Urination - Chapter 38

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Questions and Answers

What is one of the factors affecting micturition?

Toilet training

Which disease is NOT associated with renal problems?

Hyperlipidemia

What is a characteristic of polycystic kidney disease?

Results in the development of cysts in the kidneys

What do diuretics do in the context of micturition?

Prevent reabsorption of water and certain electrolytes Signup and view all the answers

What does dysuria refer to?

Painful urination Signup and view all the answers

What does it mean when using a bladder scanner if the residual is 100ml?

Considered a normal residual Signup and view all the answers

Why is it important for a healthcare provider to be at eye level with the urine collection container when measuring urine output?

To ensure accurate recording of the amount Signup and view all the answers

Which type of incontinence is characterized by involuntary loss of urine related to an increase in intra-abdominal pressure?

Stress UI Signup and view all the answers

What is the purpose of a suprapubic catheter?

To drain urine through an abdominal incision Signup and view all the answers

Which action can help reduce the risk of UTIs in women?

Showering after sex Signup and view all the answers

Why are patients with indwelling catheters at higher risk for UTIs?

The catheter bypasses the body's natural defenses against bacteria Signup and view all the answers

Which type of urinary incontinence is characterized by continuous, unpredictable loss of urine?

Total UI Signup and view all the answers

When is intermittent urethral catheterization typically used?

During one-time events or procedures Signup and view all the answers

What is the purpose of cholinergic medications in micturition?

Stimulate contraction of detrusor muscle for urination Signup and view all the answers

What is the characteristic of a midstream specimen collection?

Patient urinates, stops the stream, then collects specimen Signup and view all the answers

What is the definition of continent patients in the context of micturition?

Patients who can get to the restroom Signup and view all the answers

What does a clean-catch specimen collection involve?

Using antiseptic wipes before urination Signup and view all the answers

What is the condition when a urinary infection has reached the kidneys?

Pyelonephritis Signup and view all the answers

What is the characteristic of incontinent patients in terms of urination?

Patients who void on themselves Signup and view all the answers

What is a common risk factor for urinary tract infections (UTIs) in women?

Using diaphragms or being postmenopausal Signup and view all the answers

What is the characteristic of Transient Urinary Incontinence (UI)?

Appears suddenly and lasts 6 months or less Signup and view all the answers

What is the main reason for inserting an indwelling catheter?

All answers are correct Signup and view all the answers

Which type of urinary incontinence is characterized by overdistention and overflow of the bladder?

Overflow UI Signup and view all the answers

What is the main responsibility of nurses regarding patients with urologic stents or urinary diversions?

Monitoring and caring Signup and view all the answers

What are urinary calculi?

Masses or stones that form in the urinary tract Signup and view all the answers

What is the purpose of promoting fluid intake to help patients urinate?

To help patients produce enough urine for bladder emptying Signup and view all the answers

What is a sterile specimen in the context of urine collection?

Collected from the bladder directly Signup and view all the answers

What is the main goal when managing a patient's fluid and electrolyte balance?

Maintain fluid and electrolyte equilibrium Signup and view all the answers

Why is it important for patients to empty their bladder completely at regular intervals?

To reduce risk of UTIs and urine retention Signup and view all the answers

What does an indwelling catheter do in relation to urine collection?

Catches urine into a bag outside the body Signup and view all the answers

What is the purpose of asking patients about their usual urination pattern and any changes?

To establish a baseline Signup and view all the answers

Why are patients with indwelling catheters at higher risk for UTIs?

The catheter bypasses the body's natural defenses Signup and view all the answers

What is the primary function of Kegel exercises in relation to micturition?

To strengthen pelvic floor muscles Signup and view all the answers

What is the significance of maintaining skin integrity in incontinent patients?

To prevent pressure ulcer infections Signup and view all the answers

What is the characteristic of mixed urinary incontinence?

Urine loss with features of more than one type of incontinence Signup and view all the answers

Why is it important for female patients to strengthen their pelvic floor muscles?

To enhance urinary control Signup and view all the answers

What is the purpose of asking patients about their aids to elimination and any current or former difficulties?

To understand their urinary habits and challenges Signup and view all the answers

What is the significance of making sure a patient's output equals their input?

To avoid fluid overload or dehydration Signup and view all the answers

What type of urinary incontinence is characterized by emptying of the bladder without sensation of need to void?

Reflex UI Signup and view all the answers

Why is it important for patients to be able to void easily and demonstrate appropriate self-care behaviors?

To ensure proper elimination and hygiene practices Signup and view all the answers

What is the purpose of Kegel exercises when done 30-80 times per day?

To enhance muscle tone Signup and view all the answers

Which factor can suppress the central nervous system and diminish the effectiveness of neural reflex in micturition?

Analgesics Signup and view all the answers

Which urinary condition is falsely stated in the given text?

Males often get UTIs Signup and view all the answers

What does a 24-hour urine specimen involve?

Collecting urine over a 24-hour period into one container Signup and view all the answers

What can cause Functional Urinary Incontinence according to the text?

Broken foot or morphine use Signup and view all the answers

We can delegate Foley insertion to a CNA

False Signup and view all the answers

A urinary diversion specimen is urine that is collected from a stoma or other appliance such as a suprapubic catheter.

True Signup and view all the answers

Medications, food and fluid intake, and activity and muscle tone are other factors affecting micturition.

True Signup and view all the answers

Study Notes

Factors Affecting Micturition

Medications, food and fluid intake, and activity and muscle tone are other factors affecting micturition.
Toilet training and effects of aging also affect micturition.

