Term
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Definition
filters blood and removes metabolic wastes
primary regulators of fluid and acid-base balance
produces erythropoietin, renin, and calcitrol |
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Term
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Definition
| functions with the bone marroe to stimular red blood cell production and maturation and prolongs life of red blood cells |
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Term
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Definition
| those who have chronic alterations in the kidneys and can't produce erythropoietin are prone |
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Term
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Definition
| functions as an enzyme to convert angiotensin I that converts to angiotension II and causes vasoconstriction and stimulates aldosterone release; deals with bloof pressure |
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Definition
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Definition
| gender that has a greater risk of UTI because urethra is shorter |
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Definition
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Term
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Definition
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Term
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Definition
| in order to void/urinate you need to have an intact neurological system which is the |
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Term
| loss of voluntary urinary control |
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Definition
| Spinal cord injury above the level of the sacral region can result in |
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Term
| Factors of urinary elimination |
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Definition
developmental factors
disease conditions
muscle tone
psychosocial factors (privacy, dirty bathroom)
fluid balance
surgical and diagnostic procedures
medications |
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Term
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Definition
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Term
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Definition
| transports urine from the kidneys to the bladder |
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Term
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Definition
| resorvoir for urine until the urge to urinate develops |
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Term
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Definition
| urine travels from the bladder and exits through the urethral meautus |
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Term
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Definition
| inability to empty the bladder |
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Term
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Definition
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Term
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Definition
| second most common type of infection in the body |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| involuntary loss of urine; can be temporary or permanent |
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Term
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Definition
| client has a stoma (cancer patient) on the abdomen to drain urine and it is the diversion of urine to the external source |
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Term
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Definition
the cause of this urinary alteration can be caused by obstruction of the urinary tract or by nerve problems
Assessment: bladder distention and discomfort, no voiding or voiding in small amounts frequently, bladder scanner, post void residual
INTEVENTION: Catheterize the client |
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Term
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Definition
| ultrasound, has to have a catheter, non-invasive because it measure urine |
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Term
| Benign prostatic Hypertrophy |
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Definition
affects 50% of men over age 60 and 90% of men over 70
Common signs and symptoms include voiding in small amounts, frequency, urgency, hesitancy, weak stream |
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Term
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Definition
| urethra can become compressed in older males by an |
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Term
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Definition
| loss of urine with increased intraabdominal pressure |
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Term
| stress, urge, mixed, and reflex |
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Definition
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Term
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Definition
| loss of urine immediately after urge to void |
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Term
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Definition
| combination or urge and stress incontinence |
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Term
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Definition
| involuntary loss of urine without sensation of need to void |
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Term
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Definition
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Term
| squeeze your pelvic floor muscle |
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Definition
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Term
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Definition
pain (dysurea)
cloudy
foul smelly
frequency
urgency
hemateuria (blood) |
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Term
| 2000-2500 if no heart or kidney diseases |
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Definition
To prevent UTI, maintain adequate fluid intake
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Term
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Definition
| UTI prevention: always __________ when you feel the urge and don't fail to respons to the urge, practice frequent voiding |
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Term
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Definition
| UTI prevention: Proper ________ care |
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Term
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Definition
| UTI prevention: take _______ instead of baths |
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Term
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Definition
| UTI Prevention: avoid using |
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Term
| meats, eggs, whole grain, breads, cranberries, and prunes |
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Definition
| UTI prevention: Acidify the urine! |
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Term
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Definition
| sometimes the first sign of a bladder infection in the elderly is |
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Term
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Definition
| If an elderly patient suddenly is confused or isnt themselves, always consider a |
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Term
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Definition
this is necessary when the bladder is removed or bypassed
one or both ureters are implanted into the abdominal wall, the bowel, or a pouch constructured from a piece of bowel
Skin care depends on the type of division |
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Term
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Definition
| with urinary diversion drink |
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Term
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Definition
| tube places directly in the renal pelvis to drain kidney |
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Term
| Nursing care for urinary diversion |
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Definition
provide emotional support
maintain intact skin around stoma
provide client eduation, referral to WOCN
maint fluid intake
monitor input and output
monitor for signs of infections
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Term
| End stage renal Diseas (ESRD) |
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Definition
| irreversible damage to the kidney tissue |
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Term
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Definition
increase in nitrogenous wastes in the blood
marked fluid and electrolyte abnormalities, nausea, vomiting, headache, coma, and convulsions |
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Term
| dialysis and organ transplantation |
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Definition
| two methods of renal replacement therapies are |
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Term
| patterns of urination, symptoms of urinary alterations, factors affecting urination |
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Definition
| for alterations in urinary function always assess |
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Term
| assess hydration and skin tugor |
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Definition
| asssessment on skin and mucosal membranes |
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Term
| flank pain that may occur with infection or inflammation |
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Definition
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Term
| distended bladder rises above the symphysis pubis |
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Definition
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Term
| observe for discharge, inflammation, and lesions |
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Definition
| assessment for urethral meatus |
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Term
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Definition
