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Elimination and Specimen Collection Exam Questions with Correct Answers
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Urinary Elimination - Answer-Natural process that individuals take for granted until it is altered by some uncontrollable physiologic factor. Patients needing assistance with this will often require physiologic and psychological assistance from you. Physiologic Support - Answer-At times involves...

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  • October 13, 2024
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  • 2024/2025
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  • urinary elimination answer natural process that

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Elimination and Specimen Collection
Exam Questions with Correct Answers
Urinary Elimination - Answer-Natural process that individuals take for granted until it is
altered by some uncontrollable physiologic factor. Patients needing assistance with this
will often require physiologic and psychological assistance from you.

Physiologic Support - Answer-At times involves an invasive procedure, such as the
insertion of a urinary catheter into the bladder.

Psychological Support - Answer-Adjust to a visible urine collection drainage bag.

UTI - Answer-Urinary Tract Infection. Urinary tract is susceptible to infections,
particularly when invaded, as is the case when a sterile catheter is inserted.

Sterile Asepsis - Answer-Apply the principles of this when inserting a catheter.

Urine - Answer-Clears the body of waste materials and aids in maintaining the balance
of electrolytes.

Urine Flow - Answer-Conditions that interfere with urinary drainage have the capacity to
create a health crisis. Important to reestablish flow as soon as possible to prevent the
buildup of toxins in the bloodstream.

At Risk Patients - Answer-1. Those who have undergone surgical procedures of the
bladder, the prostate, or the vagina;
2. patients with primary urologic problems, such as urethral stricture; and
3. those who are critically ill with multisystemic problems.

Urinary Catheters - Answer-1. Used to maintain urine flow,
2. divert urine flow to facilitate healing postoperatively, 3. introduce medications by
irrigation, and
4. dilate or prevent narrowing of some portions of the urinary tract.

Catheters - Answer-1. Used for both intermittent and continuous urinary drainage.
2. Can be introduced into bladder, ureter or kidney.
3. Measured by French (F or Fr) system.
4. Urethral range in size from 14 - 24 Fr.
5. Ureter range in size from 4 - 6 Fr (physician always inserts these).

Catheterization - Answer-Of the bladder involves introducing a rubber or plastic tube
through the meatus and the urethra and into the urinary bladder.

, Coude Catheter - Answer-Tiemann catheter. Has a tapered tip, is selected for ease of
insertion when enlargement of the prostate gland is suspected. The curved stylet is
used to assist the physician in the insertion of a urethral catheter in a male patient.

Foley Catheter - Answer-Indwelling catheter. Designed with a balloon near its tip that is
possible to inflate after insertion, holding the catheter in the urinary bladder for
continuous drainage.

de Pezzer Catheter - Answer-Mushroom catheter. Are used to drain urine from the renal
pelvis of the kidney.

Robinson Catheter - Answer-Has multiple openings in its tip to facilitate intermittent
drainage.

Malecot Catheter - Answer-Winged-tip catheter. Are used to drain urine from the renal
pelvis of the kidney.

Ureteral Catheter - Answer-Long and slender to pass into the ureters.

Whistle-Tip Catheter - Answer-Slanted, larger orifice at its tip to be used it there is blood
in the urine.

Diverting Catheter - Answer-1. Cystostomy, vesicostomy, or suprapubic catheter.
2. Introduced through abdominal wall above the symphysis pubis to create a temporary
urinary diversion.
3. Diverts urine flow from urethra as needed to treat injury (to bony pelvis, urinary tract,
or surrounding organs), strictures, or obstruction.
4. Inserted via surgical incision or puncture of abdominal and bladder walls with a trocar
cannula.
5. Connected to sterile closed drainage system and secured to avoid accidental removal
6. Wound is covered with a sterile dressing.
7. Once lower urinary tract has healed, ability to void is tested by clamping catheter so
patient will try to void naturally.
8. When measured residual urine is consistently less than 50mL, catheter is removed
and sterile dressing placed over wound.

Condom Catheter - Answer-1. Texas catheter.
2. Main drawback for using this device is that it sometimes becomes too constrictive.
3. Maintain careful, close assessment.
4. Not a catheter, but a drainage system connected to the external male genitalia.
5. Noninvasive appliance is
6. used for the incontinent male to keep skin irritation from urine to a minimum.
7. Removed daily for cleansing and inspection of skin.
8. Never use tape to secure since it is likely to limit circulation to the penis, leading to
necrosis of the surrounding skin and penis.
9. Use of external catheter allows for a more normal lifestyle for the patient.

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