Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
GU Elimination
Fundamentals Exam 2
| Term | Definition |
|---|---|
| Micturition | The act of urinating |
| Proteinuria | protein particles in the urine ( cloudy looking) |
| Hematuria | blood in the urine (pink to red color) |
| How much percentage of urine is water? | 95% |
| Cystitis | irritation of the bladder; urgency, frequency, incontinence, suprapubic tenderness, foul-smelling, and cloudy |
| Pyelonephritis | serious upper UTI; fever, chills, diaphoresis, and flank pain |
| Urologist | surgeon |
| Nephrologist | sets up the treatment and medication (dialysis) |
| Anuria | no urine |
| Polyuria | a lot of urine |
| Oliguria | little bit of urine |
| Colonoscopy | take a look in the colon for anything that is cancerous or non-cancerous |
| What is the most common pathogen in an UTI? | Escherichia coli |
| Bacteriuria | Bacteria in the urine |
| What kind of patients are at risk for an UTI? | Elderly patients: decreased ADL's, immunocompromised, saggy skin, declining kidney function, immobility, smell diminished, and incontinence Women are more susceptible than men due to length of urethra. |
| Suprapubic catheter | Going in a surgically created incision in the lower abdomen |
| Incontinence | Complaint of any involuntary loss of urine |
| Continence | Voluntary loss of urine |
| Who is at risk for difficulty when urinating? | Geriatric patients, children - nocturnal enuresis (bedwetting)neonates -(kidneys not mature yet, young adult women - pregnancy, renal patients, nurses - busy people in general, spinal cord injuries, altered cognition status, BPH, neuro problems |
| What is a CAUTI? | Catheter associated urinary tract infection |
| Overflow incontinence | BPH, constricted bladder that urine can't come out; tends to let a small amount of urine out when full, but not enough to empty the bladder (dribbles) |
| Stress incontinence | Comes from pregnancy; increased abdominal pressure when sneezing, coughing and laughing |
| Urgency incontinence | Bladder is oversensitive; lots of urine comes out at once |
| Functional incontinence | Mobility problems - taking too long for you to get to the place to empty out bladder |
| Reflex incontinence | From a spinal cord injury, reaches certain volume of urine and urinates involuntary |
| Intervention for stress incontinence | Kegel exercises |
| Intervention for urge incontinence | Assess for a UTI -> older people will be confused when they have one |
| Intervention for functional incontinence | Scheduled urination time, condom catheter, BSC |
| Characteristics of urine | pH 4.6 to 8.0, no protein/ glucose/ketones/blood (unless menses)/bacteria/casts/crystals, specific gravity 1.0053 to 1.030 |
| Casts, protein | Indicate renal disease |
| Crystals | Development of kidney stones (renal calculi) |
| Random urine collection (routine) | just urine in a cup, nothing special |
| Clean-voided or midstream collection | proper cleaning, pee a little first, then put cup to catch urine |
| Sterile for C & S | indwelling catheter or straight catheter; determines the presence of bacteria and to which antibiotic the bacteria are sensitive |
| Timed urine specimen | 24 hours urine collection; first specimen needs to be discarded and then time starts, always on ice, diagnostic test |
| Urinary retention | the inability to partially or completely empty the bladder |
| Postvoid residual | the amount of urine left in the bladder after voiding and is measured by ultrasound or straight catheterization |
| Promote bladder elimination? | sound of running water, scheduled bathroom trips, hand in warm water, assist men to stand with urinal, run warm water over women's genital area |
| Nursing diagnosis for risk involved with an indwelling catheter | risk for injury, risk for infection |
| Condom catheter | condom with a tube connected to a catheter bag, not invasive so decreased risk for UTI, skin breakdown risk and don't really stay on well, secured by adhesive or special tape (condom tip needs to be 1 to 2 inches away from the tip of the penis) |
| How does a nurse prevent a CAUTI? | sterile technique when inserting, bag below the bladder, no kinks, increased fluid intake, good perineal care and catheter care, D/C AS SOON AS POSSIBLE, HAND HYGIENE |
| Decrease risk of injury | secure with the stat-lock (men: up to bifurcation and women: urine and a little more) |
| What are the advantages of having a suprapubic catheter? | decrease risk of UTI because of away from Escherichia coli |
| When a night shift nurse takes out a foley on one of their patients, what does the day shift nurse need to know during report? | 1. Have they voided? (4 hours of anuria - worried; 8 hours of anuria - call the provider; 30 mL/hour is minimally accepted) 2. What time was it D/C' ed? |
Created by:
Fmsarmie
Popular Science sets