Hondros NUR 205 Exam 3 Study Guide.
Impaired urinary elimination - answer1. Anuria (absence of urine)
2. Dysuria ( painful urnination)
3. Polyuria ( multiple episodes of urinating-diabetes)
4. Urinary frequency (multiple episodes w/ little urine produced in a short time)
5. Urinary hesitancy (...
Impaired urinary elimination - answer✔✔1. Anuria (absence of urine)
2. Dysuria ( painful urnination)
3. Polyuria ( multiple episodes of urinating-diabetes)
4. Urinary frequency (multiple episodes w/ little urine produced in a short time)
5. Urinary hesitancy (the urge to urinate exists, but pt having hard time starting the stream)
Glomerular filtration - answer✔✔The first step in urine formation in which substances in blood
pass through the filtration membrane and the filtrate enters the proximal convoluted tubule of the
nephron.
Tubular reabsorption - answer✔✔Process of reabsorbing water and electrolytes back into the
blood
Tubular secretion - answer✔✔selectively moves substances from blood to filtrate in renal
tubules and collecting ducts
Urinary incontinence
1. Stress - answer✔✔Leakage of small amounts of urine during physical movement - ie.
coughing, sneezing, exercising.
Urinary incontinence
2. Urge - answer✔✔leakage of small amounts of urine at UNEXPECTED times - ie. during
sleep
Urinary incontinence
3. Functional - answer✔✔Untimely urination because of physical disability, external obstacles,
or cognitive problems that prevent from reaching the toilet.
Urinary incontinence
4. Overflow - answer✔✔Unexpected leakage of small amounts of urine due to full bladder
Urinary incontinence
5. Transient - answer✔✔Leakage that occurs temporarily because of a situation that will pass -
ie. UTI, infection, pregnancy, cold with coughing.
Urinary incontinence
6. Reflex - answer✔✔Involuntary loss of urine occurring at predictable intervals when patient
reaches bladder volume - ie. spinal cord damage, loss of urge to void.
Nursing interventions for constipation - answer✔✔Sitting in chair, walking
Increase fluids, and fiber
Type 1 diabetes - answer✔✔-no insulin is produced
-usually diagnosed in childhood
-cells are starved of glucose since there is no insulin to bring into the cells
-cells break down protein and fat into energy causing ketones to build up - acidosis
Type 1 signs and symptoms - answer✔✔*abrupt!*
Polyuria
polydipsia
polyphagia
Type 1 treatment - answer✔✔Insulin only.
oral agents will not work
DKA patho - answer✔✔*abrupt*
1. not enough insulin
2. blood sugar becomes VERY high
3. cells break down protein and fat into energy
4. ketones build up---acidosis
DKA signs and symptoms - answer✔✔Ketosis and acidosis
fruity breath
hyperglycemia
dehydration
kussmaul respiration--trying to blow off CO2
Type 2 diabetes - answer✔✔Does not produce enough insulin or produces bad insulin that does
not work properly.
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