Nurs 200 - Exam 2 - Chapter 43: Urinary Elimination

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  • 1. 
    The kidneys are located on either side of the ______ column, behind the ______, in the _____ abdominal cavity.

  • 2. 
    One of the key functions of the kidneys is to help maintain the _____ and _____ of body fluids.

  • 3. 
    The basic structural and functional unit of the kidney is

  • 4. 
    How many nephrons are in each kidney?
    • A. 

      1,000

    • B. 

      100,000

    • C. 

      1 million

    • D. 

      1 billion

    • E. 

      None of the above


  • 5. 
    What are the three types of wastes that are characteristics of urine?

  • 6. 
    According to the textbook, to pee is also known as
    • A. 

      Micturation

    • B. 

      Urination

    • C. 

      Voiding

    • D. 

      All of the above

    • E. 

      None of the above


  • 7. 
    When the bladder fills to about ____ to ____ mL (in an adult) a person feels the diesire to void.

  • 8. 
    With micturation, the pressure within the bladder is _____ to the the pressure with the bladder is filling.
    • A. 

      Less than

    • B. 

      Greater than

    • C. 

      Equal to


  • 9. 
    Voiding is largely a(n) voluntary/involuntary reflex?

  • 10. 
    _____ in the bladder are stimulated as the urine collects, eventually causing the desire to void.

  • 11. 
    When higher nerve centers develop early in life, the _____ control of micturation develops.

  • 12. 
    When micturation is initiated the ______ contracts, the _____ relaxes, and urine enters the posterior urethra. The muscles of the perineum and the _______ relax, the ______ contracts slightly, the _____ lowers, and micturation occurs.
    • A. 

      Internal sphincter, detrusor muscle, external sphincter, abdominal muscles, diaphragm

    • B. 

      Detrusor muscle, external sphincter, internal sphincter, abdominal muscles, diaphragm

    • C. 

      Internal sphincter, detrusor muscle, external sphincter, diaphragm, abdominal muscles

    • D. 

      Detrusor muscle, diaphragm, internal sphincter, abdominal muscles, external sphincter

    • E. 

      Detrusor muscle, internal sphincter, external sphincter, abdominal muscles, diaphragm


  • 13. 
    Any involuntary loss of urine is known as

  • 14. 
    True or False:Most people void during sleeping hours

  • 15. 
    True or False:When collecting a urine sample, the first voided urine of the day is not collected because it is considered not to be fresh urine.

  • 16. 
    The first voided urine of the day is usually ____ concentrated than other urine excreted during the day.
    • A. 

      More

    • B. 

      Less

    • C. 

      Equally


  • 17. 
    As one ages is there an increase or decrease in the sensation of thirst?

  • 18. 
    Those who urinate frequently/infrequently usually have more/less urinary tract infections and kidney disorders.

  • 19. 
    What is it called when urine is produced normally but is not excreted completely from the bladder?

  • 20. 
    ____ is the intentional or involuntary urination into bed or clothes that occurs after an urge when contience should be prese t,

  • 21. 
    Which of the following does not affect urination in older adults?
    • A. 

      Medications

    • B. 

      Decreased bladder contractility

    • C. 

      Extent of ability in the kidneys

    • D. 

      Motility problems

    • E. 

      None of the above


  • 22. 
    Caffeine-containing beverages, such as soda, coffee, and tea, have a ____ effect

  • 23. 
    Some causes of decreased muscles tone does not include which of the following:
    • A. 

      Muscle atrophy

    • B. 

      Exercise

    • C. 

      Trauma

    • D. 

      Foley catheter

    • E. 

      Immobility


  • 24. 
    Drugs known to be ______ are capable of causing kidney damage

  • 25. 
    Diuretics are commonly used in the treatment of:
    • A. 

      Low blood pressure

    • B. 

      High blood pressure

    • C. 

      Low blood sugar

    • D. 

      High blood sugar

    • E. 

      None of the above


  • 26. 
    Blood in the urine, also known as _____, or pink or red coloured urine may be due to taking what drug?

  • 27. 
    What type of medication can lighten the colour of urine to pale yellow?

  • 28. 
    Phenazopyridine (Pyridium), a urinary tract analgesic, often used to treat UTIs, can cause urine to turn what colour?

