NUR 102 CH 29

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NUR 102 CH 29
2010-11-29 21:10:20
Promoting Urinary Elimination

Test 2
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  1. Infants
    Excrete 5-40 times a day
  2. Preschool child
    Excretes approximately every 2 hours
  3. Adult
    5-10 times a day
  4. Adult Male
    300-500 ml
  5. Adult Female
    250 ml
  6. Void
  7. Urination
    Expelling urine
  8. Characteristics of Urine
    • Color: normally some shade of yelow with the average being straw or amber colored; Darker the color more concentrated it is
    • Clarity: should be transparent or only slightly cloudy
    • Odor: normally smells faintly or amonia
    • Specific Gravity: the thiness or thickness of urine; normal range is 1.010-1.030
    • pH: slightly acidic 5.5-7.0
  9. Urinometer
    Instrument that reads the amount of light urine absorbs
  10. Cystitis
    Inflammation of the bladder
  11. Instilation
    Putting in a solution
  12. Symptoms of cystitis
    Frequency, urgency, dysuria, burning, malaise, foul-smelling, and a slight temp. eleveation
  13. Dysuria
    • Painful urination
    • Occurs when there is inflammation of the bladder or urethra usually due to infection or trauma
  14. Anuria
    • present when less than 100ml of urine is excreted in 24h
    • May be due to urinary supression, or the retention of urine
  15. Incontinence
    Occurs with a variety of pathologic conditions when it is due to decreased muscle tone special exercerises can be done
  16. Nocturia
    Occurs when the person must get up to void during the night more than twice
  17. Oliguria
    • Decreased amount of urine output
    • Occurs when urine output falls below 400 ml in 24h
    • May be a sifn of kidney failure, blockage of urine outflow somewhere in the system or retention
  18. Polyuria
    Excessive urination
  19. Glycosuria
    • Glucose in the urine
    • Is presnt when there is too much glucose in the blood or when the renal threshold for clucose is lowered for some reason
  20. Proteinuria
    • Protein in the urine
    • Occurs at times of stress, when infection is present, when there has been recent strenous activity, or when there is a disorder of the glomeruli
  21. Hematuria
    • Blood in the urine
    • Occurs from bleeding somewhere in the urinary system
  22. Pyuria
    • Pus in the urine
    • Occurs when there is a bacterial infection present in the kidney or bladder
  23. Kentonuria
    • Ketones in the urine
    • Occurs when the patient is in ketoacidosis. this occurs in uncontrolled diabetes
  24. Casts
    Occur in increased number in the presence of bacteria or protein, and indicate urinary stones or renal failure
  25. Red Blood Cells
    In the urine greater than 0-2 per high power feild of the microschope may indacate a stone tumor glomerular disorder cystitis or bleeding disorder
  26. White Blood Cells
    In the urine mean there is an infectious or inflammatory process somewhere in the urinary tract
  27. bilirubin
    In the urine suggests liver disease or obstruction of the bile duct
  28. Commode Chair
    Chair with a container inserted to catch urine or feces
  29. Catheterization
    Insertions of a tube into the bladder
  30. Credes Maneuver
    Massage from top of bladder to bottom by starting above the pubic bone and rocking the pam of the hand steadily downward
  31. Stricture
    Narrowed lumen
  32. Suprapubic
    Above the pubic bone
  33. Coude catheter
    Curved and has a rounded or bulbous tip that is easier to insert into the male urethra when the prostate is enlarged
  34. Alcock Catheter
    • Used for continous bladder irrigation
    • Has three lumens one for urine drainage one for inflation of the balloon and one for the instillation of the irrigation fluid
  35. de Pezzer Catheter
    Has a tip shaped lake a mushroom is used for suprapubic drainage
  36. Malecot Catheter
    Often used for nephrostomy tube if placed into the pelvis of the kidney
  37. Condom Catheter
    Consists of a condom with a tube attached to the distal end thats attachted to a drainage bag
  38. Urostomy
    Opening through which urine drains