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Urinary - USM Nur 306 Nursing Fundamentals
Urinary - USM Nur 306 Nursing Fundamentals
10
Nursing
Undergraduate 4
05/25/2014

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Term
Urination Factors Affection
Definition
Developmental - Toilet Training - should begin at 18 - 24 mos should be able to hold urine for 2hrs, recognize the feeling of bladder fullness, communicate need to void

Enuresis - young incontenine

Aging - nocturia - urination at night
Decreased bladder contractility
Neuro probs

Food and Fluid Intake
Psychololgical Varialbes
Activity and Muscle Tone
MEdications
- nephrotoxis - capable of causing kidney damage. Abuse of analgesics - such as aspirin or Advil can cause this.
- Diuretics - used in hypertension prevent reabosrption of water and electrolytes in the tubules.
- some cause the urine to change color
Term
Nursing Assessment
Definition
collection
physical exam - output, skin integrity and hydration, urine
Characteristics of Urine - color, odor, turbidity, pH, specific gravity, constiutents
Term
Terms to describe urinary problems
Definition
Anuria - 24hr output is less than 50ml. aka complete kidney shutdown or renal failure
Frequency- increased incidence of voiding
Dysuria - painful or difficult urination
Glycosuria - sugar in urine
Nocturia - awakening at night to urinate
Oliguria - scanty or greatly diminsehd amoutn of urine voided in a given time 24hr urine output less than 400ml
Polyuria - excessive output of urine (diuresis)
Proteinuria - protein in urine - indicative of kidney disase
Pyuria - pus in urine
Suppression - stoppage of urine production normally the adult kidneys produce urine continuously at the rate of
Urgency - strong to desire to void
Urinary incontinence - involuntary loss of urine.
Term
Nursing Dx
Urinary
Definition
- Urinary Function
- Anxiety related to incontinence, diagnostic procedures
- Caregiver role strain related to incontinence of family member
- Risk for infection related to indwelling urinary catheter
- Impaired skin integrity related to incontinence
- Deficient knowledge related to any existing or new urinary disease or disorder, lack of information about personal hygiene
- Noncompliance with medication regimen related to misunderstanding of the need to finish all does of medication for urinary tract infection
- Acute pain related to bladder spasms, dysuria, urinary retention, cancer of the bladder, diagnostic procedures
- Situational low self esteem related to urinary incontinence urinary diversion
- Sexual dysfunction related to urinary incontinence urinary diversion
- Disturbed sleep pattern related to nocturia
- toileting self care deficit
Term
Nursing outcome
Urinary
Definition
Produce urine output equal to fluid intake
Maintain fluid and electrolyte balance
Empty the bladder completely at regular intervals
Report ease of voiding
Maintain skin integrity
Term
Nursing
Interventions
Urinary
Definition
Promote normal urination
Schedule
Urge to void delay
PRivacy
Position
Hygiene
Prompted Voiding
Self Care ASsistance Toileting
UIrinary Elimination MAnagement
Urinary Habit Training
Strengthening Muscle Tone
Assisting with Toileting
PReventing UTI
Term
Risk Factors for UTI
Definition
Sexually actie women
Women who use a diaphragm
Postmenopausal Women
Individuals with indwelling catheter
Individuals with diabetes
Elderly
Term
Type of incontinence
Definition
Transient - appears suddenly lasts for six months
Stress - coughing sneezing, laughing
Urge - involuntary
Term
Catheters
Definition
Intermittent urethral catheters - straight catheter
indwelling urethral catheter - Foley catheter
suprapubic catheter - long term continuous drainage
Term
Nursing - Evaluation
Urinary
Definition
produce a sufficient quantity of urine to maintain fluid, elecrolyte and acid base balance
empty the bladder completely at regular intervals without discomfort
Provide care for urinary diversion and know when to notify the physician

devleop a plan to modify any factors that contribute to current urinary probs thhat might impair urinary functioning in teh future
correct unhealthy habits, such as delaying voiding
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