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Exam (elaborations)

NUR 242 Exam 5 Questions and Graded Answer

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NUR 242 Exam 5 Questions and Graded Answer

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NUR 242 Exam 5 Questions and Graded Answers.

What is the purpose of the urinary and GI tract? - maintain proper elimination of bodily
waste to remain healthy


What is the primary function of the urinary tract? - eliminate waste and excess fluid from
the body in the form of urine


List 4 more functions of the urinary system: - - regulates levels of electrolytes
- produces hormones that are important for blood pressure regulation
- develops red blood cells
- helps to keep bones strong


List the route of urine (4 main steps): - - kidneys
- ureters
- bladder
- urethra


kidneys - 2 bean-shaped organs located below the ribcage, each adjacent to the spine


On average, the kidneys filter _____ to _____ quarts of blood to produce _____ to _____ quarts
of urine (a day). - 120-150
1-2


How many cups of urine can the bladder normally hold? - 2



urine - extra fluid and waste the body no longer needs

,ideally clear/light yellow without cloudiness


List 5 things that affect urine color, amount, or odor: - - medications
- exercise
- hydration status
- diet
- age


What are 2 affects of age on urine output? - - kidney function declines = decreased
frequency
- loss of bladder muscle tone = leakage, incontinence, or retention


What diet habits affect urine? (5) - - increase water = clearer urine
- beets = red tint
- food dyes
- asparagus = specific odor
- alcohol/caffeine = increase urine production


urinary retention - inability to empty the bladder



List the 3 sets of muscles that prevent incontinence: - - the urethra
- the bladder neck
- the pelvic floor


How does pregnancy affect incontinence? - increases pressure on the pelvic floor = pelvic
organ prolapse or nerve damage


What is BPH? - benign prostate hyperplasia

,noncancerous overgrowth of the prostate


causes constriction of the urethra


List 6 symptoms of BPH: - - frequent nighttime urination
- incontinence
- urinary frequency
- urinary retention
- urinary urgency
- weak or slow urinary stream


antidiuretics - minimize fluid loss by preventing urine production in the kidneys



diuretics - increase urination by increasing urine production in the kidneys


primarily used to reduce blood pressure but can also be used to treat heart failure and edema


List the types of urinary incontinence (6): - "surf on"


Stress
Urge
Reflex
Functional


Overflow
Nocturnal

, stress incontinence - coughing, sneezing, laughing, or physical activity that increases
pressure on the bladder


urge incontinence - strong urge to urinate, but leaking occurs before getting to the toilet



reflex incontinence - urinary leakage without warning or urge as a result of nerve damage



functional incontinence - physical inability to reach the toilet in time due to a physical
impairment such as being wheelchair bound or having arthritis of the hands making it difficult to
undress


overflow incontinence - incomplete bladder emptying which results in the bladder
overflowing when full


nocturnal enuresis - bedwetting, more common in children but can happen with adults if
they consume too much alcohol or caffeine at night


List 8 interventions for incontinence: - - improving diet and exercise
- reduce caffeine or alcohol intake
- avoid medications that cause urinary incontinence
- pelvic floor exercises
- bladder retraining
- medications
- catheterization
- pads, briefs, or waterproof undergarments


List 4 complications of urinary retention: - - UTIs
- bladder damage
- kidney damage

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