Chapter 16: The Urinary System Flashcards
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Questions and Answers

The urinary system consists of two _________, two __________, the urinary bladder, the urethra, and the meatus.

kidneys; ureters

Substances that are not needed by the body, such as toxins and waste products, stay in the kidneys and form _________.

urine

The female urethra is __________ than the male urethra.

shorter

The functions of the urinary system include elimination of ______ products from the blood and maintenance of __________ balance in the body.

<p>waste; water</p> Signup and view all the answers

Kidneys not filtering blood efficiently is a normal change of aging.

<p>True</p> Signup and view all the answers

As people age, the bladder holds more urine than it used to.

<p>False</p> Signup and view all the answers

Bladder muscle tone weakens with age.

<p>True</p> Signup and view all the answers

The bladder may not empty completely as a person ages, increasing the chance of infection.

<p>True</p> Signup and view all the answers

What should normal urine look like?

<p>It should be pale yellow</p> Signup and view all the answers

How many milliliters of urine do adults normally produce?

<p>1200 to 1500 mL</p> Signup and view all the answers

Which of the following statements is true of urine and urination?

<p>People urinate several times a day to remain healthy.</p> Signup and view all the answers

What is dialysis?

<p>Artificial means of removing the body's waste products when the kidneys are no longer able to perform this function.</p> Signup and view all the answers

What is urine retention?

<p>Inability to adequately or completely empty the bladder.</p> Signup and view all the answers

What is chronic renal failure (CRF)?

<p>Progressive condition in which the kidneys cannot effectively filter waste products from the blood.</p> Signup and view all the answers

What is a urinary tract infection (UTI)?

<p>Most commonly caused by E.coli bacteria that moves from the anus into the urethra and then the bladder.</p> Signup and view all the answers

What is end-stage renal disease (ESRD)?

<p>Conditions in which kidneys have failed and dialysis or transplant is required to sustain life.</p> Signup and view all the answers

What emotional effect can urinary incontinence cause?

<p>Frustration.</p> Signup and view all the answers

What is a call light?

<p>A device that should be left within reach and answered promptly.</p> Signup and view all the answers

What is another name for an incontinence pad?

<p>Brief.</p> Signup and view all the answers

To prevent breakdown, nursing assistants should give ________ care as often as needed.

<p>perineal</p> Signup and view all the answers

What is urinary incontinence?

<p>The inability to control the muscles of the bladder, which leads to an involuntary loss of urine.</p> Signup and view all the answers

What does privacy refer to in a healthcare setting?

<p>Not exposing residents and keeping voices low when providing for this legal right for residents.</p> Signup and view all the answers

What should nursing assistants encourage plenty of?

<p>Fluids.</p> Signup and view all the answers

A catheter that stays in the bladder for a period of time is called a(n):

<p>Indwelling catheter</p> Signup and view all the answers

What is the nursing assistant's role regarding catheters?

<p>Giving daily catheter care</p> Signup and view all the answers

Which of the following statements is true of providing catheter care?

<p>The nursing assistant should give daily care of the genital area to keep it clean.</p> Signup and view all the answers

When providing catheter care, how much of the catheter tubing should the nursing assistant clean?

<p>At least four inches</p> Signup and view all the answers

What is a 24-hour urine specimen?

<p>Collects all urine voided by residents during a 24-hour period.</p> Signup and view all the answers

What is a catheterized urine specimen?

<p>May be done when a resident has urinary retention.</p> Signup and view all the answers

What is a clean-catch urine specimen?

<p>First and last urine voided is not included in the sample.</p> Signup and view all the answers

What is a routine urine specimen?

<p>Can be collected any time the resident voids.</p> Signup and view all the answers

Chemical substances produced when the body burns fat for energy or fuel may be found in a diabetic person's urine. These substances are called:

<p>Ketones</p> Signup and view all the answers

How do reagent strips show the result of a urine test?

