Test 4- Urinary Elimination Lab

Front 1

Urine is made a filtered in the _____. Then it goes down the ____ and is held in the ____ until ready to be expelled via the ____.

Back 1

kidneys
ureter
bladder
urethra

Front 2

_____ is the introduction of a catheter through the urethra into the bladder for the purpose of withdrawing urine.

Back 2

Urinary catheterization

Front 3

Urinary catheterization is a _____ procedure.

Back 3

sterile

Front 4

Considerations for performing a Urinary Catheterization are:

Back 4

-obtain a physician order
-assess for latex and iodine allergies
-gather supplies beforehand
-always keep catheter bag below waist level to prevent backflow of urine
-proper care

Front 5

When inserting a catheter for a female the proper position is

Back 5

supine with knees flexed , feet about 2 feet apart and hips slightly externally rotated.

Front 6

When inserting a catheter for a male the proper position is

Back 6

supine with thighs slightly abducted or apart.

Front 7

Nursing interventions for clients with indwelling catheters are:

Back 7

-have client drink up to 3,000mL fluid per day
-encourage clients to eat foods such as eggs, meat, cheese, poultry, whole grains, cranberries, plums, prunes and tomatoes to increase urine acidity
-routine hygienic care

Front 8

Foley and urinary catheter care is required ______.

Back 8

daily

Front 9

Reasons to place a urinary catheter include:

Back 9

-relieve urinary retention
-obtain sterile urine sample
-measure the amount of PVR
-empty bladder before, during or after surgery

Front 10

PVR stands for

Back 10

post void residual

Front 11

Urinary retention can be caused by

Back 11

some medicines or anesthesia agents.

Front 12

There are 5 types of catheters:

Back 12

-Indwelling (retention or foley)
-Intermittent (straight)
-Coude
-Suprapubic
-Condom

Front 13

A ____ catheter stays in the bladder and is held in place by a balloon.

Back 13

indwelling, retention or foley

Front 14

A _____ catheter is used to temporarily drain the bladder. It is often ordered q3h for PVR.

Back 14

intermittent or straight

Front 15

An indwelling catheter is also called _____ or _____.

Back 15

retention or foley

Front 16

A _____ catheter is used with a male who has prostate enlargement or inflammation because it is stiffer and has a curved tip.

Back 16

Coude

Front 17

A ______ catheter is used if there is a blockage of the urethra needs rest due to injury or surgery or prostate obstruction in older men.

Back 17

Suprapubic

Front 18

A _____ catheter is surgically placed and goes straight into the bladder. It requires a sterile dressing change.

Back 18

suprapubic

Front 19

A _____ catheter is not a sterile procedure and is noninvasive. It drains into a drainage bag.

Back 19

condom

Front 20

A _____ catheter is also called a red robin.

Back 20

straight-tip

Front 21

The majority of indwelling catheters are _____lumens.

Back 21

double (balloon and fluid)

Front 22

The commonly used catheter size for adults is _____.

Back 22

16 french

Front 23

______ is used to washout or flush the bladder of line the bladder with medicines.

Back 23

Bladder irrigation

Front 24

Bladder irrigation can be done _____ or ______.

Back 24

continuously or intermittently

Front 25

_____ is usually used for bladder irrigation.

Back 25

Normal saline

Front 26

Bladder irrigation requires _____ and is usually performed on ______ patients.

Back 26

physician order
genitourinary surgery patients

Front 27

Bladder irrigation is often sued after surgery to remove...

Back 27

mucous, blood clots, etc...

Front 28

A bladder irrigation has 3 lumens:

Back 28

-drainage
-balloon inflation
-adding fluid

Front 29

_____ can be sued to open a blocked catheter.

Back 29

Bladder irrigation

Front 30

Open irrigation is done more but is preferred less because...

Back 30

infection can happen

Front 31

It is important for the nurse to keep track of irrigate solution used so that you can

Back 31

calculate the actual output.

Front 32

When collecting a urine specimen the nurse should...

Back 32

-wear gloves
-use correct collection process
-verify collection technique and tests ordered by MD
-label specimen correctly

Front 33

Use a _____ to send the urine specimen to the lab.

Back 33

biohazard bag

Front 34

When labeling a urine specimen the nurse should

Back 34

take the label into the patient's room and label the specimen or sample there.

Front 35

For a routine urine analysis, at least _____mL is needed.

Back 35

30

Front 36

When performing a routine urinalysis the nurse should...

Back 36

-provide a clean bedpan, urinal, or receptacle to void into in the toilet bowl
-instruct client to avoid placing toilet paper in specimen
-avoid contaminating with stool
-take to lab promptly

Front 37

For a midstream urine collection, at least ____mL is needed.

Back 37

3

Front 38

A midstream urine collection is also called

Back 38

clean catch

Front 39

A _____ specimen may be sued for urine culture and sensitivity.

Back 39

midstream urine collection or clean catch

Front 40

During a midstream urine collection it is important to maintain sterility of the _____.

Back 40

collection container

Front 41

Steps for midstream urine collection are:

Back 41

-clean with 2-3 antiseptic towelettes (each used once)
-collect specimen midstream

Front 42

A sterile urine specimen should be obtained from _____.

Back 42

an intermittent or indwelling catheter.

Front 43

When obtaining a sterile urine specimen, the nurse may clamp the indwelling catheter for _____.

Back 43

30 minutes

Front 44

Use a _____ to withdraw a sterile urine specimen from a catheter.

Back 44

port (needle or Luer-Lok)

Front 45

During a midstream urine collection females should clean _____, males should clean _____, and uncircumcised patients should...

Back 45

front to back
in a circular motion
retract foreskin to expose urinary meatus and then clean .

Front 46

With 24 hour urine collection, the ____ is always discarded.

Back 46

first void

Front 47

If no preservative is used with a 24 hour urine specimen, the specimen container should be

Back 47

placed on ice

Front 48

When collecting urine for 24 hours the nurse should get the collection container from

Back 48

the lab

Front 49

The specimen is kept on ice if a preservative is not used in order to

Back 49

maintain the integrity of the sample

Front 50

The start time for a 24 hour urine collection is

Back 50

when the patient first goes to the bathroom. However you must dump the first void and be sure to have patient void right before time is up.

Front 51

During a 24 hour urine collection, if an indwelling catheter is in place the foley bag should be

Back 51

placed on ice.

Front 52

When should a 24 hour collection be taken to the lab?

Back 52

right after the 24 hours is completed.

Front 53

3 reasons for a 24 hour urine collection are:

Back 53

-test for glucose metabolism disorders
-test hormone, albumin, and creatinine levels
-assess how well the kidneys are concentrating urine