  • 29. 
    Some antidepressants and B-complex vitamins can turn the urine ______

  • 30. 
    An antiparkinson drug and injectable iron compounds can turn urine into which two colours?

  • 31. 
    Anuria is a 24-hour urine output that is less than ____ mL

  • 32. 
    Which of the following is synonymous with a 24-hour output of less than 50 mL of urine?
    • A. 

      Renal failure

    • B. 

      Kidney shutdown

    • C. 

      Anuria

    • D. 

      All of the above

    • E. 

      None of the above


  • 33. 
    Awakening at night to urinate

  • 34. 
    Pain during urination

  • 35. 
    A 24-hour output of less than _____ mL is called oliguria

  • 36. 
    Difficulty during urination is known as____; while scanty or diminshed amount urine is known as _____
    • A. 

      Dysuria; Anuria

    • B. 

      Anuria; Oliguria

    • C. 

      Dysuria; Oliguria

    • D. 

      Oliguria; Pyuria

    • E. 

      Pyuria; Dysuria


  • 37. 
    Urine that appears cloudy or urine that has pus in it is called

  • 38. 
    Diuresis is also known as
    • A. 

      Glycosuria

    • B. 

      Pyuria

    • C. 

      Anuria

    • D. 

      Oliguria

    • E. 

      Polyuria


  • 39. 
    The presence of sugar in the urine is known as

  • 40. 
    Proteinuria is:
    • A. 

      An indication of kidney disease

    • B. 

      Defined by the presence of proteinin urine

    • C. 

      Marked by the presence of sugar in urine

    • D. 

      B and C

    • E. 

      A and B


  • 41. 
    The surgical creation of an alternate route for excretion of urine is called

  • 42. 
    Can the bladder be palpated when empty? Percussed?

  • 43. 
    Normally, the kidneys _____ be palpated, generally requring ______ palpation.
    • A. 

      Can't; electronic

    • B. 

      Can; light

    • C. 

      Can; superficial

    • D. 

      Can; deep

    • E. 

      Can; electronic


  • 44. 
    The device used to create an image of the patient's bladder and calculate urine volume present in the bladder is called a _____ scanner.

  • 45. 
    When assessing a patient's urine, check all of the following, but do not note:
    • A. 

      Colour of urine

    • B. 

      Odour of urine

    • C. 

      Sugar in urine

    • D. 

      Clarity of urine

    • E. 

      Sediment in urine


  • 46. 
    Obtaining a specimen for routine uralysis requires ____ technique
    • A. 

      Medical aseptic technique

    • B. 

      Sterile technique

    • C. 

      Surgical technique


  • 47. 
    A clean-catch specimen of urine is collected during _____

  • 48. 
    The technique that requires a sampe obtained by catheterizing the patient's bladder or by use of an foley catheter is a:
    • A. 

      Sterile specimen

    • B. 

      Routine uralysis specimen

    • C. 

      Clean-catch specimen

    • D. 

      Midstream specimen

    • E. 

      Catheter specimen


  • 49. 
    A nurse can test urine for the presence of glucose, blood, protein, bilirubin, and bacteria.
    • A. 

      True

    • B. 

      False


  • 50. 
    _____ is a measure of the density of urine compared with the density of water.

  • 51. 
    The higher the number on the urometer the lower the urine concentration and specific gravity.
    • A. 

      True

    • B. 

      False


  • 52. 
    Weakening of which muscles is a common cause of urinary incontinence.

  • 53. 
    _____ is a delay or difficulty in initiating voiding.

  • 54. 
    Which of the following is used as a manual bladder compression technique?
    • A. 

      Kegel's maneuver

    • B. 

      Crede's maneuver

    • C. 

      Gravity's maneuver

    • D. 

      All of the above

    • E. 

      None of the above


  • 55. 
    What is the most common organismal cause of urinary tract infections?
    • A. 

      Staphylococcus aureus

    • B. 

      Being sexually active

    • C. 

      Diabetes mellitus

    • D. 

      Escherichia coli

    • E. 

      A and C


  • 56. 
    A culture and sensitivity (C&S) is considered positive if it shows at least 10,000 organisms per mL of urine.
    • A. 

      True

    • B. 

