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Chapter 22
Urinary Elimination
| Question | Answer |
|---|---|
| The urinary system removes waste products from the ______________. | Blood |
| The healthy adult produces about ____________ mL (3 pints) of urine each day. | 1500 |
| Coffee, tea, alcohol, and some medications ______________ urine production. | Increase |
| Urination, micturition, and voiding all mean the process of emptying urine from the _______________. | Bladder |
| Normal urine is pale ______________, straw-colored, or amber. | Yellow |
| Normal urine is ___________ with no particles. | Clear |
| Normal urine has a _____________ odor. | Faint |
| Some foods, such as beets and carrots, affect urine ____________. | Color |
| Ask the nurse to observe urine that looks or _____________ abnormal. | Smells |
| Report _____________ of urgency, burning on urination, or painful or difficult urination at once. | Complaints |
| What type of bedpan is used for persons in traction or with casts? | Fracture |
| A fracture pan is used for persons with limited ___________ motion. | Back |
| A fracture pan is used for persons recovering from a __________ _________ injury or surgery. | Spinal cord |
| A fracture pan is used for persons following a _________ fracture. | Hip |
| A fracture pan is used for persons following hip _____________ surgery. | Replacement |
| When a person requests to use the bathroom you need to take them at ____________. | Once |
| Women use ______________ for voiding and bowel movements. | Bedpans |
| Men use bedpans for ____________ movements. | Bowel |
| When a person is using the bathroom you need to provide for ______________. | Privacy |
| When a person is finished using the bathroom you need to assist with __________ ______________. | Hand washing |
| Painful or difficult urination is called? | Dysuria |
| What is the term for blood in the urine? | Hematuria |
| What is the term for frequent urination at night? | Nocturia |
| What is the term for a scant (small) amount of urine, usually less than 500 mL in 24 hours? | Oliguria |
| The involuntary loss or leakage of urine is called urinary _______________. | Incontinence |
| When a person is using a standard bedpan they should be placed in ______________ position. | Fowler's |
| Men use ______________ to void. | Urinals |
| After voiding, urinal cap is closed to prevent urine __________. | Spills |
| After voiding the urinal should be hung on the ___________ __________. | Bed rails |
| A ______________ is a chair of wheelchair with an opening for a container. | Commode |
| People unable to ___________ to the bathroom often use commodes. | Walk |
| Some commodes are wheeled into bathrooms and placed over _______________. | Toilets |
| When transferring persons from the bed, chair, or wheelchair to the commode you need to use a ____________ _________. | Transfer belt |
| You should clean and ____________ the commode container and seat after each use. | Disinfect |
| Before transferring a person to the commode you need to make sure they have on ____ - ______ footwear. | Non-skid |
| Urinary incontinence in not a _______________ part of aging. | Normal |
| When urine leaks during exercise and certain movements that cause pressure on the bladder the person has _____________ incontinence. | Stress |
| When urine is lost in response to a sudden, urgent need to void the person has ______________ incontinence. | Urge |
| When small amounts of urine leak from a full bladder the person has _______________ incontinence. | Overflow |
| A person who has bladder control but cannot use the toilet in time has ___________________ incontinence. | Functional |
| When urine is lost at predictable intervals when the bladder is full the person has _____________ incontinence. | Reflex |
| Some causes of incontinence can be ______________. | Reversed |
| Incontinence is _______________ for the person, pride, dignity and self-esteem is affected. | Embarrassing |
| Garments get wet and ____________ can develop. | Odors |
| When a person is incontinent skin irritation, infection, and pressure ____________ are a risk. | Ulcers |
| Incontinence products help keep the person __________. | Dry |
| Follow the manufacturer _____________ and center procedures when using incontinence products. | Instructions |
| Incontinence is beyond the person's ______________. | Control |
| Nursing measures for persons with urinary incontinence include recording the person's ______________. | Voidings |
| Nursing measures for persons with urinary incontinence include answering _________ ___________ promptly. | Call lights |
| Nursing measures for persons with urinary incontinence include having the person wear ____________ to remove clothing. | Easy |
| Nursing measures for persons with urinary incontinence include ______________ fluid intake at bedtime. | Decreasing |
| Nursing measures for persons with urinary incontinence include providing dry __________ and linens. | Garments |
