Podcast
Questions and Answers
What is the primary function of the urinary system?
What is the primary function of the urinary system?
The gastrointestinal organs have no role in urine formation.
The gastrointestinal organs have no role in urine formation.
True (A)
Name one psychological factor that may alter the elimination process.
Name one psychological factor that may alter the elimination process.
Anxiety
The urinary system includes the kidneys, ureters, bladder, and ______.
The urinary system includes the kidneys, ureters, bladder, and ______.
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Match the following terms with their corresponding features:
Match the following terms with their corresponding features:
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What is a common complication associated with urinary catheterization?
What is a common complication associated with urinary catheterization?
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Which of the following should be assessed before a diagnostic examination?
Which of the following should be assessed before a diagnostic examination?
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An indwelling catheter is also known as a straight catheter.
An indwelling catheter is also known as a straight catheter.
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How often should long-term catheters be changed?
How often should long-term catheters be changed?
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Foul odor from a bedside commode is a normal occurrence.
Foul odor from a bedside commode is a normal occurrence.
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What is an important nursing responsibility during the laboratory process?
What is an important nursing responsibility during the laboratory process?
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The ________ catheter system is specifically designed for female patients.
The ________ catheter system is specifically designed for female patients.
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Match the type of catheter with its description:
Match the type of catheter with its description:
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Nurses should encourage fluid intake especially if using __________ dye.
Nurses should encourage fluid intake especially if using __________ dye.
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Match the safety guidelines to their corresponding actions:
Match the safety guidelines to their corresponding actions:
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What is the primary function of the kidneys?
What is the primary function of the kidneys?
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The female urethra is longer than the male urethra.
The female urethra is longer than the male urethra.
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What is a common consequence of an obstruction in the ureters?
What is a common consequence of an obstruction in the ureters?
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The functional units of the kidneys are called __________.
The functional units of the kidneys are called __________.
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Match the urinary organs with their functions:
Match the urinary organs with their functions:
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What percentage of glomerular filtrate is usually excreted as waste?
What percentage of glomerular filtrate is usually excreted as waste?
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Urine in the ureters is typically sterile.
Urine in the ureters is typically sterile.
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What enzyme is released by the kidneys when there is decreased blood supply?
What enzyme is released by the kidneys when there is decreased blood supply?
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Which of the following complications can arise from urinary catheterization?
Which of the following complications can arise from urinary catheterization?
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What is a common diagnostic test used to visualize the urinary tract using contrast dye?
What is a common diagnostic test used to visualize the urinary tract using contrast dye?
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Continent urinary diversions allow patients to have control over their urine flow.
Continent urinary diversions allow patients to have control over their urine flow.
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What is one method to prevent catheter-associated urinary tract infections (CAUTI)?
What is one method to prevent catheter-associated urinary tract infections (CAUTI)?
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Cloudy urine is a normal characteristic and does not indicate infection.
Cloudy urine is a normal characteristic and does not indicate infection.
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What is the normal pH range for urine?
What is the normal pH range for urine?
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A permanent urinary diversion through the abdominal wall is known as a(n) ______.
A permanent urinary diversion through the abdominal wall is known as a(n) ______.
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Which technique is crucial during the placement of a urinary catheter?
Which technique is crucial during the placement of a urinary catheter?
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Normal urine color ranges from pale straw color to ______.
Normal urine color ranges from pale straw color to ______.
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Match the following urine characteristics with their potential implications:
Match the following urine characteristics with their potential implications:
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Match the following urinary diversion types with their characteristics:
Match the following urinary diversion types with their characteristics:
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Bladder spasms are a sign of a successful urinary catheterization.
Bladder spasms are a sign of a successful urinary catheterization.
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Which of the following would indicate a concerning finding in a urinalysis?
Which of the following would indicate a concerning finding in a urinalysis?
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Self-image and self-esteem can be affected by incontinence.
Self-image and self-esteem can be affected by incontinence.
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What must patients with a continent urinary reservoir be willing to do daily?
What must patients with a continent urinary reservoir be willing to do daily?
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What is the purpose of measuring intake and output in a clinical setting?
What is the purpose of measuring intake and output in a clinical setting?
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Flashcards
Urinary System Functions
Urinary System Functions
The urinary system is responsible for the formation and elimination of urine, regulating fluid balance and excretion of waste.
Diagnostic Tests
Diagnostic Tests
Common tests for assessing urinary function include urinalysis, urine culture, and imaging studies.
Factors Impacting Urination
Factors Impacting Urination
Factors affecting urinary elimination include hydration level, medication, and psychological state.
