Nur 176 exam 2
what is the definition of elimination? - ANS: excretion of waste products from the body
what are the two systems responsible for elimination? - ANS: *urinary system
*GI system
what is bowel elimination? - ANS: the passage and dispelling of stool through the intentional tract by
means of intestinal smooth muscle contraction
what is urinary elimination? - ANS: the passage of urine out of the urinary tract through the urinary
sphincter and urethra
what are causes of urinary retention? - ANS: *neurological
*post-op complications
*obstruction
*psychosocial issues
*inflammation
what can urinary retention lead to? - ANS: *increased urine volume and bladder distention
*backflow to the upper urinary tract
*dilation of the ureters and renal pelvis
*pyelonephritis and renal atrophy
what are signs and symptoms of urinary retenion? - ANS: *urgency
*frequency
,*incontinence
*difficulty with urination
*pain with urination
what are some nursing interventions we would preform regarding a patient having urinary retention? -
ANS: *hydration
*high fiber diet
*toileting routine
*treat infection or inflammation
*anti-spasmodic
*skin care
*monitor for side effects of medications
What causes urinary incontinence? - ANS: *underdeveloped urinary system
*alteration in cognition/psychological
*physical issue/injury
what are signs and symptoms of urinary incontinence? - ANS: *urgency
*frequency
*incontinence
what are nursing interventions we would preform regarding urinary incontinence? - ANS: *toileting
schedule
*input/output
*modifying environment
*skin care
,*medications
what causes urinary discomfort? - ANS: *inflammation
*bladder distention
*obstruction
*prolapse
what are signs and symptoms of urinary discomfort? - ANS: burning pain
what are some nursing interventions we would preform regarding urinary discomfort? - ANS:
*abdominal assessment
*input/output
*pain control
*avoid foley
*assess side effects of medications
what are the different types of urinary incontinence? - ANS: *stress
*urge
*overactive bladder
*overflow
*functional
*transient
stress urinary incontinence - ANS: leakage of small amount of urine during physical movement
(coughing, sneezing, excersize)
, urge urinary incontinence - ANS: leakage of large amounts of urine at unexpected times
*including sleep
overactive urinary incontinence - ANS: urinary frequency and urgency, with or without urge
incontinence
overflow urinary incontinence - ANS: unexpected leakage of small amounts of urine because of full
bladder
functional urinary incontinence - ANS: untimely urination because of physical disability, external
obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet
transient urinary incontinence - ANS: leakage that occurs temporarily because of a situation that will
pass (infection, taking a new medication, colds with coughing)
NOTE: any one of these conditions can cause acute onset urinary incontinence and must be evaluated
promptly
what causes constipation? - ANS: *medications
*neurological
*obstruction
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