Urine Characteristics
What should the normal color and clarity of urine look like?
Straw-Colored and Clear
What is an important step when assisting a patient with toileting needs?
Provide privacy
What is the acceptable amount of urine output per hour?
30mL/hr
Why would a three-way catheter be placed?
For bladder irrigation
How would you educate a patient on how to perform kegel exercises?
Focus in tightening the pelvis muscles, Tighten the muscle for 5-10 seconds, Place their hands on the lower abdomen; perform the exercise 40-60 times a day
What is the normal pH of urine?
4.5-8
If a patient is able to pivot but unable to ambulate what assistive device would you suggest for the patient?
Bedside Commode
What should a nurse do if a patient reports frequent nocturia?
Assess daily fluid intake and drinking patterns before bed.
If a patient has an indwelling catheter, what should the nurse assess first?
Check that the tube is free of kinks.
What is the first step when inserting a urinary catheter?
wash hands
What is the typical range for specific gravity of urine?
1.005-1.03
when should a fracture pan be used instead of a bedpan?
Fracture pan is recommended in patients who have had back or hip surgery or are extremely thin.
The patient comes into the office and states she urinates when she sneezes. What type of incontinence is this patient most likely experiencing?
Stress incontinence.
A patient with an indwelling catheter calls you into the room stating that her catheter is leaking. You assess the catheter tubing and find no kinks or breaks. What should be your next assessment?
That there is enough fluid in the catheter to ensure the balloon is in the correct location.
A patient is on antibiotics for urinary tract infection but reports mild pain. What might the doctor order?
A mild analgesic such as tylenol
What components typically make up sediment in urine? Is sediment in a urine normal or abnormal?
Uric acid, bacteria, mucus, and phosphates.
Abnormal.
A patient is tired and weak after participating with physical therapy and needs to void. Which assistive device should the nurse suggest?
Fracture/ Bedpan
A patient is on furosemide (lasix) and is urinating 3,500 mL a day. How would the nurse classify this output?
Polyuria
What is a normal size catheter for an adult?
14-16 french
What can a patient do to help prevent a urinary tract infection?
Keep up with personal hygiene
If the specific gravity of urine is low is the urine more concentrated or diluted? What can this indicate?
Diluted; excessive fluid intake or impaired kidney function.
What are some steps taken when bladder training a patient?
Have the patient urinate every 2 hours despite urge, at set times (Meal times, after waking up and before going to bed), avoid caffeinated beverages, consuming fluids during the day and not in the evening.
What are some reasons a urinalysis may be ordered?
To diagnose UTIs, renal calculi, malignancy, or kidney function.
When might a coude catheter be used?
To accommodate male patient's with an enlarged prostate.
How many times does the average human urinate in a 24 hour period?
4-6 times