RNSG 1430 Elimination questions with verified answers
5-alpha reductase inhibitors Ans✓✓✓ Shrink prostate
Finasteride (Proscar)
3-6 month improvement
acute Urinary Retention Ans✓✓✓ MEDICAL EMERGENCY-total inability to pass
urine via micturition
-prevent bladder rupture
Age-related issues with elimination of the bowel Ans✓✓✓ Atrophy of smooth
muscle in the colon
Decreased mucous
Decreased tone of internal and external sphincters decreasing sensation of
evacuation
Alpha adrenergic receptor blockers Ans✓✓✓ Relax smooth muscle of bladder
and prostate to open urethra
-tamsulosin (Flowmax)
-alfuzosin (UroXatral)
-doxazosin (Cardura)
Anticholinergics Ans✓✓✓ Oxybutynin (Ditropan XL) - reduces muscle spasms of
the bladder and urinary tract
anuria Ans✓✓✓ without urine
,Assessment of BPH Ans✓✓✓ Feeling of incomplete bladder emptying
Decrease in force of urine stream
Post-void dribble
Nocturia
Urinary stasis
UTI's
hematuria
assessment- history Ans✓✓✓ Patterns of urinary elimination
-Changes in frequency of urination
-Changes in appearance of urine
-Discomfort or difficulty
-Changes in diet
-Changes in health status
-Changes in medications
assessment-physiscal Ans✓✓✓ -Inspect urethral meatus for swelling, discharge,
inflammation
-Inspect skin for color, texture, turgor, signs of irritation, and edema
-Percussion of kidneys and bladder to detect tenderness
-Assess urine output (measure)
Benign Prostatic Hyperplasia (BPH) Ans✓✓✓ A condition in which the prostate
gland increases in size, leading to disruption of the outflow of urine from the
bladder through the urethra
,Benign Prostatic Hyperplasia (BPH) etiology Ans✓✓✓ Endocrine changes
Excessive accumulation of dihydroxytestosterone
Stimulation by estrogen and growth hormone
Develops in the inner part of the prostate
Gradually compresses the urethra
Leads to eventual partial or complete obstruction
Bilirubin Ans✓✓✓ indicates liver disorder
bladder elimination antecedents Ans✓✓✓ Urge to urinate
Feeling of fullness or possible contraction of bladder
bladder elimination attributes Ans✓✓✓ Presence of urine
Passage of urine
Retention of urine
Color of urine
Frequency of urination
Amount of urine
Bladder holds ___-___ mL of urine before the stretch receptors signal a need to
urinate. Ans✓✓✓ 300-500
bladder scan Ans✓✓✓
, bowel elimination antecedents Ans✓✓✓ Urge to defecate
Possible intestinal cramping or feeling of fullness in rectum
bowel elimination attributes Ans✓✓✓ Presence of stool/feces
Passage of stool
Form of stool
Color of stool
Frequency of stool passage
Retention of stool
Bowel Evacuation via Enema Ans✓✓✓ Position client in left Sims position
Wearing exam gloves, lubricate enema administration tip
Insert 2-3" into rectum
Initiate flow of solution with bag 18" above client's hips
Monitor client tolerance
Bowel Incontinence - Nursing Interventions Ans✓✓✓ High-fiber diet
Increased fluid intake. No caffeine
Kegel exercises
Bowel training
Manual exam for impaction
Manual removal of impaction
Suppositories
Stool softeners
5-alpha reductase inhibitors Ans✓✓✓ Shrink prostate
Finasteride (Proscar)
3-6 month improvement
acute Urinary Retention Ans✓✓✓ MEDICAL EMERGENCY-total inability to pass
urine via micturition
-prevent bladder rupture
Age-related issues with elimination of the bowel Ans✓✓✓ Atrophy of smooth
muscle in the colon
Decreased mucous
Decreased tone of internal and external sphincters decreasing sensation of
evacuation
Alpha adrenergic receptor blockers Ans✓✓✓ Relax smooth muscle of bladder
and prostate to open urethra
-tamsulosin (Flowmax)
-alfuzosin (UroXatral)
-doxazosin (Cardura)
Anticholinergics Ans✓✓✓ Oxybutynin (Ditropan XL) - reduces muscle spasms of
the bladder and urinary tract
anuria Ans✓✓✓ without urine
,Assessment of BPH Ans✓✓✓ Feeling of incomplete bladder emptying
Decrease in force of urine stream
Post-void dribble
Nocturia
Urinary stasis
UTI's
hematuria
assessment- history Ans✓✓✓ Patterns of urinary elimination
-Changes in frequency of urination
-Changes in appearance of urine
-Discomfort or difficulty
-Changes in diet
-Changes in health status
-Changes in medications
assessment-physiscal Ans✓✓✓ -Inspect urethral meatus for swelling, discharge,
inflammation
-Inspect skin for color, texture, turgor, signs of irritation, and edema
-Percussion of kidneys and bladder to detect tenderness
-Assess urine output (measure)
Benign Prostatic Hyperplasia (BPH) Ans✓✓✓ A condition in which the prostate
gland increases in size, leading to disruption of the outflow of urine from the
bladder through the urethra
,Benign Prostatic Hyperplasia (BPH) etiology Ans✓✓✓ Endocrine changes
Excessive accumulation of dihydroxytestosterone
Stimulation by estrogen and growth hormone
Develops in the inner part of the prostate
Gradually compresses the urethra
Leads to eventual partial or complete obstruction
Bilirubin Ans✓✓✓ indicates liver disorder
bladder elimination antecedents Ans✓✓✓ Urge to urinate
Feeling of fullness or possible contraction of bladder
bladder elimination attributes Ans✓✓✓ Presence of urine
Passage of urine
Retention of urine
Color of urine
Frequency of urination
Amount of urine
Bladder holds ___-___ mL of urine before the stretch receptors signal a need to
urinate. Ans✓✓✓ 300-500
bladder scan Ans✓✓✓
, bowel elimination antecedents Ans✓✓✓ Urge to defecate
Possible intestinal cramping or feeling of fullness in rectum
bowel elimination attributes Ans✓✓✓ Presence of stool/feces
Passage of stool
Form of stool
Color of stool
Frequency of stool passage
Retention of stool
Bowel Evacuation via Enema Ans✓✓✓ Position client in left Sims position
Wearing exam gloves, lubricate enema administration tip
Insert 2-3" into rectum
Initiate flow of solution with bag 18" above client's hips
Monitor client tolerance
Bowel Incontinence - Nursing Interventions Ans✓✓✓ High-fiber diet
Increased fluid intake. No caffeine
Kegel exercises
Bowel training
Manual exam for impaction
Manual removal of impaction
Suppositories
Stool softeners
