TTEChapter38EliminationQuizandMeds

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Virginia Western Community College *

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100

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Chemistry

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Feb 20, 2024

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NSG 100 Concept Elimination TTE Pre-Lecture Quiz, Chapter 38, Urinary Elimination Upload into canvas and have readily available to discuss and review in class. Refer to due dates in canvas. Name: _________________________________________ Date: _________________ True/False 1. Normal urine smell has an ammonia odor. False 2. A nurse documents that a patient has anuria when the 24-hour urine output is less than 400 mL. false 30 ml/hr 3. A sterile urine specimen is obtained by catheterizing the patient’s bladder or by taking the specimen from an indwelling catheter already in place. true 4. As a general rule, you should drink 8-10 8 oz glasses of water each day. true Fill-in-the-Blank 1. Nocturnal ____enuresis_______, known as nighttime bedwetting, usually subsides by 6 years of age. 2. Incontinence that results from weakness of the pelvic floor muscles can be treated by teaching the patient to perform ____kegel_______ exercises, for _____5-10______ seconds, multiple times per day for at least __3__ months. 3. Incontinence in the elderly is often due to use of __urinary tract___________ __antispasmodics_(multiple medications)_________. This is why it is important to obtain a thorough medication list. 4. Explain the following: Refer to Chapter 38 Refer to pgs. 1458-1461 a. 24 hour urine and the process of collecting: _first void is discarded and then documention starts, urine goes into a dark and almost clear container____________ specific time of urination in a 24 hour period, discard 1 st urine, then document the remaining collection, send entire jug to lab on ice. _________________________________________________________________________________________ _____________________________________ b. Routine urinaylsis and the process of collecting: measures specific gravity, sediment, glucose, does not need to be sterile urine___ collect urine into a receptical void contamination with feces, period may effect level notify lab, stored at room temp, sterile technique doesn’t need to be done c. Sterile urine specimen and the process of collecting: _aspirate from the urine collection port. Catherter bag or port__________ pull from port with indwelling catheter, use a straight cath to collect if no indwelling catheter _________________________________________________________________________________________ ________________________________________

NSG 100 Concept Elimination d. Clean catch or Mid-Stream specimen: __wipe with antiseptic wipe pee a little and then into the cup _ void small amount of urine wipe front to back then catch urine mid stream ___________________________________________________________ 5. What are some signs and symptoms of BPH? _urinary frequency/retention, trouble starting to urinate, pain after ejaculation or urination _________________________________________________________________________ Medications: Urinary antispasmodic: Oxybutynin (Ditropan)  What is it used for? ___blocks musicle spasms in the urinary tract _____________ treat over active bladder relaxes muscles ___________________________________________________________  How is it given? (Frequency and administration) _tablets 5-10 mg doses er tablets and syrup 1-4 times daily depending on the type _____ oral,transdermal,topical, max 5mg 3 times a day full glass h20 same times a day _____________________________________________________________________  Anything else to consider when administering this drug? __overactive bladder angioedema, dry mouth, sensitivity to light, heat stroke, avoid dehydration _________________________________________________________________________ Darifenacin hydrobromide (Enablex)  What is it used for? _blocking spasms in the urinary tract muscles ____ urge incontinence ______________________________________________________________________  How is it given? (Frequency and administration) _must be swallowed whole not chewed, divided, or crushed. Tablet by mouth__ by mouth 7.5mg ________________________________________________________________________  Anything else to consider when administering this drug? __increase nighttime urination _ dry mouth, sore throat weakness _____________________________________________________________________ Drugs to treat BPH: Finasteride (Proscar) blocks testosterone production  What is it used for? ______decrease prostate size__ frequent urination ___________________________________________________________________  How is it given? (Frequency and administration) ___by mouth __steroid med ___________ by mouth give med time to work 6+ months slow acting ___________________________________________________________  Anything else to consider when administering this drug? _______decreased libido breast lumps ____ live dysfunction, hair loss ________________________________________________________________ Tamsulson (Flomax) Alpha-adrenergic blocker

NSG 100 Concept Elimination  What is it used for? _______shrink and or relax the sphincter of the bladder ______ easier to urinate ______________________________________________________________  How is it given? (Frequency and administration) _____by mouth _capsule 0.4mg daily u__ my mouth 30 mins after meal at same time everyday ___________________________________________________________________  Anything else to consider when administering this drug? ____Ejaculatory dysfunction_______ orthostatic hypotension avoid over heating, dehydration ________________________________________________________________

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