      False


  • 57. 
    Bacteria in the urine is called

  • 58. 
    What type of incontinence appears suddenly and lasts for 6 months or less.

  • 59. 
    When a patient leaks a bit of urine while laughing, it is called what kind of incontience?

  • 60. 
    The involuntary losso fo urine that occurs soon after feeling an urgent need to void is called:
    • A. 

      Mixed incontience

    • B. 

      Stress incontinence

    • C. 

      Over-flow incontience

    • D. 

      Urge incontinence

    • E. 

      None of the above


  • 61. 
    An involuntary loss of urine related to an incrase in intra-abdominal pressure is called ______ incontinence.

  • 62. 
    Overflow incontience is:
    • A. 

      Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma.

    • B. 

      The involuntary loss of urine that occurs soon after feeling an urgency to void

    • C. 

      Urine loss caused by the inability to reach the toilet

    • D. 

      Experiencing emptying of the bladder without the sensation of the need to void

    • E. 

      The involunary loss of urine associated with overdistension of the bladder


  • 63. 
    Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma is known as what type of incontience?

  • 64. 
    Experiencing overflow incontiennce and functional incontinence is considere to be what kind of incontience,

  • 65. 
    What type of incontience is it when a patient has a broken leg which prevents them from getting to the bathroom.

  • 66. 
    True or False:Urinary incontinence is untreatable.

  • 67. 
    _____ is the amount of urine rematining in the bladder immediately after voiding, which can be measured by catheterization or use of portable ultrasound device.

  • 68. 
    Surgery is the first line of therapy for urinary incontience
    • A. 

      True

    • B. 

      False


  • 69. 
    _____ are infections acquired in the hospital. The most common cause of which is ______

  • 70. 
    Give the two names of the catheter used to drain the bladder for short periods of time (5 to 10 minutes)

  • 71. 
    What type of catheter is used for continuous drainage through the urethra?
    • A. 

      Indwelling urethral catheter

    • B. 

      Retention catheter

    • C. 

      Foley catheter

    • D. 

      All of the above

    • E. 

      None of the above


  • 72. 
    Patients can be taught to insert and remove intermittent catheterse themselves
    • A. 

      True

    • B. 

      False


  • 73. 
    This type of catheter is used for long-term use and is surgically inserted through a small incision above the pubic area; it is often used due to urethra injury or blockage occurs.

  • 74. 
    An indwelling catheter is usually preferred over suprapubic catheters for long-term continous drainage.
    • A. 

      True

    • B. 

      False


  • 75. 
    Catheter lumens are graded on a:
    • A. 

      Credes (C) scale

    • B. 

      French (F) scale

    • C. 

      Kegel (K) scale

    • D. 

      All of the above

    • E. 

      None of the above


  • 76. 
    For long-term use in an adult, a ___F to ___F catheter is commonly used

  • 77. 
    One should apply lubricant to a catheter before inserting it into a male patient.
    • A. 

      True

    • B. 

      False


  • 78. 
    A bladder irrigationi (through the catheter) rinses out the bladder and can also instill medication that acts directly on the _____ ____.

  • 79. 
    A _____  _____ is a cutaneous urinary diversion. It involves a surgical resection of the small intestine, with transplantation of the ureters to the isolated segment of small bowel. This separated section of th esmall intestine is then brought to the This diversion requires external appliances to collect the urine.

  • 80. 
    A continent ___ is a surgical alternative that uses a section of the intestine to create an internal reservoire that holds urine. It uses an external stoma that must b e catheterized at regular intervals to drain the urine that has collected in the reservoir.

  • 81. 
    In a Mitrofanoff procedure the bladder neck is closed and one end of the _____ is brought to the skin surface and is used as a stoma; the other end is tunneled into the bladder.
    • A. 

      Appendix

    • B. 

      Ileum

    • C. 

      Stomach

    • D. 

      Large intestine

    • E. 

      None of the above


  • 82. 
    If a stoma is dark or purple-blue it suggests:
    • A. 

      Anemia

    • B. 

      Ischemia

    • C. 

      Compromised circulation

    • D. 

      A and C

    • E. 

      B and C


  • 83. 
    Is it normal for mucus to appear in the urine of a patient with an ileal conduit?

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