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Elimination & Urine Part 1 Flashcards | StudBud
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Elimination & Urine Part 1
Elimination & Urine Part 1
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1
A pt's creatinine clearance test results are lower than normal. What does this indicate about their kidneys?
The kidneys are not filtering waste effectively.
There is no connection between creatinine clearance and kidney function.
The kidneys are compensating for dehydration.
The kidneys are filtering too much
2
When should diuretics be given?
PM right before bed time
Between lunch & dinner time
AM
Right after Lunch
3
Which of the following are interventions to help prevent urinary tract infections (UTIs)? Select all that apply
Increase fluid intake to flush the urinary system
Encourage wiping from front to back for female patients
Use bubble baths to maintain hygiene
Wear cotton or loose-fitting underwear
Schedule bathroom breaks for pt
Avoid using talcum powder in the perineal area
4
Which factor is most likely to increase the risk of urinary tract infections (UTIs) in elderly patients?
Improved muscle tone
Voluntary control over urination
Regular physical activity
Decreased fluid intake
5
Which intervention would most likely benefit a patient with stress incontinence?
time voiding
increasing fluid intake
Pelvic floor muscle exercises (Kegels)
Catheterization
6
The closer the urine specific gravity is to 1.035, the more concentrated the urine is.
False
True
7
Which of the following describes
oliguria
?
Urine output less than 30 mL in an hour
Frequent urination
Absence of urine production
Presence of blood in the urine
8
Why is it important to monitor GFR according to the slide?
To measure the filtering efficiency of the kidneys
To detect early signs of dehydration
To evaluate the acidity of urine
to assess the likelihood of urinary tract infections
9
Overflow incontinence is caused by an overdistended bladder due to urethral blockage.
False
True
10
Which of the following are part of a bladder elimination assessment?
Inspection of the skin
Measuring residual volume
Observing urine color and clarity
Making sure pt voids on your shift
Assessing meatus for inflammation or drainage
Checking the bedpads
11
What condition describes urinating more frequently during the night?
Urgency
Dysuria
Polyuria
Nocturia
12
RN is providing care to a postop pt who had surgery on the lower abdomen. Pt is at risk for urinary retention due to:
Increased fluid intake
Medications
Abdominal surgery
Recent use of a straight catheter
13
Immobility increases the risk of UTI
False
True
14
Infants have no bladder control while elderly have less control or go more frequently
False
True
15
Which of the following are mechanical obstructions that can contribute to urinary retention?
Enlarged prostate in men
Straight catheter use
Abdominal surgery
Swelling of the meatus
16
Which findings in a urinalysis could indicate uncontrolled diabetes? (Select all that apply.)
Low specific gravity
Blood in the urine
Ketones in the urine
Glucose present in the urine
17
A female patient is fitted with a pessary for urinary incontinence. The nurse explains that this device is used to:
Monitor urine output
Encourage timed voiding
Provide support to the bladder and pelvic structures
Plug the urethra to prevent leakage
18
Which urinary diversion is most appropriate for a patient with a functional bladder but a damaged ureter?
Nephrostomy
Vesicostomy
Ileal conduit
Cutaneous ureterostomy
19
What is indicated by a urine specific gravity of 1.030?
UTI
Dehydration
Uncontrolled diabetes
Overhydration
20
What is the primary purpose of an ileal conduit?
To use the intestine to create a passageway for urine
To bypass the bladder entirely and drain urine through a stoma
to directly drain urine from the kidney
To create an opening in the bladder for urine drainage
21
If post-void residual urine volume exceeds 200-500 mL, catheterization may be indicated.
False
True
22
Anuria is defined as producing less than 30 mL of urine in an hour.
False
True
23
What does a low creatinine clearance rate indicate?
The kidneys are filtering properly
A risk of liver dysfunction
Improved kidney health
Reduced kidney function or impaired filtration
24
When a pt has gone w/out voiding post d/c of catheter after 6 hours, what should the RN do first?
insert a straight cath
Administer loop diuretics
Call the provider
Perform a bladder scan
25
When educating a patient about bladder training, the nurse includes which of the following strategies?
Limit fluid intake after 6pm
increase awareness of the urge to void
Establish a regular voiding schedule
use bladder mesh to reduce leakage
26
Which of the following describes a nephrostomy?
a portion of the intestine is used to create a urinary stoma
ureters are connected directly to the skin for drainage
an opening is created through the bladder for suprapubic damage
a tube is inserted directly into the kidney to drain urine
27
Which conditions can result in neurogenic bladder?
all of the above
Spinal cord injury
Diabetes mellitus
Stroke
Parkinson’s disease
28
What are some diagnostic tests that are done to view the kidneys/bladder/ureter?
KUB Xray/Tomography
Cystocopy
Renal Biopsy
All of the above
Pyelogram (IV & retrograde)
29
Timed voiding or habit training can help reduce episodes of urinary incontinence by retraining the bladder.
