Nursing-121 Exam 3 Study Guide
questions with correct answers
Normal Fluid Output Range for an Adult - ANSWER -1,200 mL to 1,500 mL
Factors Affecting Urinary Elimination (Pathologic Conditions) - ANSWER -- Renal
Failure
- Heart and Circulatory Conditions
- Urinary Stone (Calculus)
- Hyperplasia of prostate (BPH)
- Neurogenic Bladder
Factors Affecting Urinary Elimination (Surgical and Diagnostic Procedures) -
ANSWER -- Patients are NPO before going into surgery
- Cystoscopy
- Surgical procedures done in urinary tract can cause bleeding
- Anesthesia and narcotics slow glomerular filtration rate and sensation
Factors Affecting Urinary Elimination (Medications) - ANSWER -Diuretics - May
increase urine formation/output
Antidepressants, antipsychotics, antihistamines, opioid analgesics - May increase
urinary retention and/or overflow incontinence
Sedatives - May worsen urge incontinence
NSAIDs - May decrease blood flow to kidneys, leading to renal failure
Rifampin - makes urine orange
Nursing-121 Exam 3 Study Guide
questions with correct answers
,Polyuria (diuresis) - ANSWER -Production of an abnormally large amount of urine by
kidneys
Polydipsia - ANSWER -Polydipsia - Extreme thirst leads to compulsive of excessive
amounts of fluid
Anuria - ANSWER -Absence of urine production
Oliguria - ANSWER -Decreased output of urine (less than 500 mL/day or 30 ml/hour)
Urinary Frequency - ANSWER -Voiding at frequent intervals
Nocturia - ANSWER -Voiding at night or during sleep time
Urgency - ANSWER -Sudden strong desire to void
Dysuria - ANSWER -Painful or difficult urination
Urinary Hesitancy - ANSWER -Delay and difficulty in urination
Neurogenic Bladder - ANSWER -Impaired neurological function interfering with
urination
How to Palpate Abdomen - ANSWER -Inspection, Auscultation, Percussion, Palpation
Diagnostic Testing 1 - ANSWER -- Urinalysis
- Ultrasonic Bladder Scan
- BUN and Creatinine (Kidney Function)
- CT
- MRI
Nursing-121 Exam 3 Study Guide
questions with correct answers
, - Ultrasound
Diagnostic Testing 2 (Radiologic Examinations) - ANSWER -IV pyelography
- Visualizes structural and functional abnormality
Retrograde pyelography
- Visualizes fistulas, tumors, or ruptures
Renal arteriography
- Access renal blood flow
Diagnostic Testing 3 (Cystoscopy) - ANSWER -- Direct visualization of the bladder
wall urethra
- Small kidney stones can be removed
- Sample tissues taken for biopsy
- Retro pyelography can be done simultaneously
Diuretics - ANSWER -- Stimulate urine production
Cholinergic agents - ANSWER -- Stimulates bladder contraction
Anticholinergic agents - ANSWER -- Reduces urinary frequency
A client has an indwelling urinary catheter and complains that he feels like he needs
to urinate. Which of the following actions should the nurse take first?
A. Check to see if the catheter is patent
B. Remind the client that he has an indwelling urinary catheter in place
C. Remove the catheter and insert a new one
Nursing-121 Exam 3 Study Guide
questions with correct answers
questions with correct answers
Normal Fluid Output Range for an Adult - ANSWER -1,200 mL to 1,500 mL
Factors Affecting Urinary Elimination (Pathologic Conditions) - ANSWER -- Renal
Failure
- Heart and Circulatory Conditions
- Urinary Stone (Calculus)
- Hyperplasia of prostate (BPH)
- Neurogenic Bladder
Factors Affecting Urinary Elimination (Surgical and Diagnostic Procedures) -
ANSWER -- Patients are NPO before going into surgery
- Cystoscopy
- Surgical procedures done in urinary tract can cause bleeding
- Anesthesia and narcotics slow glomerular filtration rate and sensation
Factors Affecting Urinary Elimination (Medications) - ANSWER -Diuretics - May
increase urine formation/output
Antidepressants, antipsychotics, antihistamines, opioid analgesics - May increase
urinary retention and/or overflow incontinence
Sedatives - May worsen urge incontinence
NSAIDs - May decrease blood flow to kidneys, leading to renal failure
Rifampin - makes urine orange
Nursing-121 Exam 3 Study Guide
questions with correct answers
,Polyuria (diuresis) - ANSWER -Production of an abnormally large amount of urine by
kidneys
Polydipsia - ANSWER -Polydipsia - Extreme thirst leads to compulsive of excessive
amounts of fluid
Anuria - ANSWER -Absence of urine production
Oliguria - ANSWER -Decreased output of urine (less than 500 mL/day or 30 ml/hour)
Urinary Frequency - ANSWER -Voiding at frequent intervals
Nocturia - ANSWER -Voiding at night or during sleep time
Urgency - ANSWER -Sudden strong desire to void
Dysuria - ANSWER -Painful or difficult urination
Urinary Hesitancy - ANSWER -Delay and difficulty in urination
Neurogenic Bladder - ANSWER -Impaired neurological function interfering with
urination
How to Palpate Abdomen - ANSWER -Inspection, Auscultation, Percussion, Palpation
Diagnostic Testing 1 - ANSWER -- Urinalysis
- Ultrasonic Bladder Scan
- BUN and Creatinine (Kidney Function)
- CT
- MRI
Nursing-121 Exam 3 Study Guide
questions with correct answers
, - Ultrasound
Diagnostic Testing 2 (Radiologic Examinations) - ANSWER -IV pyelography
- Visualizes structural and functional abnormality
Retrograde pyelography
- Visualizes fistulas, tumors, or ruptures
Renal arteriography
- Access renal blood flow
Diagnostic Testing 3 (Cystoscopy) - ANSWER -- Direct visualization of the bladder
wall urethra
- Small kidney stones can be removed
- Sample tissues taken for biopsy
- Retro pyelography can be done simultaneously
Diuretics - ANSWER -- Stimulate urine production
Cholinergic agents - ANSWER -- Stimulates bladder contraction
Anticholinergic agents - ANSWER -- Reduces urinary frequency
A client has an indwelling urinary catheter and complains that he feels like he needs
to urinate. Which of the following actions should the nurse take first?
A. Check to see if the catheter is patent
B. Remind the client that he has an indwelling urinary catheter in place
C. Remove the catheter and insert a new one
Nursing-121 Exam 3 Study Guide
questions with correct answers
