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ATI Skills Module 3.1- Urinary Elimination ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023TO 2024 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS$27.99
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ATI Skills Module 3.1- Urinary Elimination ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023TO 2024 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS
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Course
ATI Skills Module 3.1
Institution
ATI Skills Module 3.1
ATI Skills Module 3.1- Urinary Elimination
ACCURATE TESTED VERSIONS OF THE
EXAM FROM 2023TO 2024 | ACCURATE
AND VERIFIED ANSWERS | NEXT GEN
FORMAT | GUARANTEED PASS
ATI Skills Module 3.1- Urinary Elimination
ACCURATE TESTED VERSIONS OF THE
EXAM FROM 2023TO 2024 | ACCURATE
AND VERIFIED ANSWERS | NEXT GEN
FORMAT | GUARANTEED PASS
A nurse is assessing a client's indwelling urinary catheter drainage at the end of
the shift and notes the output is considerably less than the fluid intake. Which of
the following actions should the nurse take first?
- ANSWER Check the catheter for kinks.
A nurse is providing perineal care for a female client who has an indwelling urinary
catheter. Which of the following areas should the nurse cleanse last?
- ANSWER Anus
A nurse is preparing to insert an indwelling urinary catheter. Which of the
following actions should the nurse instruct the client to perform during the
insertion procedure?
- ANSWER Bear down
A nurse is preparing to remove a client's indwelling urinary catheter. Which of the
following actions should the nurse take?
- ANSWER Deflate the balloon completely before removal.
A nurse is caring for a group of newly admitted clients. For which of the following
clients should the nurse suspect to receive a prescription for urinary
catheterization?
,- ANSWER A client who is in the ICU for a GI bleed.
A nurse is planning to obtain a urinary specimen from a client's closed urinary
system. Identify the correct sequence of steps that the nurse should take. -
ANSWER 1. Wipe the port with an alcohol swab or agency specified antiseptic.
2. Attach a syringe to the collection port of the indwelling catheter.
3. Withdraw 3 to 30 ml of urine.
4. Transfer the urine to a sterile specimen container.
5. Transport the specimen to the lab.
A nurse is preparing a male client for intermittent urethral catheterization. Which
of the following actions should the nurse take?
- ANSWER Lift the penis perpendicular to the body.
A nurse is applying a condom catheter for a client who is uncircumcised. Which of
the following actions should the nurse take?
- ANSWER Leave a space between the penis and sheath portion tip.
Urinary Elimination
- ANSWER is a precise system of filtration, reabsorption, and excretion. These
processes help fluid and electrolyte balance while filtering and excreting water
soluble wastes.
Primary organs involved in urinary elimination
- ANSWER Kidneys; with nephrons performing most of the functions of filtration
and elimination. Most adults produce between 1,500 and 2,000 mL of urine per
day.
,Once urine is filtered it:
- ANSWER passes through ureters into the bladder (storage reservoir for urine).
Once urine collects in the bladder (150-200mL) it sends a signal to the brain to
indicate the need to urinate. Person then relaxes internal and external sphincters
located at bottom of the bladder and the urethra. Urine passes from the bladder
through uretha where it exits the body.
Factors that affect urinary elimination
- ANSWER surgery, immobility, medications, and therapeutic diets.
Urinary diversions
- ANSWER temporary or permanent. A stoma for the drainage of urine.
Created for patients who have bladder cancer, radiation injury to the bladder, or
chronic urinary infections may require a diversion to drain urine from a diseased
or dysfunctional bladder.
Two types of urinary diversions
- ANSWER Continent urinary reservoir and Orthotopic Neobladder
Continent Urinary Reservoir
- ANSWER It is created from a distal portion of the ileum and proximal portion of
the colon. The ureters are embedded in the reservoir. The reservoir is situated
under the abdominal wall and has a narrow ilieal segment brought out through
the abdominal wall to form a small stoma. The ileocecal valve creates a one way
valve in the pouch through which a catheter is inserted to empty the urine from
the pouch. Patients must be able to catheterize the pouch 4-6x a day for the rest
of their lives.
, Orthotopic Neobladder
- ANSWER Uses an ileal pouch to replace the bladder. Anatomically the pouch is in
the same place as the bladder was before removal. This allows patients to void
normally.
Nephrostomy
- ANSWER When patients need urinary drainage directly from one or both
kidneys. In this case a tube is placed directly into the renal pelvis to the abdominal
surface.
Ureterostomy
- ANSWER One or both ureters to the abdominal surface
What are the roles of a nurse when caring for a client with urinary diversions? -
ANSWER Refer the client to an ostomy nurse
Train the client on management of urinary diversions.
Refer the client to ostomy associations for further support
Refer to client to United Ostomy Associations of America.
Factors affecting normal Urinary Elimination:
Age
- ANSWER -full bladder control by 4-5 yrs of age
-enlargement of prostate after 40 yrs of age leads to urinary frequency, hesitancy,
retention, incontinence, and UTI's
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