Elimination and Specimen Collection Exam
Questions and Answers
Urinary Elimination
Ans: 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
Ans: At times involves an invasive procedure, such as the insertion of a
urinary catheter into the bladder.
Psychological Support
Ans: Adjust to a visible urine collection drainage bag.
UTI
Ans: Urinary Tract Infection. Urinary tract is susceptible to infections,
particularly when invaded, as is the case when a sterile catheter is
inserted.
Sterile Asepsis
Ans: Apply the principles of this when inserting a catheter.
Urine
Ans: Clears the body of waste materials and aids in maintaining the
balance of electrolytes.
Urine Flow
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Ans: 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
Ans: 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
Ans: 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
Ans: 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
Ans: Of the bladder involves introducing a rubber or plastic tube
through the meatus and the urethra and into the urinary bladder.
Coude Catheter
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