Renal Problems

Congenital urinary tract abnormalities are associated with renal problems.
Polycystic kidney disease is an inherited disorder causing kidney enlargement and loss of function over time.
UTI, HTN, Diabetes, Gout, and connective tissue disorders are diseases associated with renal problems.

Urinary Calculi and Infections

Urinary calculi are masses or stones that form in the urinary tract and may cause pain, bleeding, or infection.
Pyelonephritis is when a UTI infection has traveled to the kidneys.

Medications and Urination

Diuretics prevent reabsorption of water and certain electrolytes in tubules.
Cholinergic medications stimulate contraction of detrusor muscle, producing urination.
Analgesics and tranquilizers suppress CNS, diminishing effectiveness of neural reflex.

Urine Collection and Catheterization

A clean-catch specimen is collected when the patient cleans the genital area with antiseptic wipes before urinating.
A midstream specimen is collected when the patient urinates, stops the stream, then collects the specimen in the container.
A sterile specimen is collected directly from the bladder.
A urinary diversion specimen is collected from a stoma or other appliance such as a suprapubic catheter.
A 24-hour urine specimen is the total amount of urine collected over a 24-hour period into one container.
Reasons for catheterization include relieving acute urinary retention, obtaining a sterile specimen, and accurate measurement of output in critically ill patients.

Incontinence and Urination

Continent patients are able to get to the restroom.
Incontinent patients are patients who void on themselves and have no control over urination.
Indwelling catheters, also known as foley catheters, stay inside the patient's bladder and catch the urine into a bag.
To help patients urinate, promote fluid intake and assist with toileting if needed.
Encourage patients to maintain regular voiding habits and strengthen muscle tone to help with urination elimination.

Incontinence Types

Transient UI: appears suddenly and lasts 6 months or less.
Mixed UI: urine loss with features of two or more types of incontinence.
Overflow UI: overdistention and overflow of bladder.
Functional UI: caused by factors outside the urinary tract such as a broken foot, or morphine.
Reflex UI: emptying of the bladder without sensation of need to void.
Total UI: continuous, unpredictable loss of urine.
Stress UI: involuntary loss of urine related to an increase in intra-abdominal pressure.

Nursing Care

Nurses are responsible for catheter insertion and care for patients receiving an indwelling catheter.
Nurses care for patients with a urologic stent, urinary diversion, or patient receiving dialysis.
Make sure to take steps to maintain skin integrity especially in incontinent patients.
It is important for female patients to strengthen pelvic floor muscles through Kegel exercises, which should be done 30-80 times per day.

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Urination - Chapter 38

Questions and Answers

What is one of the factors affecting micturition?

Which disease is NOT associated with renal problems?

What is a characteristic of polycystic kidney disease?

What do diuretics do in the context of micturition?

What does dysuria refer to?

What does it mean when using a bladder scanner if the residual is 100ml?

Why is it important for a healthcare provider to be at eye level with the urine collection container when measuring urine output?

Which type of incontinence is characterized by involuntary loss of urine related to an increase in intra-abdominal pressure?

What is the purpose of a suprapubic catheter?

Which action can help reduce the risk of UTIs in women?

Why are patients with indwelling catheters at higher risk for UTIs?

Which type of urinary incontinence is characterized by continuous, unpredictable loss of urine?

When is intermittent urethral catheterization typically used?

What is the purpose of cholinergic medications in micturition?

What is the characteristic of a midstream specimen collection?

What is the definition of continent patients in the context of micturition?

What does a clean-catch specimen collection involve?

What is the condition when a urinary infection has reached the kidneys?

What is the characteristic of incontinent patients in terms of urination?

What is a common risk factor for urinary tract infections (UTIs) in women?

What is the characteristic of Transient Urinary Incontinence (UI)?

What is the main reason for inserting an indwelling catheter?

Which type of urinary incontinence is characterized by overdistention and overflow of the bladder?

What is the main responsibility of nurses regarding patients with urologic stents or urinary diversions?

What are urinary calculi?

What is the purpose of promoting fluid intake to help patients urinate?

What is a sterile specimen in the context of urine collection?

What is the main goal when managing a patient's fluid and electrolyte balance?

Why is it important for patients to empty their bladder completely at regular intervals?

What does an indwelling catheter do in relation to urine collection?

What is the purpose of asking patients about their usual urination pattern and any changes?

Why are patients with indwelling catheters at higher risk for UTIs?

What is the primary function of Kegel exercises in relation to micturition?

What is the significance of maintaining skin integrity in incontinent patients?

What is the characteristic of mixed urinary incontinence?

Why is it important for female patients to strengthen their pelvic floor muscles?

What is the purpose of asking patients about their aids to elimination and any current or former difficulties?

What is the significance of making sure a patient's output equals their input?

What type of urinary incontinence is characterized by emptying of the bladder without sensation of need to void?

Why is it important for patients to be able to void easily and demonstrate appropriate self-care behaviors?

What is the purpose of Kegel exercises when done 30-80 times per day?

Which factor can suppress the central nervous system and diminish the effectiveness of neural reflex in micturition?

Which urinary condition is falsely stated in the given text?

What does a 24-hour urine specimen involve?

What can cause Functional Urinary Incontinence according to the text?

We can delegate Foley insertion to a CNA

A urinary diversion specimen is urine that is collected from a stoma or other appliance such as a suprapubic catheter.

Medications, food and fluid intake, and activity and muscle tone are other factors affecting micturition.

Study Notes

Factors Affecting Micturition

Renal Problems

Urinary Calculi and Infections

Medications and Urination

Urine Collection and Catheterization

Incontinence and Urination

Incontinence Types

Nursing Care

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