is Pyuria? Presence of pus in the urine.
True or False? An x-ray of the renal structures after injection of a radiopaque dye into the venous system is called a RENAL ULTRASOUND? False.
True or False? A diagnostic test in which sound waves are used to outline the structure of the kidney is an intravenous pyelogram? False.
True or False? A urine sample that is cultured to determine the kind of bacteria it contains is called a creatinine clearnece urine test? False.
True or Fasle? A diagnostic test in which the inside of the bladder is visualized is called a cystoscopy? True.
True or False? The radiopaque dye used when doing diagnostic tests of the renal system is harmless? False.
Which of the following is secreted when teh blood level of oxygen decreases? Erythropoietin
Urea is a nitrogenous waste product from the metabolism of which of the following? Amino Acids
The kidneys are located behind which of the following structures? Peritoneum
The renal pyramids make up which kidney sturcture? Renal Medulla
The process of tubular resorption takes place in which of the following parts of the kidney? From the renal tubule to the peritubular capillaries.
When collecting a urine specimen on a newly admitted female patient, the nurse should take which of the following actions? Direct the patient to wash perineum before collecting the urine specimen.
A patient's urinalysis results show the following findings: urine, dark,amber,bacteria,small amount, nitrite, negative, specific gravity, 1.035. Which of the following is the best explanation for these results? Dehydration.
Which of the following diagnostic test results would the nurse evaluate as being related to renal disease? Creatinine: 3 mg/dL. BUN: 35 mg/dL.
A patient is scheduled for an intravenous pyelogram. When giving care, the nurse should recognize that restriction of which of the following is part of the prepartion of an intravenous pyelogram? Fluid intake.
The patient is scheduled for a cystopsopy. Which of the following is the most important nursing care after this kind of surgery? Measuring urine output.
Less frequent, hard-formed stools that are difficult to expel? Constipation
Several liquid or watery stools per day is ? Diarrhea
A test done to dermine presence of hidden blood? Guaiac.
Being stretched out or inflated? Distention.
The lack of voluntary control of elimination of urine or stool is ? incontinence
Stool containing an abnormally high amount of undigested fat? Steatorrhea
Increased rectal pressure and feeling of need to defecate? Tenesmus
A gas produced when intestinal bacteria interact with chyme? Flatus
Process of bowel elmination? Defecation
The mouth or opening of an ostomy is called? Stoma
The diversion created by bringing a portion of the large intestine, or colon, to the outside of the body through the abdominal wall is called? Colostomy
The blockage of the movement of contents through the intestines by a bulk of very hard stool is known as? Fecal Impaction
Commonly administered to relieve a patient of excessive intestinal gas is? Siphon Enema
The diversion made by bringing the ileum to the outside of the body through the abdominal wall for elimination is called? Ileostomy
A special type of medicated solution administered rectallyfor the purpose of lowering a very high potassium level is know as a ? Kayexalate Enema
Blood form higher in the digestive tract, such as the stomach, that has been partially digested and has a distinctive old blood odor and a black, tarry appearance is know as? Melena
The rhythmic wavelike contractions that begin in teh esophagus and continue throughout the GI tract to the rectum is called? Peristalsis.
Another name for the siphon enema is? Harris flush
Residual bacteria that live in teh intestinal tract and whose purpose is to prevent infection and maintain health are called? Normal Flora
In the GI tract, a food bolus is converted into a semi-liquid mass of partly digested food and digestive secretion known as? Chyme
you are administering an enema to a female patietn who is constipated. You noticed the patient's skin is pale and a little moist. You take the pulse and obtain a rate of 44 bpm. what do you suspect is occuring? She is having a vagal response.
What is the MAXIMUM time that you should allow a patient to go without having a bowel movement? 3 days
Which direction should you direct the tip of the enema tube as you insert it into the rectum to reduce the risk of perforation? Toward teh patient's umbilicus
Which of the following food/drink items would be appropriate after the first 24 hours that an adult has diarrhea? Bananas. Piece of aged cheese. Applesauce.
Which of the follwing food/drink items would be appropriate after the first 24 hours that an infant has diarrhea? Bottle of Pedialyte. Bottle of room-temperature chamomile tea.
Most water is absorbed from teh GI tract in which portion of the gastrointestinal tract? Colon
The proper name for the fecal material expelled from a new colostomy is? Effluent
A healthy stoma should be? Shiny and moist. A pinkish-red color.
Patients who are taking antibiotics to develop diarrhea as a result of loss of normal flora from the intestine. Which of the following interventions would be helpful for these patients? Add yogurt to the daily diet. Take lactobacillus acidophilus.
Which of the follwing types of enemas would be safe to administer to infants and patients with congestive heart failure? Saline enema
what is the first assessment you wold make if the patient to whom you are administering an enema said she was feeling light-eaded and faint? Asses pulse rate
You are adminstering an enema and have determined that the patient is having a vagel response. What should be the first action? Stop enema adn remove tube.
Another name for Void is? Micturate.
Blood in the urine, either visible or microscopic is called? Hematuria
Urinary output of less than 30mL/hour is called? Oliguria
Urinary output greater than 3,000 mL/day is called? Polyuria
Absence of urine or minial urine production is called? Anuria
Painful or difficult urination is called? Dysuria
Kidney stones that can occur anwhere in teh renal system from the kidney to the urethra is called? Renal Calculi
Urine that remains in the bladder after the person voids is called? Residual urine
The result of camparing the weight of a substance with an equal amount of water is known as? Specific gravity
The inability to empty the bladder is called? Urinary retention
When urine leaks out of the bladder as a result of increased abdominal pressure is called? Stress incontinence.
A tube that remains in the bladder is called? Indewelling Catheter
Urinary Diversion? Used for urine to be eliminated by an alternate route rather than traveling through teh bladder.
Presence of pathogens within the urinary tract is called? UTI
You are assigned to care for a patient with an idwelling catheter. A 24 hour urine collection is ordered. How will you keep the urine from deteriorating and affecting the outcome of the test? Keep drainage bag in a basin containing ice. Empty the drainage bag every 8 hours into a 24 hour collection container. keep teh container refrigerated.
What is the order of the path of urine through the urinary system? 1)kidney. 2)Urter. 3)Bladder. 4)Urethra. 5)Urinary meatus.
Contraction of wich muscle causes the bladder to empty? Detrusor
Your patient has a glomerular filtration rate (GFR) of 45 over a 3 month peroid. What does this tells you? She has chronic kidney disease.
Which is the 3 most improtant waste products to be filtered? Urea. Creatinine. Uric Acid.
How long can a urine specimen sit unfrigerated before it is analyzed? 1 hour
What is the MINIMUM amount of acceptable hourly urine output? 30mL an hour
Which electrolyte is most often associated with diuretics? Potassium
One important nursing intervetion for patients with suspected renal calculi is? Strain the urine
Ture or False? A straight-tipped catheter is best wehn catheterizing a patient with an enlarged prostate? false
A 3 way catheter is used for bladder irrigation? True or False? True
Created by: Jadamom07
 

 



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