Urinary Elimination Chapter 16
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Urinary Elimination Chapter 16

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Questions and Answers

What are waste products made up of?

Urine is made up of water and waste products.

Adults should produce approximately ________ mL of urine per day.

1200 to 1500

How should urine normally appear?

Pale yellow

Another word for urinating is what?

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

What are the signs that should be reported to a nurse?

<p>Urinary incontinence, blood in urine, painful urination, glucose in urine, cloudy urine, urine has a fruity smell, dark or rust-colored urine, urine has a strong smell.</p> Signup and view all the answers

A fracture pan is used for voiding for what?

<p>Any resident who cannot get out of bed.</p> Signup and view all the answers

Men will generally use a __________ for urination when they cannot get out of bed.

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

Residents who can get out of bed but cannot walk to the bathroom may use a(n) what?

<p>Portable commode</p> Signup and view all the answers

Another name for a portable commode is what?

<p>Bedside commode</p> Signup and view all the answers

The nursing assistant should wear gloves when handling body wastes.

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

What is a catheter?

<p>A thin tube inserted into the body that is used to drain or inject fluids.</p> Signup and view all the answers

What is a condom catheter?

<p>A urinary catheter that has an attachment that fits onto the penis.</p> Signup and view all the answers

What is an indwelling catheter?

<p>A urinary catheter that stays inside the bladder for a period of time.</p> Signup and view all the answers

What is a straight catheter?

<p>A urinary catheter that is removed immediately after urine is drained.</p> Signup and view all the answers

What is a urinary catheter?

<p>A thin tube inserted into the body that is used to drain urine from the bladder.</p> Signup and view all the answers

What are the 3 guidelines when working around residents with catheters?

<p>Keep drainage bag off the floor, keep tubing as straight as possible, keep genital area clean.</p> Signup and view all the answers

What are 6 things to report to the nurse about a resident's catheter?

<p>Blood in urine/unusual, bag doesn't fill after several hours, bag fills suddenly, catheter is not in place, urine leaks from catheter, resident reports pain/pressure.</p> Signup and view all the answers

What is a 24-hour urine specimen?

<p>Collects all urine voided in 24 hours.</p> Signup and view all the answers

What is a clean catch specimen?

<p>Excludes first and last urine from sample.</p> Signup and view all the answers

What is a hat?

<p>A collection container put into the toilet to collect samples.</p> Signup and view all the answers

What is a routine urine specimen?

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

What is a specimen?

<p>A sample that is used for analysis in order to try to make a diagnosis.</p> Signup and view all the answers

What is a reagent strip?

<p>Tests for pH level in urine.</p> Signup and view all the answers

The presence of glucose or ketones in urine may be a sign of what?

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

Occult blood in urine is what?

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

What is a urine specific gravity test?

<p>Shows how urine compares to water.</p> Signup and view all the answers

A double-voided urine specimen may be used to test for what?

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

Study Notes

Urinary Elimination Key Concepts

  • Urine consists of water and waste products that the body needs to eliminate.
  • Adults typically produce approximately 1200 to 1500 mL of urine daily.
  • Normal urine appearance is pale yellow, indicating proper hydration and health.
  • Voiding is another term for urinating.
  • Signs that require reporting to a nurse include:
    • Urinary incontinence
    • Blood in urine
    • Painful urination
    • Glucose in urine
    • Cloudy urine
    • Fruity-smelling urine
    • Dark or rust-colored urine
    • Strong-smelling urine

Equipment for Urinary Elimination

  • A fracture pan is designed for residents who cannot get out of bed for voiding.
  • Men may use a urinal when they are unable to get out of bed.
  • A portable commode is used by residents who can get out of bed but cannot walk to the bathroom, also known as a bedside commode.

Hygiene and Safety Measures

  • Nursing assistants should always wear gloves when handling body wastes to maintain hygiene and safety.

Types of Catheters

  • Catheters are thin tubes used to drain or inject fluids into the body:
    • A condom catheter is designed to attach to the penis for drainage.
    • An indwelling catheter remains in the bladder for a designated duration.
    • A straight catheter is removed immediately after urine drainage.

Catheter Care Guidelines

  • Important guidelines for working with residents who have catheters include:
    • Keeping the drainage bag off the floor.
    • Maintaining straight tubing to prevent kinking.
    • Ensuring the genital area remains clean.

Monitoring Catheter Usage

  • Key aspects to report to a nurse about a resident's catheter condition:
    • Unusual blood in the urine.
    • Drainage bag not filling after several hours.
    • Sudden filling of the bag.
    • Catheter misplacement.
    • Leakage from the catheter site.
    • Reports of pain or pressure from the resident.

Urinary Specimen Types

  • A 24-hour urine specimen collects all urine voided in a day to analyze total output.
  • A clean catch specimen excludes the first and last urine in the sample for accuracy.
  • A hat is a collection container placed in the toilet to gather urine samples.
  • A routine urine specimen can be collected any time the resident voids.

Diagnostic Specimen Insights

  • Specimens are samples used for diagnostic analysis to assist in identifying health conditions.
  • A reagent strip is used to test pH levels in urine.
  • The presence of glucose or ketones in urine may indicate diabetes.
  • Occult blood in urine refers to hidden blood not visible to the naked eye.
  • A specific gravity test compares urine density to water, signaling hydration status.
  • A double-voided urine specimen may be employed to test for glucose presence.

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Description

Test your knowledge on urinary elimination with these flashcards based on Chapter 16. Covering key concepts such as urine composition, production rates, and normal appearances, this quiz is perfect for reinforcing essential information in this subject area.

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