chapter 16 review

what is the normal color of urine?

yellow, amber

list five things to observe and report to the nurse about urine

1. cloudy urine

2. strong, offensive, or fruity smelling urine

3. resident complaints about burning, etc

4. blood, pus, mucus, discharge

5. dark or rust colored urine

what is the best position for women to be in to urinate normally? what is the best position for men?

-women: sitting

-men: standing

when performing perineal care, in what direction should the NA wipe the resident?

front to back

how should a standard bedpan be positioned? how should a fracture pan be positioned?

-standard bedpan: with the widest part under the butt

-fracture pan: with the handle toward the foot of the bed

is urinary incontinence a normal part of aging?

nope

why should a NA never refer to an incontinence brief as a diaper?

it is childish and patients deserve respect

what are four ways that a NA can help prevent UTIs?

1. careful perineal care

2. encourage plenty of fluids

3. offer a bedpan\trips to the bathroom every two hours

4. encourage showers if possible

why should the catheter drainage bag always be kept lower than the hips or the bladder?

so that there is no back flow and bacteria cannot enter the bladder

why should catheter tubing be kept as straight as possible?

to ensure proper flow

what is a clean-catch urine specimen?

a specimen free of contamination that does not collect either the first few drops of urine, nor the last.

how can NAs help reduce discomfort and embarrassment when assisting with specimen collection?

act professional and empathize with the patient

list four things reagent strips can detect in urine

1. testing pH levels

2. testing for glucose and ketones

3. testing for blood

4. testing for nitrite

why do residents who are incontinent need careful skin care?

to prevent skin breakdown because urine is very bad for the skin

about how long after fluids are taken should the NA offer to take a resident to the bathroom?

30 minutes

list two guidelines for bladder retraining that help promote dignity

1. offer positive, appropriate remarks about progress

2. never show frustration