Normal vs Abnormal Urine
Normal vs Abnormal Urine
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Nursing Interventions
Nursing Interventions
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Indwelling catheter
Indwelling catheter
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Catheter maintenance
Catheter maintenance
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Closed drainage system
Closed drainage system
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Continuous bladder irrigation
Continuous bladder irrigation
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Potential infection from catheters
Potential infection from catheters
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CAUTI
CAUTI
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Biofilm
Biofilm
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Complications of Catheterization
Complications of Catheterization
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Joint Commission NPSG
Joint Commission NPSG
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Urinary Diversion
Urinary Diversion
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Continent Urinary Diversion
Continent Urinary Diversion
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Incontinent Urinary Diversion
Incontinent Urinary Diversion
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Nephrostomy Tubes
Nephrostomy Tubes
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Infection Control Principles
Infection Control Principles
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Nocturnal Enuresis
Nocturnal Enuresis
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Psychosocial Implications of Incontinence
Psychosocial Implications of Incontinence
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Intake and Output Measurement
Intake and Output Measurement
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Urinalysis Normal Values
Urinalysis Normal Values
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Imaging Tests for Urinary Tract
Imaging Tests for Urinary Tract
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Characteristics of Normal Urine
Characteristics of Normal Urine
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Abnormal Urine Indicators
Abnormal Urine Indicators
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Foul odor in commode
Foul odor in commode
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Specimen labeling
Specimen labeling
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Patient consent for procedures
Patient consent for procedures
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Monitoring after procedures
Monitoring after procedures
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Evaluating patient outcomes
Evaluating patient outcomes
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Urinary Tract Organs
Urinary Tract Organs
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Nephrons
Nephrons
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Glomerulus
Glomerulus
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Erythropoietin
Erythropoietin
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Renin-Angiotensin System
Renin-Angiotensin System
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Ureters
Ureters
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Bladder
Bladder
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Urethra
Urethra
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Study Notes
Urinary Elimination Overview
- Urinary elimination is a fundamental human function
- This function can be affected by illness or procedures
- Urination involves the bladder, urinary sphincter, and the central nervous system (CNS)
- Most people experience a strong urge to urinate when the bladder holds 400-600 milliliters of urine
- Nurses' role includes assessing urinary tract functions and supporting bladder emptying
Urinary Tract Organs
- Kidneys: Nephrons (functional units) contain glomeruli, act as filters; large proteins do not normally filter; 99% of filtrate reabsorbed
- Ureters: Carry sterile urine to the bladder; obstruction can cause backflow
- Bladder: Distensible muscular reservoir; low pressure during filling to prevent backflow infections; expands as it fills
- Urethra: Urine travels through the urethra from the bladder; female urethra (3-4 cm) shorter than male (18-20 cm), which increases risk for UTIs
Kidneys - Detailed Role
- Essential for erythropoietin production, which stimulates red blood cell production and maturation
- Role in blood pressure control through renin-angiotensin system; decreased blood supply triggers renin release, converting angiotensinogen to angiotensin II, which stimulates aldosterone release, causing water retention and increased blood pressure.
Urinary Tract Infections (UTIs)
- Infections primarily caused by E. coli
- Classified by location: upper-kidney or lower-bladder/urethra
- Elderly individuals may have atypical presentations with nonspecific symptoms (e.g., delirium, confusion, fatigue, loss of appetite).
Urinary Incontinence
- Involuntary loss of urine
- Types include: transient, functional, overflow, stress, urge/urgency, and reflex incontinence
Urinary Catheterization
- When should a catheter be used?
- Minimizing infection risk is critical
- Following CDC infection control guidelines is essential
- Types of catheters include: indwelling Foley, external female catheter, intermittent catheters, and suprapubic catheters
Potential Complications of Urinary Catheterization
- Infection: The most common problem; bacteria can enter the bladder, urethra, urinary tract, or kidneys
- Biofilm: A protective coating that can form around the catheter
- Other complications include: leaks, bladder spasms, pain, bladder stones, injury to urethra or kidneys (with long-term use).
Nursing measures to prevent CAUTIs
- Following infection control principles
- Preventing inappropriate short-term catheter use
- Nurse-driven timely removal of catheters
- Using appropriate sterile techniques
- Meticulous catheter care during indwelling catheter use
Urinary Diversions
- Temporary or permanent
- Continent (urine is stored in a pouch; catheter insertion into the stoma for emptying) vs. incontinent (e.g., ureterostomy or nephrostomy) diversions
- Different types include continent urinary reservoirs, orthotopic neobladders, and ileal pouches
Assessment
- Intake and output measurements (including what to include)
- Kidney percussion to detect flank pain
- Bladder palpation for distention, tenderness, and pain
- Utilizing bladder scanners if retention suspected
- Assessment of external genitalia and urethral meatus (inspect for drainage, inflammation, swelling, or lesions).
- Perineal skin assessment (for erythema, moisture, erosion, itching, or burning pain)
- Knowledge of common diagnostic urine tests/values and their normal range (e.g., urinalysis, pH, specific gravity, glucose, ketones)
Laboratory, Diagnostic and Imaging Tests
- Urine tests (e.g., urinalysis, culture and sensitivity)
- Diagnostic tests, including but not limited to, radiography, CT scans, and ultrasounds
Nursing Responsibilities in Urinary System
- Provide education on aspects like specimen handling, infection control, and diagnostic procedures.
- Obtain informed consent from patients and adhering to agency policies for diagnostics (e.g., allergies to iodine and contrast dye). Ensure patients follow the appropriate diet; assessing fluid intake especially if radiopaque dye is used.
- Document and reassess fluid balance
Evaluation and Safety Guidelines
- Assess patient's self-image, social interactions, sexuality, and emotional status to determine their view of the situation
- Evaluate patient outcomes to measure intervention effectiveness and changes in voiding patterns/presence of symptoms
- Assess patient/caregiver compliance with the plan
- Following surgical and medical asepsis principles; identifying patients at risk for latex allergies or allergies to povidone-iodine, with alternative use of chlorhexidine
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Description
Explore the basic functions and organs involved in urinary elimination. This quiz covers the anatomy of the urinary tract, the role of the kidneys, and the importance of proper urination. Test your knowledge on how these systems interact and their clinical significance.