NUR 345 Exam 3-Principles of Urinary
Elimination Questions and Correct
Answers
Anatomy of Urinary Tract ✅kidneys, ureters, bladder, urethra
Act of Urination ✅Bladder contraction + urethral sphincter and pelvic floor muscle
relaxation
Process of Voiding ✅1. Stretching of the bladder signals the micturition centers in the
spinal cord
2. Impulses from the micturition center in the brain respond to or ignore this urge, thus
making urination under voluntary control
3. When a person is ready to void, the external sphincter relaxes, the bladder contracts,
and the bladder empties
Factors Influencing Urination ✅Growth and devlopment
sociocultural factors
psychological factors
personal habits
fluid intake
pathological conditions
surgical procedures
medications
diagnostic exams
urinary retention ✅accumulation of urine because of the inability of the bladder to
empty
urinary tract infection ✅results from catheterization or procedure
urinary incontinence ✅involuntary leakage of urine
urinary diversions ✅diversion of urine to external source
Nursing history for urinary elimination alteration ✅pattern of urination, symptoms of
urinary alterations, factors affecting voiding, older adult considerations
Physical Assessment- kidneys ✅flank pain may occur with infection or inflammation
Physical Assessment- bladder ✅distended bladder rises above symphysis pubis
Elimination Questions and Correct
Answers
Anatomy of Urinary Tract ✅kidneys, ureters, bladder, urethra
Act of Urination ✅Bladder contraction + urethral sphincter and pelvic floor muscle
relaxation
Process of Voiding ✅1. Stretching of the bladder signals the micturition centers in the
spinal cord
2. Impulses from the micturition center in the brain respond to or ignore this urge, thus
making urination under voluntary control
3. When a person is ready to void, the external sphincter relaxes, the bladder contracts,
and the bladder empties
Factors Influencing Urination ✅Growth and devlopment
sociocultural factors
psychological factors
personal habits
fluid intake
pathological conditions
surgical procedures
medications
diagnostic exams
urinary retention ✅accumulation of urine because of the inability of the bladder to
empty
urinary tract infection ✅results from catheterization or procedure
urinary incontinence ✅involuntary leakage of urine
urinary diversions ✅diversion of urine to external source
Nursing history for urinary elimination alteration ✅pattern of urination, symptoms of
urinary alterations, factors affecting voiding, older adult considerations
Physical Assessment- kidneys ✅flank pain may occur with infection or inflammation
Physical Assessment- bladder ✅distended bladder rises above symphysis pubis
