NUR2010 Exam 3 Latest Update
Information in elimination pattern - Answer history of bowel and bladder information
(number, time of day, recent changes, diet/fluid intake, fiber, able to take themselves to
facilities, laxitives, antibiotics, drug use, diarrhea/constipation). Usual voiding pattern
info (time, frequency, intake of water, how many times per day, need to wake up at night
to urinate?)
Any diuretic or decongestant use? Anticholinergic = urine retention
Physical exam of elimination pattern - Answer appearance of urine or stool, abdomen
(inspect, auscultate, inspect, palpate), anus/rectum, genitourinary structure,
neurological assessment
how does elimination vary across lifespan - Answer incontinence common in young
children and older adults. pregnant woman after birthing. note times of potty training.
full bowel and bladder control by school-age (normally).
medical issues - Answer dysuria - burning upon urination
polyuria - urinating more than normal
chron's
IBS
sample questions when assessing elimination pattern - Answer "how frequently do you
urinate in a 24-hour period" "describe your bowel movements to me" "do you ever find
yourself waking up in the night to urinate"
relevant lab values for elimination - Answer BUN - 6 to 24 mg/dL
Creatinine - 0.6-1.1 mg.dl
PSA - (for men) 1.0-1.5 ng/ml
Stool occult - no blood
Urine analysis - no unexpected results
Normal findings from rectal and prostate exam - Answer no skin breakdown or redness,
no lumps, lesions, discoloration, no odor, no exudate
clinical reasoning, nursing judgement, and nurse education toward patient for
elimination - Answer add/lower fiber depending on issue
water - drinking more
Information in elimination pattern - Answer history of bowel and bladder information
(number, time of day, recent changes, diet/fluid intake, fiber, able to take themselves to
facilities, laxitives, antibiotics, drug use, diarrhea/constipation). Usual voiding pattern
info (time, frequency, intake of water, how many times per day, need to wake up at night
to urinate?)
Any diuretic or decongestant use? Anticholinergic = urine retention
Physical exam of elimination pattern - Answer appearance of urine or stool, abdomen
(inspect, auscultate, inspect, palpate), anus/rectum, genitourinary structure,
neurological assessment
how does elimination vary across lifespan - Answer incontinence common in young
children and older adults. pregnant woman after birthing. note times of potty training.
full bowel and bladder control by school-age (normally).
medical issues - Answer dysuria - burning upon urination
polyuria - urinating more than normal
chron's
IBS
sample questions when assessing elimination pattern - Answer "how frequently do you
urinate in a 24-hour period" "describe your bowel movements to me" "do you ever find
yourself waking up in the night to urinate"
relevant lab values for elimination - Answer BUN - 6 to 24 mg/dL
Creatinine - 0.6-1.1 mg.dl
PSA - (for men) 1.0-1.5 ng/ml
Stool occult - no blood
Urine analysis - no unexpected results
Normal findings from rectal and prostate exam - Answer no skin breakdown or redness,
no lumps, lesions, discoloration, no odor, no exudate
clinical reasoning, nursing judgement, and nurse education toward patient for
elimination - Answer add/lower fiber depending on issue
water - drinking more
