COMPLETE SOLUTIONS VERIFIED
What are some cues that the nurse may notice when assessing a patients urinary
pattern
(the patient is suffering elimination issues, what could the nurse assess visually)
Urine COPA Is abnormal
The meatus is not slit like or free of drainage
The female perineum is not free of drainage or inflammation
Erythema, edema, and signs of scratching, or drainage are present
What are potential cues that help The nurse assess a patient's elimination
patterns as it relates to skin integrity
Skin maceration is common in incontinent patients
The skin erodes, i.e. erythemic, burning, swollen, painful, itchy
Urine is created by _______
The kidneys
What are the three urinary alterations We focus on at CSCC?
,Urinary incontinence (stress vs urgent)
Urinary tract infection (lower vs upper)
Urinary retention (acute vs chronic)
What are the signs and symptoms an individual is suffering with stress related
urinary incontinence
(Women) common after childbirth
Leaking when coughing, sneezing or laughing
(Women) Weekend pelvic floor
Nocturia is NOT present
What are signs and symptoms of a lower UTI
Located in bladder/urethra
Dysuria
Cloudy or foul smelling urine
Increased urgency, frequency, and accidents
Suprapubic tenderness
What are the signs and symptoms of an upper UTI?
,Stems from the kidneys
Flank pain
Fever and chills
Flu like symptoms
Hematuria
Pyuria
Dysuria
Increased urgency, frequency in accidents
Suprapubic tenderness
What are the causes for UTIs?
Poor hygiene
Indwelling catheter
Sexually active
, Incontinent
Bacteria build up (E. coli)
What are the signs and symptoms of an older adult that has a UTI
In addition to general symptoms, older adults may have:
Altered mental status
Increased frequency of falls
Sub normal temperature
loss of appetite
How are UTIs generally treated
Lower UTIs: topical medication
PO antibiotics
Upper UTIs : PO antibiotics
IV Medication/antibiotics
Hospitalization required
What is urinary retention?
An accumulation of urine due to the inability of the bladder to empty