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Questions and Answers
What is one of the factors affecting micturition?
What is one of the factors affecting micturition?
- Toilet training (correct)
- Being left-handed
- Tooth decay
- Eating spicy food
Which disease is NOT associated with renal problems?
Which disease is NOT associated with renal problems?
- Gout
- Hypertension (HTN)
- Hyperlipidemia (correct)
- Diabetes
What is a characteristic of polycystic kidney disease?
What is a characteristic of polycystic kidney disease?
- Results in the development of cysts in the kidneys (correct)
- Primarily affects the lungs
- It only affects the liver
- Causes the kidneys to shrink
What do diuretics do in the context of micturition?
What do diuretics do in the context of micturition?
What does dysuria refer to?
What does dysuria refer to?
What does it mean when using a bladder scanner if the residual is 100ml?
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?
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?
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?
What is the purpose of a suprapubic catheter?
Which action can help reduce the risk of UTIs in women?
Which action can help reduce the risk of UTIs in women?
Why are patients with indwelling catheters at higher risk for UTIs?
Why are patients with indwelling catheters at higher risk for UTIs?
Which type of urinary incontinence is characterized by continuous, unpredictable loss of urine?
Which type of urinary incontinence is characterized by continuous, unpredictable loss of urine?
When is intermittent urethral catheterization typically used?
When is intermittent urethral catheterization typically used?
What is the purpose of cholinergic medications in micturition?
What is the purpose of cholinergic medications in micturition?
What is the characteristic of a midstream specimen collection?
What is the characteristic of a midstream specimen collection?
What is the definition of continent patients in the context of micturition?
What is the definition of continent patients in the context of micturition?
What does a clean-catch specimen collection involve?
What does a clean-catch specimen collection involve?
What is the condition when a urinary infection has reached the kidneys?
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 the characteristic of incontinent patients in terms of urination?
What is a common risk factor for urinary tract infections (UTIs) in women?
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 characteristic of Transient Urinary Incontinence (UI)?
What is the main reason for inserting an indwelling catheter?
What is the main reason for inserting an indwelling catheter?
Which type of urinary incontinence is characterized by overdistention and overflow of the bladder?
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 is the main responsibility of nurses regarding patients with urologic stents or urinary diversions?
What are urinary calculi?
What are urinary calculi?
What is the purpose of promoting fluid intake to help patients urinate?
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 a sterile specimen in the context of urine collection?
What is the main goal when managing a patient's fluid and electrolyte balance?
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?
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 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?
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?
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 primary function of Kegel exercises in relation to micturition?
What is the significance of maintaining skin integrity in incontinent patients?
What is the significance of maintaining skin integrity in incontinent patients?
What is the characteristic of mixed urinary incontinence?
What is the characteristic of mixed urinary incontinence?
Why is it important for female patients to strengthen their pelvic floor muscles?
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 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 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?
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?
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?
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 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?
Which urinary condition is falsely stated in the given text?
What does a 24-hour urine specimen involve?
What does a 24-hour urine specimen involve?
What can cause Functional Urinary Incontinence according to the text?
What can cause Functional Urinary Incontinence according to the text?
We can delegate Foley insertion to a CNA
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.
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.
Medications, food and fluid intake, and activity and muscle tone are other factors affecting micturition.
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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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