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Skills: ATI: Urinary Elimination 2023 / Questions And Answers (A+)
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Skills: ATI: Urinary Elimination 2023 / Questions AndAnswers (A+)
Quiz :Urinary Elimination - √Answer :is a precise system of filtration,
reabsorption, and excretion. These processes help fluid and electrolyte balance
while filtering and excreting water soluble wastes.
Quiz :Primary organs involved in urinary elimination - √Answer :Kidneys; with
nephrons performing most of the functions of filtration and elimination. Most
adults produce between 1,500 and 2,000 mL of urine per day.
Quiz :Once urine is filtered it: - √Answer :passes through ureters into the
bladder (storage reservoir for urine). Once urine collects in the bladder (150-
200mL) it sends a signal to the brain to indicate the need to urinate. Person
then relaxes internal and external sphincters located at bottom of the bladder
and the urethra. Urine passes from the bladder through uretha where it exits
the body.
Quiz :Factors that affect urinary elimination - √Answer :surgery, immobility,
medications, and therapeutic diets.
Quiz :Urinary diversions - √Answer :temporary or permanent. A stoma for the
drainage of urine.
Created for patients who have bladder cancer, radiation injury to the bladder,
or chronic urinary infections may require a diversion to drain urine from a
diseased or dysfunctional bladder.
, Quiz :Two types of urinary diversions - √Answer :Continent urinary reservoir
and Orthotopic Neobladder
Quiz :Continent Urinary Reservoir - √Answer :It is created from a distal
portion of the ileum and proximal portion of the colon. The ureters are
embedded in the reservoir. The reservoir is situated under the abdominal wall
and has a narrow ilieal segment brought out through the abdominal wall to
form a small stoma. The ileocecal valve creates a one way valve in the pouch
through which a catheter is inserted to empty the urine from the pouch.
Patients must be able to catheterize the pouch 4-6x a day for the rest of their
lives.
Quiz :Orthotopic Neobladder - √Answer :Uses an ileal pouch to replace the
bladder. Anatomically the pouch is in the same place as the bladder was before
removal. This allows patients to void normally.
Quiz :Nephrostomy - √Answer :When patients need urinary drainage directly
from one or both kidneys. In this case a tube is placed directly into the renal
pelvis to the abdominal surface.
Quiz :Ureterostomy - √Answer :One or both ureters to the abdominal surface
Quiz :What are the roles of a nurse when caring for a client with urinary
diversions? - √Answer :Refer the client to an ostomy nurse
Train the client on management of urinary diversions.
Refer the client to ostomy associations for further support
Refer to client to United Ostomy Associations of America.
Quiz :Factors affecting normal Urinary Elimination:
Age - √Answer :-full bladder control by 4-5 yrs of age
-enlargement of prostate after 40 yrs of age leads to urinary frequency,
hesitancy, retention, incontinence, and UTI's
-childbirth and gravity weaken pelvic floor, putting patients at risk for the
prolapse of bladder, leading to stress incontinence, which patients can manage
with pelvic floor (kegel) exercises.
Quiz :Factors affecting normal Urinary Elimination:
Older adult patients - √Answer :-fewer nephrons
-loss of muscle tone of bladder (frequency occurs)
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