complete questions and solutions.
NSG 262 exam 3 with 213 correct
complete questions and solutions.
Urostomy - ANSWER creation of an opening in the urinary tract, normally to divert urine flow away from
a diseased bladder
clean catch - ANSWER a method of obtaining a urine specimen using a special cleansing technique; also
called midstream urine
Occult blood - ANSWER blood that cannot be seen in the stool but is positive on a fecal occult blood test
Guiac - ANSWER testing for occult blood
Specific gravity - ANSWER shows concentration of urine 1.005-1.030
Residual urine - ANSWER urine that remains in the bladder after urination
Enuresis - ANSWER involuntary urination
Encopresis - ANSWER involuntary defecation not attributable to physical defects or illness
Impaction - ANSWER Results from unrelieved constipation; a collection of hardened feces wedged in the
rectum that a person cannot expel
Hypertonic Enema - ANSWER Exert osmotic pressure that pulls fluid out of interstitial spaces. The colon
fills with fluid, and the resultant distention promotes defecation. Used for patients who cannot tolerate
large volumes of fluid
,NSG 262 exam 3 with 213 correct
complete questions and solutions.
Ileostomy - ANSWER the surgical creation of an artificial excretory opening between the ileum, at the
end of the small intestine, and the outside of the abdominal wall
Incontinence - ANSWER inability to control bladder and/or bowels
Flatulence - ANSWER Accumulation of gas in the intestines causing the walls to stretch
-before feeding patient make sure they have peristalsis activity
Neurogenic Bladder - ANSWER a urinary problem caused by interference with the normal nerve
pathways associated with urination
Burp-Bag - ANSWER is an osmotomy pouch that lets gas out.
Nocturia - ANSWER excessive urination at night
Polyuria - ANSWER excessive urination
Dysuria - ANSWER painful urination
24 degree urine - ANSWER 800 to 2,000 milliliters per day
Alterations in Urinary Elimination - ANSWER Altered Micturition
•Disease/Obstructions
•Upper and Lower Urinary Tract Infections (Hematuria, Dysuria)
•Medications and medical procedures
•Physical Mobility
•Psychological factors (anxiety, stress, privacy)
•Fluid balance
,NSG 262 exam 3 with 213 correct
complete questions and solutions.
•Nocturia(voiding @ night), polyuria(lots of urine), oliguria(little urine), anuria(no urine, absence of
urine)
• Diuresis(warm so urine made)
• Fever
• Dehydration
• Renal Failure-if kidney gets damaged too much
• Diversions-things we can do to get urine out
what do we not give a patient who is dehydrated and not peeing? - ANSWER Diuretic because it will
further dehydrate them by making them pee more so we give them fluids instead
Assessment of Urine - ANSWER -Intake and output
-Characteristics of urine
-Color, clarity, odor
Laboratory and diagnostic testing with urination elimination - ANSWER -Bladder Scan
-UA
-Urine culture & sensitivity
-X-ray/ CT scan/Ultrasound
-Cystoscopy
Diagnostic examinations- nursing responsibilities with urination elimination - ANSWER -Label all
specimens
-Preserve according to laboratory protocol
-Infection control policies
Nursing Diagnosis
Incontinence of Urine: - ANSWER Functional; Overflow; Reflex; Stress; Urge
, NSG 262 exam 3 with 213 correct
complete questions and solutions.
• Urinary Tract Infection
• Impaired Self Toileting
• Impaired Skin Integrity
• Urinary Retention
Implementation for urinary elimination: Health Promotion - ANSWER -Health Promotion
-Promoting complete bladder emptying
-Preventing infection
Implementation for urinary elimination: Acute care - ANSWER Acute care: Catheterization
-Removal of indwelling catheter
-Alternative urethral catheterization
Implementation for urinary elimination: Continuing and restorative care - ANSWER Continuing and
restorative care
-Lifestyle changes
-Pelvic floor muscle training
Bladder retraining
-Toileting schedules
-Intermittent catheterization
-Skin care
-Drink lots of liquids
-go to bathroom every 3-4 hours
Reasons for Catheterization - ANSWER • Sterile urine specimen
• Empty bladder before, during and/or after surgery
• Monitor critically ill patients (Strict I&O)