Exam (elaborations)

NUR 324: URINARY 96 QUESTIONS WITH CORRECT ANSWERS Will Help Students Achieve A+|37 Pages

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NUR 324: URINARY

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NUR 324: URINARY

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nur 324 urinary 96 questions with correct answers

Institution NUR 324: URINARY
Course NUR 324: URINARY

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_______ is toileting based upon a fixed schedule, not the patient's urge to void. The schedule maybe set
by a time interval, every two to three hours or at times of day such as before and after meals.

_______ is a toileting schedule based upon the patient's usual voiding pattern. Using a bladder diary, the
usual times a patient voids are identified. It is at these times that the patient is then toileted.

_________ is a program of toileting designed for patients with mild or moderately cognitive impairment.
Patients are toileted based upon their usual voiding pattern. Caregivers ask the patient if they are wet or
dry, give positive feedback for dryness, prompt the patient to toilet, and reward the patient for desired
behavior.

___________ should follow the principles of asepsis

-Teach patients and caregivers about the importance of adequate fluid intake, signs of infection, and
their individualized catheterizat - ✔ ✔ Timed voiding

Habit training

Prompted voiding

intermittent catheterization

400

________ is a urinary drainage tube inserted surgically into the bladder through the abdominal wall
above the symphysis pubis

,is a soft, pliable condom-like sheath that fits over the penis providing a safe and noninvasive way to
contain urine - ✔ ✔ suprapubic catheter

external catheter

________ is an excellent technique to identify a full bladder. Gently tap the abdomen along the midline
starting just above the umbilicus. The edge of the bladder is identified when the percussion note
changes to a dull note. If an overfull bladder is suspected, further assessment using a bladder scanner is
recommended if available.

Careful and sensitive inspection of the external genitalia and urethral meatus yield important data that
may indicate ____________. Look for discharge, lesions, or inflammation. All patients with an indwelling
catheter should have the urinary meatus assessed for catheter-related damage, and for the presence of
inflammation and discharge that can indicate infection.

Assessment of skin exposed to moisture, especially urine, needs to occur on a ________ in order to pick
up early signs of skin damage related to the moisture. - ✔ ✔ Percussion

inflammation and infection

regular basis

________ is created from a distal portion of the ileum and proximal portion of the colon.

________ uses an ileal pouch to replace the bladder.

_______ or ileal conduit is a permanent incontinent urinary diversion created by transplanting the
ureters into a closed-off portion of the intestinal ileum and bringing the other end out onto the
abdominal wall forming a stoma.

The patient has no sensation or control over the continuous flow of urine through the ileal conduit
requiring the effluent (drainage) to be collected in a pouch - ✔ ✔ continent urinary reservoir

,orthotopic neobladder

ureterostomy

________ lie on either side of the vertebral column behind the peritoneum and against the deep
muscles of the back. Normally the left kidney is ______ than the right because of the anatomical
position of the liver.

______ the functional unit of the kidneys, remove waste products from the blood and play a major role
in the regulation of fluid and electrolyte balance - ✔ ✔ kidneys

higher

nephron

_________ often makes it difficult to relax abdominal muscles and perineal muscles

attempting to void in public restrooms may result in a temporary _________ to void - ✔ ✔ tension

inability

__________involves teaching patients how to identify and contract the pelvic floor muscles in a
structured exercise program. The exercises work by increasing the pressure within the urethra by
strengthening the pelvic floor muscles and by inhibiting unwanted bladder contractions.

__________, patients are taught about their bladder and techniques to suppress urgency. They are
given a schedule of toileting based upon their diary of voiding and leaking and a schedule is designed to
slowly increase the interval between voiding. Patients are taught to inhibit the urge to void by taking
slow and deep breaths to relax, perform five to six quick strong pelvic muscle exercises (flicks) in quick
succession followed by distracting attention from bladder sensations. When the urge to void becomes
less severe or subsides, only then should the patient start their trip to the bathroom. - ✔ ✔ Pelvic
floor muscle training (PFMT)

, bladder retraining

-catheter can become obstructed by blood, pus, sediment

-instill sterile solution as ORDERED to clear the accumulated material

-follow sterile aseptic technique! - ✔ ✔ catheter irrigation

-increase in the nitrogenous wastes in the blood

-fluid and electrolyte imbalances

-N/V

-headache

-coma/convulsions

(will see high levels of potassium bc they aren't able to get rid of it) - ✔ ✔ uremic syndrome

-is a hollow, distensible, muscular organ that stores and excretes urine

-when empty, the bladder lies in the pelvic cavity behind the symphysis pubis

-a distended bladder can extend above the symphysis pubis (can lead to ruptured bladder) - ✔ ✔
bladder

-renal failure can no longer be controlled by conservative managment

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Exam (elaborations)

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