Foundations Exam 3 Study Guide
What is called when there is an involuntary loss of urine?
o Incontinence
o stress incontinence if they cough or sneeze
What would you reply to a female pt who notices an involuntary loss of urine after coughing?
o This is called stress incontinence
o There are a few pelvic exercises you can do to strengthen the muscles to prevent this
from happening
Manifestations of UTI in elderly pts
o dysuria, pain, fever, they do not develop this stuff, CONFUSION, they have altered
mental status
Why do we use urinary catheters?
o Surgery
o monitor renal function
o anesthesia
o urinary retention
o urinary urgency
What is a condom catheter?
o attach the bag to the tip of the shaft of the penis
What does it mean when there is dark yellow urine in an indwelling catheter collection bag?
o Dehydration
For a pt who is ambulatory but requires some assistance, what is the best form of urinary
elimination for this pt?
o bedside commode
What instructions do we give a pt when we need to obtain a clean catch “midstream” specimen?
o Female:
Separate the labia. Clean the area at the meatus with soap and water, or
according to policy.
Have the patient void about 30 mL into the toilet or bedpan and discard this
urine.
Position the sterile specimen container near, but not touching, the meatus, and
collect at least 10 mL of urine in the container. If the specimen is being collected
while the patient is lying down, ask her to void forcibly to prevent urine from
dribbling across the perineum.
Stop collecting urine before the patient empties the bladder. Allow patient to
continue voiding into a bedpan or the commode and discard this urine.
What is called when there is an involuntary loss of urine?
o Incontinence
o stress incontinence if they cough or sneeze
What would you reply to a female pt who notices an involuntary loss of urine after coughing?
o This is called stress incontinence
o There are a few pelvic exercises you can do to strengthen the muscles to prevent this
from happening
Manifestations of UTI in elderly pts
o dysuria, pain, fever, they do not develop this stuff, CONFUSION, they have altered
mental status
Why do we use urinary catheters?
o Surgery
o monitor renal function
o anesthesia
o urinary retention
o urinary urgency
What is a condom catheter?
o attach the bag to the tip of the shaft of the penis
What does it mean when there is dark yellow urine in an indwelling catheter collection bag?
o Dehydration
For a pt who is ambulatory but requires some assistance, what is the best form of urinary
elimination for this pt?
o bedside commode
What instructions do we give a pt when we need to obtain a clean catch “midstream” specimen?
o Female:
Separate the labia. Clean the area at the meatus with soap and water, or
according to policy.
Have the patient void about 30 mL into the toilet or bedpan and discard this
urine.
Position the sterile specimen container near, but not touching, the meatus, and
collect at least 10 mL of urine in the container. If the specimen is being collected
while the patient is lying down, ask her to void forcibly to prevent urine from
dribbling across the perineum.
Stop collecting urine before the patient empties the bladder. Allow patient to
continue voiding into a bedpan or the commode and discard this urine.
