B260 Exam #2
Production of abnormally large amounts of urine - ANS-Polyuria (Diuresis)
Absence of urine production - ANS-Anuria
Low output of urine - ANS-Oliguria
Voiding frequently (more than 4-6 times per day) - ANS-Urinary Frequency
Regularly voiding two or more times per night - ANS-Nocturia
Sudden strong need to urinate - ANS-Urgency
Painful or difficult voiding - ANS-Dysuria
Repeated involuntary urination in children old enough for bladder control - ANS-Enuresis
Involuntary leakage of urine or loss of bladder control - ANS-Urinary incontinence
Inability to empty bladder completely - ANS-Retention
Enlargement of the prostate - ANS-Prostatic hyperplasia
Abnormal cell growth in urinary tract organs - ANS-Cancer of the urinary system
Formation of calculi in the kidney - ANS-Kidney Stones
Kidney function is insufficient or absent - ANS-Renal failure
A bacterial, viral, or fungal infection that occurs in the urinary tract - ANS-Urinary Tract Infecion
Impaired neurological function that can interfere with the normal mechanisms of urinary
elimination - ANS-Neurogenic bladder
Excessive gas(flatus) in the intestines - ANS-Flatulence
Inability to control the passage of feces and gas - ANS-Bowel Incontinence
Accumulation of dry fecal contents in the bowel that cannot be expelled - ANS-Impaction
Blockage in the bowel that prevents or restricts the passage of fecal material - ANS-Obstruction
, Acute renal failure and chronic renal failure - ANS-What conditions have direct impact on fluid
and electrolyte balance
those with disability, family history, older age, parkinson disease, genetic conditions, and women
- ANS-Clients at risk for urinary incontinence
older clients and men - ANS-Clients at risk for urinary retention
young children and older adults - ANS-Clients at risk for diarrhea
young children, older adults, disabilitys, immobility, or chronic diseases such as MS or diabetes -
ANS-Clients at risk for constipation
young children, older adults, women (especially after childbearing) - ANS-Clients at risk for
Fecal incontinence
obesity, pregnancy, urinary tract infections, consumption of bladder irritants, and constipation. -
ANS-Modifiable risk factors for urinary elimination
poor diet(low in fiber and fluid), long-term use of certain medications, travel to foreign countries,
and poor hygiene. - ANS-Modifiable risk factors for bowel elimination
- Present the assessment as a natural process
- Explain the assessment at an appropriate comprehension level
-Discuss other topics to distract the client during the assessment
-Reassure the patient and incorporate play when assessing young children - ANS-Ways to
consider anxiety and embarrassment during the assesssment for Bowel or bladder
have a clinician of the same sex perform the assessment if the client prefers it - ANS-Ways to
provide culturally competent care during the assessment of bowel or bladder
Ensure comprehension, obtain a translator when necessary - ANS-Ways to provide appropriate
language during the assessment of bowel and bladder
-Monitoring intake and output
-Personal hygiene
-Catheter use and care
-Urine collection
-Client education - ANS-Independent interventions for Urinary problems
-Client dietary education
-Client physical education
-Bowel training
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