False
True
30
Prostatic hypertrophy can contribute to urinary retention.
True
False
31
Pt has labs drawn that show low creatinine clearance. What might this indicate?
Reduced kidney function or impaired filtration
The kidneys are filtering properly
A risk of liver dysfunction
Improved kidney health
32
Which conditions are associated with a high specific gravity in urine?
Dehydration
Proteinuria
Renal failure
Uncontrolled diabetes
Excessive water intake
33
What is the most likely cause of urinary retention in a patient taking opioid medications?
Increased urine production
Decreased perception of bladder fullness
Inability of the bladder to contract properly
Increased urinary sphincter relaxation
34
Which findings would suggest acute kidney injury (AKI) rather than dehydration?
Elevated serum creatinine
Elevated Blood Urea Nitrogen (BUN)
Decreased Glomerular Filtration Rate
Elevated creatinine in urine
35
Genomycin and macrolide antibiotics are nephrotoxic and require close monitoring of renal function.
True
False
36
The presence of ketones in urine is a normal finding in individuals who eat a high-protein diet.
False
True
37
Which condition is characterized by a sudden, strong desire to void?
Polyuria
Urgency
Nocturia
Dysuria
38
Which condition is associated with an inability to perceive bladder fullness and control urinary sphincters?
Urinary retention
Neurogenic bladder
chronic incontinence
Nocturnal enuresis
39
A urine pH level above 7 indicates:
Starvation
Diet high in fruits & veggies
Metabolic acidosis
Dehydration
40
A pt c/o urine leakage when they feel a sudden uncontrollable urge to urinate. What type of inc does this suggest?
urge incontinence
Functional incontinence
Stress incontinence
overflow incontinence
41
During a bladder elimination assessment, the RN observes the pt's urine & notes a red tint. What could be the cause?
Antibiotics
Dehydration
Beets in the diet
Liver disease
42
Pt c/o frequent pain when they try to urinate. Which of the following best describes this?
Polyuria
Dysuria
Urgency
Pyuria
43
Which of the following conditions can cause
frequency
in urination?
Aging
Pregnancy
Dehydration
Diabetes
44
Which findings in a urinalysis are abnormal and require further investigation? (Select all that apply.)
Blood in the urine
pH of 6.5
Ketones in the urine
Specific gravity of 1.020
Glucose present in the urine
45
Which of the following are potential causes of functional incontinence?
Environmental barriers
Increased physical activity
Lack of mobility
Cognitive impairment
46
Which pathological condition can lead to decreased urine elimination?
Diabetes
All of the above
Kidney stones
Hypertension
47
Medications such as anticholinergics and antidepressants are associated with an increased risk of urinary retention.
True
False
48
Urinary retention may require the use of a ________catheter for relief
suprapubic
invasive
Urinary
Self
49
Which altered urine production (no urine) condition is most commonly seen in cases of renal failure?
oliguria
polyuria
anuria
hematuria
50
A patient’s urinalysis reveals a pH of 8.2. Which condition could this indicate?
UTI
starvation
metabolic acidosis
dehydration
51
Which of the following are mechanical treatments for managing urinary incontinence?
Medications
Bladder mesh
Pessary
Urethral plug
Habit training
52
Which of the following are characteristics of transient incontinence?
Permanent and irreversible
Associated with chronic conditions
Lasts for a short period
Caused by reversible factors such as medication or infection
53
What can a urine culture help diagnose?
Dehydration
Cancer markers in the urine
Bacterial contamination in the urine
Chronic Liver Disease
UTI
54
Low SG (under 1.010) can be an indicator of:
Renal disease/endocrine disorder
Dehydration
Starvation
Glycosuria
55
Hematuria is when there is blood in the urine
False
True
56
A vesicostomy involves an opening created directly into the bladder to allow urine to exit through a suprapubic catheter
True
False
57
Which of the following dietary factors can influence urine elimination?
High salt & sugar intake
high fiber diet
alcohol consumption
caffeine
58
Which of the following are symptoms associated with
pyuria
?
Frequent urination
Pus in the urine
Cloudy urine
Painful urination
59
Nocturnal enuresis refers to bedwetting that occurs beyond the age of 4-5 years.
False
True
60
alcohol is a beverage that inhibits ADH and increases urine production, potentially leading to dehydration.
False
True
61
The _______ is a device that plugs the tip of the penis to prevent urinary accidents in male patients.
Pessary
Urethral Plug
bladder mesh
62
What type of incontinence has physical pressure on the bladder due to activities such as laughing, coughing or sneezing?
Functional incontinence
Urge incontinence
Overflow incontinence
Stress Incontinence
63
What is the most important question to ask during the assessment interview for bladder elimination?
“Do you notice any pain when urinating?”
“Have you experienced any changes in your urinary habits?”
" How much water do you drink daily?”
“What color is your urine?”