QUESTIONS AND 100% CORRECT AND VERIFIED
Urinary elimination is a - ANSWER- precise system of filtration, re absorption and
excretion
These processes help - ANSWER- maintain fluid and electrolyte balance while filtering
and excreting water soluble wastes
The primary organs of urinary elimination are the - ANSWER- kidneys, with the
nephrons performing most of the functions of filtration and elimination
Most adults produce - ANSWER- 1,000 to 2,000 ML/day of urine
After filtration, - ANSWER- the urine passes through the ureters into the bladder,the
storage reservoir for urine
Once an adequate amount of urine - ANSWER- 250-450ml in adults
Once an adequate amount of urine 250-450ml in adults collects in the bladder - ANSWER-
stretch receptors in the bladder wall send a signal to the brain too indicate the need
to urinate
The person then - ANSWER- relaxes the internal and external sphincters at the bottom
of the bladder and the urethra
Urine passes from - ANSWER- the bladder through the urethra and exits the body
,Interventions - ANSWER- surgery,immobility,medications,and therapeutic diets can
affect urinary elimination
Urinary diversions are - ANSWER- created to reroute urine and are temporary or
permanent
Surgeons create - ANSWER- urinary diversions for clients who have bladder cancer or
injury
Urinary diversions have - ANSWER- many similarities to bowel diversions
Clients who have urinary diversions often - ANSWER- share similar body image
concerns as those who have bowel diversions
Diversions are either - ANSWER- continent- with controlled elimination of urine from
the body
or
incontinent- with urine draining continuously without control
Continent diversions have a - ANSWER- reservoir in the abdomen that allows clients to
control the elimination of urine
Ureterostomy (ileal conduit) - ANSWER- An incontinent urinary diversion in which the
surgeon attaches one or both ureters via a stoma to the surface of the abdominal wall
Nephrostomy - ANSWER- An incontinent urinary diversion in which the surgeon
attaches a tube from the renal pelvis via a stoma to the surface of the abdominal wall
Kock pouch (continent ileal bladder conduit) - ANSWER- A continent urinary diversion
in which the surgeon forms a reservoir from the ileum
, Kock pouch (continent ileal bladder conduit)- the pouch is - ANSWER- emptied by
clean straight cathereization every 2-3 hr initially, and every 5-6 hr once the pouch expands
to capacity
Neobladder - ANSWER- A new bladder created by the surgeon using the ileum that
attaches to the ureters and urethra it allows the client to maintain continence
Consult a wound ostomy continence nurse to - ANSWER- assist clients who have
incontinent diversion
Monitor stoma and peristomal skin for - ANSWER- indications of breakdown
factors affecting urinary elimination - ANSWER- Poor abdominal and pelvic muscle
tone
Acute and chronic disorders
spinal cord injury
Factors affecting urinary elimination- Age - ANSWER- Children achieve full bladder
control by 4-5 years of age
the prostate can enlarge in older adult males
An enlarged prostate can obstruct the bladder outlet and cause urinary retention and
urgency which can lead to UTI
Factors affecting urinary elimination- Older adult clients - ANSWER- Fewer
nephrons(each of the functional units in the kidney,)
loss of muscle tone of the bladder leading to frequency
inefficient emptying of the bladder can result in residual urine and increasing the risk of
UTI's
Urinary elimination is a - ANSWER- precise system of filtration, re absorption and
excretion
These processes help - ANSWER- maintain fluid and electrolyte balance while filtering
and excreting water soluble wastes
The primary organs of urinary elimination are the - ANSWER- kidneys, with the
nephrons performing most of the functions of filtration and elimination
Most adults produce - ANSWER- 1,000 to 2,000 ML/day of urine
After filtration, - ANSWER- the urine passes through the ureters into the bladder,the
storage reservoir for urine
Once an adequate amount of urine - ANSWER- 250-450ml in adults
Once an adequate amount of urine 250-450ml in adults collects in the bladder - ANSWER-
stretch receptors in the bladder wall send a signal to the brain too indicate the need
to urinate
The person then - ANSWER- relaxes the internal and external sphincters at the bottom
of the bladder and the urethra
Urine passes from - ANSWER- the bladder through the urethra and exits the body
,Interventions - ANSWER- surgery,immobility,medications,and therapeutic diets can
affect urinary elimination
Urinary diversions are - ANSWER- created to reroute urine and are temporary or
permanent
Surgeons create - ANSWER- urinary diversions for clients who have bladder cancer or
injury
Urinary diversions have - ANSWER- many similarities to bowel diversions
Clients who have urinary diversions often - ANSWER- share similar body image
concerns as those who have bowel diversions
Diversions are either - ANSWER- continent- with controlled elimination of urine from
the body
or
incontinent- with urine draining continuously without control
Continent diversions have a - ANSWER- reservoir in the abdomen that allows clients to
control the elimination of urine
Ureterostomy (ileal conduit) - ANSWER- An incontinent urinary diversion in which the
surgeon attaches one or both ureters via a stoma to the surface of the abdominal wall
Nephrostomy - ANSWER- An incontinent urinary diversion in which the surgeon
attaches a tube from the renal pelvis via a stoma to the surface of the abdominal wall
Kock pouch (continent ileal bladder conduit) - ANSWER- A continent urinary diversion
in which the surgeon forms a reservoir from the ileum
, Kock pouch (continent ileal bladder conduit)- the pouch is - ANSWER- emptied by
clean straight cathereization every 2-3 hr initially, and every 5-6 hr once the pouch expands
to capacity
Neobladder - ANSWER- A new bladder created by the surgeon using the ileum that
attaches to the ureters and urethra it allows the client to maintain continence
Consult a wound ostomy continence nurse to - ANSWER- assist clients who have
incontinent diversion
Monitor stoma and peristomal skin for - ANSWER- indications of breakdown
factors affecting urinary elimination - ANSWER- Poor abdominal and pelvic muscle
tone
Acute and chronic disorders
spinal cord injury
Factors affecting urinary elimination- Age - ANSWER- Children achieve full bladder
control by 4-5 years of age
the prostate can enlarge in older adult males
An enlarged prostate can obstruct the bladder outlet and cause urinary retention and
urgency which can lead to UTI
Factors affecting urinary elimination- Older adult clients - ANSWER- Fewer
nephrons(each of the functional units in the kidney,)
loss of muscle tone of the bladder leading to frequency
inefficient emptying of the bladder can result in residual urine and increasing the risk of
UTI's