<p>They change color when they react with urine</p> Signup and view all the answers

Using the pH scale, which of the following numbers would show that the urine is more acidic (as opposed to alkaline)?

<p>4</p> Signup and view all the answers

What kind of test measures water balance in the body and how concentrated the urine is?

<p>Specific gravity test</p> Signup and view all the answers

Loss of normal bladder function can be caused by illness, injury, or inactivity.

<p>True</p> Signup and view all the answers

Residents will not usually be embarrassed by episodes of incontinence.

<p>False</p> Signup and view all the answers

Observing residents' elimination habits helps predict when a trip to the bathroom may be necessary.

<p>True</p> Signup and view all the answers

The nursing assistant should offer a trip to the bathroom, bedpan, or urinal before beginning procedures and after completing procedures.

<p>True</p> Signup and view all the answers

Residents who have problems with incontinence should be discouraged from drinking fluids.

<p>False</p> Signup and view all the answers

If the nursing assistant can let the resident know how frustrated she is when the resident is incontinent, it will encourage him to control his bladder.

<p>False</p> Signup and view all the answers

Residents must be encouraged to ask for help with elimination whenever they need it.

<p>True</p> Signup and view all the answers

Study Notes

Urinary System Overview

  • Comprises two kidneys, two ureters, urinary bladder, urethra, and meatus.
  • Responsible for the formation of urine, involving the elimination of toxins and waste products.

Functions of the Urinary System

  • Eliminates waste products from blood.
  • Maintains water balance in the body.
  • Regulates electrolyte levels.
  • Aids in blood pressure regulation.
  • Kidney function declines with age; inefficient blood filtration becomes common.
  • Female urethra is shorter than male urethra.
  • Bladder capacity decreases with age, increasing infection risks due to incomplete emptying.
  • Bladder muscle tone weakens, affecting urine control.

Urine Characteristics

  • Normal urine appears pale yellow; cloudy, dark brown, or light red indicates potential issues.
  • Adults typically produce 1200 to 1500 mL of urine daily.

Urination Facts

  • Healthy individuals urinate several times a day.
  • Urinary incontinence is a common concern among the elderly.

Medical Conditions

  • Dialysis: Artificial removal of waste when kidneys fail.
  • Urinary Retention: Inability to fully empty the bladder.
  • Chronic Renal Failure (CRF): Progressive inability of kidneys to filter waste.
  • Urinary Tract Infection (UTI): Commonly caused by E. coli bacteria.
  • End-stage Renal Disease (ESRD): Kidney failure requiring dialysis or transplant.

Emotional and Care Considerations

  • Urinary incontinence can lead to frustration.
  • Providing care includes addressing privacy rights and promptly responding to call lights.

Catheterization

  • An indwelling catheter remains in place for an extended period.
  • Daily catheter care is essential; the nursing assistant is responsible for this task.
  • Appropriate care involves cleaning catheter tubing and ensuring drainage bags are positioned correctly.

Urine Specimen Types

  • 24-hour Urine Specimen: Collects all urine over one day.
  • Catheterized Urine Specimen: Obtained when urinary retention is present.
  • Clean-catch Urine Specimen: First and last voids are excluded.
  • Routine Urine Specimen: Collected at any time.

Significance of Urine Tests

  • Ketones indicate fat metabolism, particularly in diabetics; can be detected in urine.
  • Reagent strips change color to indicate reactions with urine.
  • Urine acidity levels assessed via pH; lower numbers indicate more acidity.
  • Specific gravity tests measure water balance and urine concentration.

Nursing Responsibilities

  • Observe residents' elimination habits to anticipate bathroom needs.
  • Always offer assistance for elimination pre- and post-procedures.
  • Encourage fluid intake even for residents with incontinence.
  • Promote open communication to ensure residents seek help as needed.

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Test your knowledge on the urinary system with these flashcards covering essential terms and definitions. Learn about the structure and function of the kidneys, ureters, and the overall system. Perfect for students studying anatomy and physiology.

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