What are the six classes of nutrients?
What are carbohydrates, lipids, proteins, vitamins, minerals, and water?
What is included in the urinary system?
What is the kidneys and ureters, bladder, and urethra?
What is the term for: (each is worth 100)
-painful or difficult urination?
-the presence of sugar in the urine
-pus in the urine
-Dysuria
-Glycosuria
-Pyuria
Name 3 patient's who are at a higher risk for UTI's.
What are the five things to remember to help patients maintain normal voiding habits?
Schedule
Urge to void
Privacy
Position
Hygiene
Name three risk factors for poor nutritional status
What is developmental factors, gender, state of health, alcohol abuse, medications, and mega doses of nutrient supplements?
What maintains and regulates the body's fluid balance?
What is the nephrons?
What are some effects of aging on the urinary system?
Nocturia
Increased frequency
Urine retention and stasis
Voluntary control affected by physical problems
How would you physically assess a patient's urinary bladder?
Palpation and percussion of the bladder or a beside scanner.
A catheter may be used in a patient who is unable to urinate. This may also be called what?
What component of a nutritional assessment includes the protein status, body vitamin, mineral, and trace element status?
(Bonus 100 if you can name the other two components of a nutritional assessment)
What is laboratory data?
(History taking and physical assessments)
What is composed of three layers of muscle tissue called detrusor muscle?
(Hint: this is a smooth muscle sac)
What is the bladder?
What are the final three steps before micturition occurs? (in order)
The external sphincter relaxes
The muscle abdominal wall contracts slightly
The diaphragm lowers
Name the four things that assess in the urine during a physical assessment
Color, Odor, Clarity, Sediment
A surgical procedure that creates a new way for urine to exit (definition)
What is urinary diversion?
What is the preferred route to deliver enteral nutrition in a patient who is comatose?
What is a gastrostomy?
(Gastrostomy is a hole in the stomach and a jejunostomy is a hole in the jejunum)
What guards the opening between the urinary bladder and urethra?
What are the sphincters?
(There are two; and internal and an external)
What kind of medication prevents the reabsorption of water and certain electrolytes in tubules?
(Bonus 400 what is a common reason this medication is used)
What are diuretics?
(These medications help with edema)
Name 4 of the 7 types of urine specimens
Routine urinalysis, clean-catch or midstream specimens, sterile specimens from an indwelling catheter, urine specimen from a urinary diversion, 24-hour urine specimen, specimens from infants and children, point-or-care urine testing.
What are plastic disposable collection bags.
What does TPN stand for?
(Bonus 200 if you can state what it is used for)
What is total parenteral nutrition?
(It allows nutrition delivery intravenously)
What conveys urine from the bladder to the exterior and functions in the reproductive system in males?
(Hint: no portion of this in the female body is external)
What is the urethra?
Medications affecting urine color include:
(Bonus 500 if you are able to tell what color they will change the urine to)
Anticoagulants: Red
Diuretics: Pale yellow
Pyridium: Orange to Orange/Red
Amitriptyline or B-Complex Vitamins: Green or Blue/Green
Levodopa: Brown or Black
What are the planned patient goals in regards to urinary eliminations?
Producing enough urine to maintain fluid, electrolyte, and acid-base balance. Empty bladder completely and regularly w/o discomfort. Provide care for urinary diversion and know when to call the provider. Develop plan to modify factors contributing to current or future urinary problems. Correct unhealthy urinary habits.
(Bonus 500 points for description of incontinence)
Transient: appears suddenly and last 6 months or less. Mixed: urine loss with two or more types of incontinence. Overflow: overdistention and overflow of bladder. Functional: caused by factors outside the urinary tract. Reflex: emptying of the bladder without the sensation of needing to void. Total: continuous, unpredictable loss of urine. Stress: involuntary loss of urine related to an increase in intra-abdominal pressure.