Nursing: Unit 4: Chapter 25: Urinary Needs

Dysuria

Painful or difficult urination; burning on urination

Functional Incontinence

The person has bladder control but cannot use the toilet in time

Hematuria

Blood in the urine

Mixed Incontinence

The combination of stress incontinence and urge incontinence

Nocturia

Frequent urination at night

Olguria

Scant amount of urine; less than 500mL in 24 hours

overflow incontinence

Small amounts of urine leaking from a full bladder

Polyuria

Abnormally large amounts of urine

Reflex Incontinence

Urine is lost at predictable intervals when a specific amount of urine is in the bladder

Stress incontinence

When urine leaks during exercise and certain movements that cause pressure on the bladder

Transient incontinence

Temporary or occasional incontinence that is reversed when the cause is treated

Urge incontinence

The loss of urine in response to a sudden urgent need to void; the person cannot get to a toilet in time

Urinary frequency

Voiding at frequent intervals

Urinary incontinence

The involuntary loss or leakage of urine

Urinary retention

Not being able to completely empty the bladder

Urinary urgency

The need to void at once

Urination

The process of emptying urine from the bladder; voiding

Bowl Movement

BM Abbreviation?

Urinary Incontinence

UI Abbreviation?

Urinary tract infection

UTI Abbreviation?

1500, 3

The healthy adult produces around _____ mL or ___ pints of urine a day

Clear, Yellow, Amber, Brown, Red

The 5 colors on the urine color chart are:

Standard, fracture

The ____ bedpan has a wide rim at the back and goes under the buttocks while the _____ pan has a thin rim, only ½ deep on one end, and the smaller end goes under the buttocks.

Plastic

Most bedpans are made of a _____ material

Small/flat

When positioning a fraction pan, this part goes under the buttocks

Supine

When giving a bedpan, make sure that the person’s position is _______ and their head is at a Fowler’s position (or whatever else is comfortable for them)

Toilet

Empty the contents from the bedpan to the:

Standing, sitting, lying

Urinals are used in the ____, _____, or ____ in bed position

Bottom

When the person is using the urinal in bed, make sure you remind them to tilt the______down to prevent spills

Commode

A chair or wheelchair with an opening for a container

False

Incontinence is a normal part of aging. True or False?

2-3 Hours

Remind the person to go to the bathroom every ______ for older persons

2

Incontinence products usually have ___ layers and a waterproof back

Back

For an adult diaper, the tape tabs are at the ___ of the diaper.

Thigh Abdomen

The groin is wherethe _____ and ______ meet

Perineal

After each incontinent episode, provide ____ care each time

Lower, upward

When applying incontinence products, apply the ____ tab first at an _____ angle.

Upper, downward

After the lower tab is fastened, apply the _____ tab at a _____ angle

Pelvic Floor muscle exercises (Kegel Exercises)

Type of bladder training where the person is taught to contract pelvic muscles as if trying to stop a urine stream; the person contracts the muscles for about 3-5 seconds, relaxes, and then contracts again. This is done about 5-10 times and 3-4 times daily

Bladder re-training (bladder rehab)

The goal of this is to increase the time between the urge to void and voiding. Person is taught to follow a schedule, resist the urge if it’s not time yet, and increase time between voids

Scheduled Voiding

Voiding is scheduled at regular times to match person’s voiding habits—every 2 hours during the day is common

Prompted voiding

Person learns to recognize the need to void and ask for help or void without help.

Monitering

For prompted voiding, staff asks about the need to void and if the person' feels wet or dry

Prompting

For prompting voiding, staff asks the person to void but is not forced