SKILLS: ATI: URINARY ELIMINATION
SPECIMEN COLLECTION PROCEDURE 2024-
2025 NEWEST EXAM GUARANTEED
QUESTIONS AND DETAILED CORRECT
ANSWERS ALREADY TOP
... [Show More] GRADED A+ BY
EXPERTS .
Nasogastric tube (N/G) - ANSWER- insertion of a plastic tube through the nose, past
the throat, and down into the stomach.
24 hour urine - ANSWER- A test for kidney function. Urine is discarded at start time and
collected for the remaining 24 hours. The last void is kept at the end time.
Clean catch urine - ANSWER- Mid-stream- urine sample that is free from contaminates.
Genital area is cleaned thoroughly and a sterile specimen cup is used.
force fluids (FF) - ANSWER- a medical order to encourage a person to drink more fluids
frequency - ANSWER- the need to urinate many times during the day, at night
(nocturia), or both but in normal or less-than-normal volumes
urgency - ANSWER- feeling the need to urinate immediately
After lunch, you help a patient void in the toilet. After flushing, you realize this patient is
on a 24-hour urine collection. What should you do? - ANSWER- Notify your supervisor
and start a new 24-hour urine collection the next day.
Urinary Elimination - ANSWER- is a precise system of filtration, reabsorption, and
excretion. These processes help fluid and electrolyte balance while filtering and
excreting water soluble wastes.
Primary organs involved in urinary elimination - ANSWER- Kidneys; with nephrons
performing most of the functions of filtration and elimination. Most adults produce
between 1,500 and 2,000 mL of urine per day.
Once urine is filtered it: - ANSWER- passes through ureters into the bladder (storage
reservoir for urine). Once urine collects in the bladder (150-200mL) it sends a signal to
the brain to indicate the need to urinate. Person then relaxes internal and external
sphincters located at bottom of the bladder and the urethra. Urine passes from the
bladder through uretha where it exits the body.
Factors that affect urinary elimination - ANSWER- surgery, immobility, medications, and
therapeutic diets.
Urinary diversions - ANSWER- temporary or permanent. A stoma for the drainage of
urine.
Created for patients who have bladder cancer, radiation injury to the bladder, or chronic
urinary infections may require a diversion to drain urine from a diseased or
dysfunctional bladder.
Two types of urinary diversions - ANSWER- Continent urinary reservoir and Orthotopic
Neobladder
Continent Urinary Reservoir - ANSWER- It is created from a distal portion of the ileum
and proximal portion of the colon. The ureters are embedded in the reservoir. The
reservoir is situated under the abdominal wall and has a narrow ilieal segment brought
out through the abdominal wall to form a small stoma. The ileocecal valve creates a one
way valve in the pouch through which a catheter is inserted to empty the urine from the
pouch. Patients must be able to catheterize the pouch 4-6x a day for the rest of their
lives.
Orthotopic Neobladder - ANSWER- Uses an ileal pouch to replace the bladder.
Anatomically the pouch is in the same place as the bladder was before removal. This
allows patients to void normally. [Show Less]