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Urinary Elimination
| Question | Answer |
|---|---|
| What is the normal range of urine production? | 1 to 2 Liters per day. |
| Urine is usually ___ water and ___ solutes. | 95%, 5%. |
| Where are the kidneys located? | The kidneys are level with the twelfth thoracic and third lumbar vertebrae. |
| What forms the glomerulus? | A cluster of capillaries. |
| What is a sign of glomerular injury? | Proteinuria. |
| Is urine draining from the the ureters to the bladder sterile? | Yes. |
| What are terms used to say the expelling of urine from the body? | Urination, micturition, and voiding. |
| An adult senses the need to urinate when the bladder has how many ml? | 150-200 ml |
| A child senses the need to urinate when the bladder has how many ml? | 50-100 ml |
| What is urinary retention? | An accumulation of urine in the bladder because the bladder is unable to partially or completely empty |
| Children can not control urination voluntarily until? | 18 to 24 months. |
| Urinary tract infections account for what percent of hospital-acquired infections in the United States? | 36% to 40%. |
| What is bacteriuria? | bacteria in the urine. |
| What is urosepsis? | The spread of organisms into the bloodstream. |
| What is residual urine? | urine that remains in the bladder after urination. |
| What is urinary incontinence? | the loss of control over voiding, it is either temporary or permanent. |
| What are the 5 types of urinary incontinence? | Total, Functional, Stress, Urge, and Reflex. |
| What are three common urinary problems? | Urinary Retention, Urinary tract infection, and urinary incontinence. |
| What are three urinary diversions? | Urostomy, infection control and hygiene, developmental considerations. |
| What do you do when assessing a patient for urinary problems? | History, patterns, symptoms, and factors affecting. |
| During a physical assessment, what do you look at? | Skin and mucous membranes, kidney flank, bladder, urethral meatus, I&O, Urine Characteristics. |
| What labs are done to determine urinary problems? | Urinalysis, clean catch, sterile specimen, 24 hour urine. |
| What urinalysis values are looked at? | pH, Protein, Glucose, Ketones, Blood, Specific gravity. |
| What are some non invasive diagnostic tests? | KUB, IVP. |
| What are some invasive diagnostic tests? | Endoscope, Arteriogram. |
| What is urgency? | Feeling of the need to void immediately. |
| What is Dysuria? | Painful or difficult urination. |
| What is frequency? | Voiding at frequent intervals. |
| What is Hesitancy? | Difficulty in initiating urination. |
| What is Polyuria? | Voiding large amount of urine. |
| What is Oliguria? | Diminished urinary output in relation to fluid intake. |
| What is Nocturia? | Urination, particularly excessive, at night. |
| What is dribbling? | leakage of urine despite voluntary control of micturition. |
| What is hematuria? | Presence of blood in urine. |
| What is retention? | Accumulation of urine in bladder, with inability of bladder to empty. |
| What is residual urine? | Volume of urine remaining in bladder after voiding(volumes of 100 ml or more). |
| What is a key indicator of kidney function? | Urine output. |
| How quickly do urine specimens need to be to the lab? | Within 1 hour of collection or be refrigerated. |
| When collecting a 24 hour urine specimen, what do you always do with the first sample? | Discard it. |
| Where is a suprapubic catheter located? | It is inserted surgically into the bladder through the lower abdomen above the symphsis pubis. |