ATI CHAPTER 44: URINARY ELIMINATION COMPLETE TEST

ATI CHAPTER 44: URINARY ELIMINATION COMPLETE TEST urinary diversions - CORRECT ANSWER-surgical creation of a stoma for drainage of urine incontinent urinary diversions - CORRECT ANSWER-urine draining continuously without control continent urinary diversions - CORRECT ANSWER-reservoir in the abdomen that allows client to control elimination of urine ureterostomy - CORRECT ANSWER-incontinent urinary diversion for which the surgeon attaches one or both ureters via a stoma to the surface of the abdominal wall nephrostomy - CORRECT ANSWER-incontinent urinary diversion for which the surgeon attaches a tube from the renal pelvis via a stoma to the surface of the abdominal wall factors effecting urinary elimination - CORRECT ANSWER-poor abdominal and pelvic muscle tone acute and chronic disorders spinal cord injury children and urinary elimination - CORRECT ANSWER-do not achieve full bladder control until 4-5 years old prostate and urinary elimination - CORRECT ANSWER-enlarges after 40 years leading to urinary frequency, hesitancy, retention,incontinence, UTI childbirth and urinary elimination - CORRECT ANSWER-weaken pelvic floor, putting clients at risk for prolapse of bladder, leading to stress incontinence older adults and urinary elimination - CORRECT ANSWER-fewer nephrons loss of muscle tone inefficient emptying of the bladder increase in nocturia pregnancy and urinary elimination - CORRECT ANSWER-fetus compromises bladder space 30-50% increase circulatory volume relaxin causes relaxation of sphincter diet and urinary elimination - CORRECT ANSWER-increase in sodium leads to decrease caffeine and alcohol lead to increased immobility and urinary elimination - CORRECT ANSWER-result of neurological or mobility impairments psychosocial factors and urinary elimination - CORRECT ANSWER-stress and anxiety use of public toilets lack of privacy not having enough time pain and urinary elimination - CORRECT ANSWER-suppression the urge arthritis or painful joints leading to delayed urination surgical procedures and urinary elimination - CORRECT ANSWER-alterations in glomerular filtration rate lower abdominal surgery creating obstructive edema and inflammation diuretics - CORRECT ANSWER-prevent reabsorption of water antihistamines and anticholinergics - CORRECT ANSWER-cause urinary retention chemotherapy - CORRECT ANSWER-create toxic environment for the kidneys phenazopyridine - CORRECT ANSWER-turn urine orange, red amitriptyline - CORRECT ANSWER-turn urine green-blue levodopa - CORRECT ANSWER-turn urine dark bedside sonography with bladder scanner - CORRECT ANSWER-noninvasive portable ultrasound scanner for measuring bladder volume and residual volume after urination kidneys, ureters, bladder - CORRECT ANSWER-x-ray to determine size, shape, and position of these structures intravenous pyelogram - CORRECT ANSWER-injection of contrast media for viewing of ducts, renal pelvis, ureters, bladder, urethra renal scan - CORRECT ANSWER-view of renal blood flow and anatomy of the kidneys without contrast renal ultrasound - CORRECT ANSWER-view of gross renal structures and structural abnormalities using high frequency sound waves cystoscopy - CORRECT ANSWER-use of lighted instrument to visualize, treat, and obtain specimens from the bladder and urethra urodynamic testing - CORRECT ANSWER-test for bladder muscle function by filling the bladder with CO2 or sodium chloride and comparing pressure readings with reported sensations promoting healthy urinary elimination - CORRECT ANSWER-have patient sit when possible provide privacy and adequate time I&O - CORRECT ANSWER-measure bladder retraining for treating urge incontinence - CORRECT ANSWER-increase intervals between urination kegel exercises relaxation techniques offer undergarments not ignore urge positive reinforcement eliminate after caffeine take diuretics in the morning urinalysis-random non sterile specimen - CORRECT ANSWER-label container, transport to lab clean catch culture - CORRECT ANSWER-after cleansing of the urethral meatus catch urine sample midstream catheter urine specimen - CORRECT ANSWER-obtain sterile specimen from a straight or indwelling using surgical asepsis timed urine specimen - CORRECT ANSWER-collect for 24 hrs discard the first voiding collect all urine and refrigerate catheter care - CORRECT ANSWER-soap and water at insertion site clean 3x per day monitor patency