| Nursing measures for persons with urinary incontinence include using incontinence ______________ as directed. | Products |
| Persons with ______________ may void in the wrong places such as trash cans, planters, heating vents, or closets. | Dementia |
| You should follow the person's bathroom ______________ as closely as possible. | Routine |
| What is used to drain or inject fluid through a body opening? | Catheter |
| What type of catheter drains the bladder and then is removed? | Straight |
| What type of catheter is left in the bladder? | Indwelling |
| Retention catheter and indwelling catheter is also called an ____________ catheter. | Foley |
| A _____________ near the tip of an indwelling catheter prevents the catheter from slipping out of the bladder. | Balloon |
| Catheters can promote ____________ for persons who are too weak or disabled to use the bedpan, urinal, commode, or toilet. | Comfort |
| Catheters do not treat the _____________ of incontinence. | Cause |
| Urine may contain microbes and ____________, therefore you should follow Standard Precautions and the Bloodborne Pathogen Standard. | Blood |
| If using a safety pin and rubber band to secure drainage tubing to the bottom linens you need to make sure that the safety pin ____________ properly. | Works |
| If using a safety pin and rubber band to secure drainage tubing to the bottom linens you need to make sure that the rubber band is _____________. | Intact |
| If using a safety pin and rubber band to secure drainage tubing to the bottom linens you need to make sure that you do not insert the pin through the ______________. | Catheter |
| If using a safety pin and rubber band to secure drainage tubing to the bottom linens you need to make sure that you point the pin __________ from the person. | Away |
| When caring for persons with indwelling catheters you need to allow urine to ___________ freely through the catheter tubing. | Flow |
| When caring for persons with indwelling catheters you need to make sure the tubing is free on _____________. | Kinks |
| When caring for persons with indwelling catheters you need to make sure the person does not ______ on the tubing. | Lie |
| When caring for persons with indwelling catheters you need to keep the drainage tubing and drainage bag __________ the level of the bladder. | Below |
| When caring for persons with indwelling catheters you need to attach the drainage bag to the bed ____________. | Frame |
| When caring for persons with indwelling catheters you need to never attach the drainage bag to the bed __________. | Rail |
| When caring for persons with indwelling catheters you need to make certain the drainage back does not rest on the ____________. | Floor |
| When caring for persons with indwelling catheters you need to __________ the drainage tubing on the bed and attach it to the bottom linens. | Coil |
| When caring for persons with indwelling catheters you need to make certain that the tubing does not loop ___________ the drainage bag. | Below |
| When caring for persons with indwelling catheters you need to secure the tubing to the inner ___________. | Thigh |
| When caring for persons with indwelling catheters you need to secure the tubing to the man's _______________. | Abdomen |
| When caring for persons with indwelling catheters you need to provide ____________ care according to the care plan. | Catheter |
| Catheter care is done daily, after ______________ movements, or when vaginal discharge is present. | Bowel |
| When caring for persons with indwelling catheters you need to provide _____________ care as needed. | Perineal |
| When caring for persons with indwelling catheters you need to empty the drainage bag at the _________ of your shift and as needed. | End |
| When caring for persons with indwelling catheters you need to use a ______________ measuring container to empty each person's drainage bag. | Separate |
| Some people that have indwelling catheters use a _______ _______ when they are not in bed. | Leg bag |
| If the drainage bag is ______________ than the bladder then urine can flow back into the bladder. | Higher |
| Drainage bags are ______________ before changing to or from a leg bag. | Emptied |
| When changing to or from a leg bag you must first __________ the catheter tubing to prevent urine from draining. | Clamp |
| Another name for external catheters, Texas catheters, and urinary sheaths is _______________ catheters. | Condom |
| Condom catheters are used for ____________. | Men |
| Condom catheters are secure with ______________ tape. | Elastic |
| Elastic tape is applied in a _____________ around the penis. | Spiral |
| When applying a condom catheter you need to leave a _______ inch space between the tip of the penis and the catheter. | One |
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na3
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