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Term
| 1500-1600 ml or 30 ml/hour |
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Definition
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Term
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Definition
| urine output is less than 30 ml/per hour |
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Term
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Definition
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Term
| concentrated or liver dysfuntion |
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Definition
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Term
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Definition
-estimated that 30% loss og nephrons by age 80
ability to concentrate urine decreases
bladder msucle dimishes, eamning there's decreases contactility
increased incontinence due to a neurologic impairment |
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Term
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Definition
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Term
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Definition
| pain or burning during urination |
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Term
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Definition
| difficulty ( ex prostate) |
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Term
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Definition
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Term
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Definition
| awakening to void one or more times at night |
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Term
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Definition
| excessive output of urine |
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Term
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Definition
| decreased urine out despite normal intake |
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Term
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Definition
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Term
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Definition
| not completely empyting urine |
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Term
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Definition
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Term
| clea-voided or midstream (culture sensitivty) |
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Definition
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Term
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Definition
| begins after discarding first specimen and ends with a final voiding at the end of the time period |
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Term
| collecting midstream urine specimen |
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Definition
| urine is collected after voiding is inititated (midstream) and before voiding is competed; this is the cleanest part of the voided specimen |
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Term
| pH, protein, glucose, ketones, blood, and sepcific gravity |
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Definition
| several tests can be ordered on one sample of urine: |
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Term
| nurses responsibilties for collecting specimen |
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Definition
collect and label the urine sample
ensure that the delivery is safe to laboratory
assess the results |
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Term
| start with an empty bladder (24 hour) |
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Definition
| for accurate measumre of the midstream urine specimen |
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Term
| inserting a straight catheter into the urinary bladder and remove urine or obtain sepcimen from the port of the indwelling catheter |
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Definition
| collecting sterile specimen from urinary catheter by two methods: |
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Term
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Definition
| is more than 50 ml of urine remaining the the bladder, so catherization is performed within 10 minutes after voiding |
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Term
| renal function and urine compositions; restart the time period |
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Definition
Collecting a 24 hour urine specimen is required for _________ and the entire volume of urine is collects (24 hrs)
If urine is accidentally discarded or contaminted or if the patient is incontinent, you must ___________ |
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Term
incontinence
risk for infection
toileting slef-care defitcit
impaired urinary elimination
urinary retention |
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Definition
| nursing diagnoses for urine |
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Term
| positioned, relaxed, timing, and confined to the bed |
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Definition
| to maintian normal voiding patients should be |
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Term
| below the bladder and on the bed frame never the side rais |
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Definition
|
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Term
|
Definition
| always empty and record _______________ from foley catheter into a _____graduated container |
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Term
| maintain closed; pooling of urine |
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Definition
| routine cathether care: always secure catheter, perform perineal hygiene (circular motion), maintain adequate intake of fluids,__________system, and prevent _______in the tubing and reflex of urine into the bladder |
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Term
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Definition
| the larger the number the larger the catheteter |
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Term
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Definition
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Term
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Definition
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Term
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Definition
|
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Term
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Definition
| plastic catheter is only used for |
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Term
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Definition
| silicon and teflon cathter are used for |
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Term
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Definition
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Term
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Definition
|
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Term
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Definition
| baloon size for prostatectomie to help hemostasis |
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Term
|
Definition
| to inflate the baloon only use ________ water |
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Term
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Definition
| if there is leakage around the catheter that may may you need to |
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Term
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Definition
| with removing an indwelling catheter there's often an ___________ to obtain a urine specimen prior to removing thethe cathter and may send the ____________ for cultutre |
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Term
|
Definition
| when removing a cathter, always _______the balloon fully |
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Term
| monitor the client closely, they should void 6-8 hours depending on intake, should keep an I and O for 24 hours |
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Definition
| after removing the cathter you must |
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Term
| intermittent catherization |
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Definition
| straight single use cathter long enough to drain bladder for 5 to ten minutes |
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Term
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Definition
| used ony male clietns who may have enlarged prostates that partly obstruct the urethra |
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Term
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Definition
| a catheter must have a health care provider's |
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Term
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Definition
obstruction to urine outflow (prostate enlargement)
surgical repair of bladder, urethra, and surrounding structures
prevents urethral obstruction from blood clots after genitourinary surgery
measures output in critically ill clients
continous bladder irrigations |
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Term
|
Definition
severe urinary retention with recurrent episodes of UTI
skin rashes, ulcers, wounds irritate by contact of urine
terminal illness when bed linen changes are painful for client |
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Term
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Definition
| not a cathter but a drainage system connected to the external male genitalia and used for the incontinent male to minimize skin irritation from urine |
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Term
| 1-2;tip;elastic tape; spiral |
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Definition
| to secure comdon cathter, leave ______ inches from end of penis to the ___of the cathter, only use _________ tape and apply in a ______ fashion |
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Term
| circulation at least 30 minutes before applying, maintain drainage and, maintain skin integrity |
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Definition
| with a condom cathter it is critical to assess |
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