correct answers
The Concept of Elimination Correct Answer.-all the body processes that
get rid of waste products.
-Urinary
-Gastrointestinal or GI System
-Respiratory and
Through the skin or integumentary system.
Normal changes that occur with aging in the urinary system Correct
Answer.-Bladder control issues, such as leakage or urinary incontinence
(not being able to hold your urine), or urinary retention (not being able
to completely empty your bladder) Bladder and other urinary tract
infections (UTIs)
Normal characteristics of urine Correct Answer.-Color: Straw-colored
Clarity: Clear
Amount: 1000 to 3000 mL/day
Odor: Mild; slightly aromatic
pH: 4.5 to 8.0
Specific gravity: 1.001 to 1.029
different types of urine specimens Correct Answer.-routine urine
specimen, clean catch specimen (midstream), 24-hour urine specimen
,how much stool is needed for a culture Correct Answer.-2/3 to 3/4 of a
container
different types of urinary incontinence. Correct Answer.-Stress, Urge,
Overflow, total and nocturnal enuresis
stress incontinence Correct Answer.-the inability to control the voiding of
urine under physical stress such as running, sneezing, laughing, or
coughing
Urge incontinence (overactive bladder) Correct Answer.-Occurs when the
bladder contracts randomly, causing a strong, sudden urge to urinate that
is followed by urine leakage.
overflow incontinence Correct Answer.-involuntary loss of urine
associated with overdistention and overflow of the bladder
total incontinence Correct Answer.-continuous and unpredictable loss of
urine, resulting from surgery, trauma, or physical malformation
functional incontinence Correct Answer.-the person has bladder control
but cannot use the toilet in time
treatment for overflow incontinence Correct Answer.-Surgical removal of
obstruction, Intermittent catheterization, Indwelling catheter
,treatment for urge incontinence Correct Answer.-prompted voiding, toilet
q2h and pads
treatment for functional incontinence Correct Answer.-• Improve
accessibility to toileting; bedside
commodes, urinals, walkers, elevated
toilet seats,
• When to refer:
- When they fail to respond to behavioral
therapies and initial drug therapies.
- If they need surgical evaluation
treatments for stress incontinence Correct Answer.-behavioral therapies
and surgery
BPH (benign prostatic hyperplasia) Correct Answer.-Age-associated
prostate gland enlargement that can cause urination difficulty.
BPH treatment Correct Answer.-Alpha-adrenergic antagonists: terazosin,
doxazosin
5-alpha reductase inhibitors: finasteride, dutasteride
Transurethral prostatectomy
Open prostatectomy
, GI changes with aging Correct Answer.-decrease in digestive juices,
nutrient absorption
malnutrition and anemia increase
constipation and indigestion common
decreased saliva production= dry mouth
S/S of constipation Correct Answer.-abdominal pain and distention,
indigestion, rectal pressure, sensation of incomplete emptying
Treatment of constipation Correct Answer.-1. Increase fiber up to 10-
20g/day and fluid intake up to 1.5-2L/day and increased exercise will
resolve the problem.
2. If lasting longer than 2 weeks or refractory to modification in diet and
exercise, undergo further investigation to determine underlying cause.
Treatment of underlying cause will resolve constipation.
S/S of diarrhea Correct Answer.--loose stools
-distention
-hyperactive bowel sounds
-abdominal pain
-fluid and electrolyte balance off
-loss of potassium can cause dysrthmia's
treatment for diarrhea Correct Answer.-First determine the CAUSE of the
diarrhea!