Anatomy
Which structure holds urine?
What is the bladder?
What is the most common healthcare acquired infection?
What is a urinary tract infection?
Is catheterization a sterile procedure?
What is yes?
What is the removal of the bladder?
What is a cystectomy?
What is normal urine production of adults (in mLs) per day?
1,000-2,000
Define Micturition
What is when the brain gives the bladder permission to empty?
Define urinary retention
What is the inability to partially or completely empty the bladder?
*Bonus what would be an indication to have more than one? (50 points)
What is single, double, or triple lumen?
* Double lumen is for indwelling catheterization
* Triple lumen is for continuous bladder irrigation
Why would a patient have a nephrostomy tube placed?
What is a blockage of the ureter?
A provider prescribes a 24 hour urine collection for a client. Which of the following actions should the nurse take?
a. discard the first voiding
b. keep all voidings in a container at room temperature
c. ask the client to urinate and pour the urine into a specimen container
d. ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container
A
Where is the location of the kidneys?
What is either side of the vertebral column, behind the peritoneum, and against the deep muscles of the back?
What nursing intervention can be taught to the patient who has stress urinary incontinence?
What is pelvic muscle exercises (Kegels)?
How often should patients with indwelling catheters receive perineal hygiene?
*Bonus (50 points) What are you reducing the risk of?
What is every 8 hours?
* What is CAUTI
What is a permanent incontinent urinary diversion created by transplanting the ureters into the intestinal ileum?
What is a ureterostomy?
What two labs assess renal function?
BUN and creatinine
What are the functional units of the kidneys?
What are the nephrons?
What are the two types of urinary tract infections?
What structures are associated with each?
What are lower and upper?
Lower: bladder and urethra
Upper: kidney
Your patient had their foley catheter removed and feels the urge to urinate. What should be checked via bladder scanner after?
What are the two types of continent urinary diversions?
What are continent urinary reservoir and orthotopic neobladder?
Stress, urge, overflow, reflex, functional, mixed, total
What is the distensible body of the bladder?
Urinary tract infection
What are signs of incomplete bladder emptying?
*6 answers total, give 4 and you receive 500pts, give 6 and you receive 600pts
Abdominal pain, distention, sensation of incomplete emptying, incontinence, constant dribbling of urine, and voiding very small amounts
Cancer or neurogenic dysfunction
Factors affecting normal Urinary Elimination in Older adult patients (4 answers)
-fewer nephrons
-loss of muscle tone of bladder (frequency occurs)
-inefficient emptying of the bladder (residual urine increases risk of UTI's)
-increase in nocturia (waking up to pee at night)