Foundations of Nursing Exam 3 - Seminole State Questions with 100% Correct Answers | Latest Update | Verified
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Foundations of Nursing - Seminole State
Institution
Foundations Of Nursing - Seminole State
transient incontinence - temporary or occasional incontinence that is reversed when the cause is
treated. (Can be caused by meds)
Urinary retention - An accumulation of urine due to the inability of the bladder to empty
-Distended abdomen
-Reports of pressure
-Restlessness
-No UO or scant for...
Foundations of Nursing Exam 3 -
Seminole State
transient incontinence - temporary or occasional incontinence that is reversed when the cause is
treated. (Can be caused by meds)
Urinary retention - An accumulation of urine due to the inability of the bladder to empty
-Distended abdomen
-Reports of pressure
-Restlessness
-No UO or scant for hours
-Bladder scanner
Kidney's role in urinary elimination - Remove waste from the blood to form urine
Ureter's role in urinary elimination - Transport urine from the kidneys to the bladder
Bladder's role in urinary elimination - Reservoir for urine until the urge to urinate develops
Urethra's role in urinary elimination - Urine travels from the bladder and exits through the
urethral meatus.
bladder capacity - ranges from 600 to 1000 mL of urine
normal voiding pattern - Adults normally void every 2 to 4 hours
Urinary tract infection - Results from catheterization or procedure
,-Frequency
-Burning
-Urgency
-Elderly-confusion
Urinary incontinence - Involuntary leakage of urine
Urinary diversion - Diversion of urine to external source
Post void residual - have pt. who can urinate try to go to the bathroom and then do a bladder scan
to see the amount that is left in the bladder
Primary Health Promotion Goals - Disease prevention
Indications for Catheter - -Obtain sterile specimen (straight cath)
-Hourly monitoring
-Unable to void
-Surgical procedures
-Instillations of medications into the bladder
urgency incontinence - Not enough time to make it to the restroom once the urge occurs. (Start a
restroom schedule)
functional incontinence - cannot functionally get to the bathroom on time (ex. Arthritis in the
hands and cannot unbutton pants in time)
stress incontinence - sneezing, coughing, laughing causes incontinence due to weakened pelvic
floor muscles (not large amounts voided) Can be treated with Kegels
reflex incontinence - Spinal injury patients/nerve damage that affects the relaxion and contraction
of bladder and urinary sphincter
, anesthesia - Can cause urinary retention or overflow incontinence
Lasix - Can cause urgency and incontinence
Pyridium - Some change the color of urine. Pyridium is given is conjunction with an antibiotic to
help with the pain of antibiotic and turns the urine orange
Incontinence interventions for the elderly - Offer toileting every 2 hours
Encourage to empty bladder before and after meals and at bedtime.
Encourage to ↑ fluid intake 6-8 glasses/day unless contraindicated (reduce risk for UTIs).
Physical Assessment: Urethral meatus - observe for discharge, inflammation, and lesions
Physical Assessment: Skin and mucosal membranes - Assess hydration
Physical Assessment: Kidneys - Flank pain may occur with infection or inflammation.
Sterile Catch Urine - is always done with a straight cath
Clean catch urine - midstream (wipe, pee to flush, then pee into cup)
24 hour urine collection - Time is a 24 hour urine collection, first sample is tossed and then the
timer is started
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