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Urinary System CareMedical-Surgical Nursing-7th edition

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_______ is a sign of glomerular injury.
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Proteinuria
What are the disadvantages of an ileal conduit or reservoir?
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Local irritation and skin breakdown; If urine outflow is obstructed, irreversible damage to the kidneys occurs from chronic infection or hydronephrosis.
...the placement of a tube directly into the kidneys to drain urine...
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nephrostomy
Most people void an average of _______.
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five times a day
An indwelling catheter places a client at risk for...
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infection, catheter blockage, and skin care problems. (*monitor I and O)
Bleeding from _______ causes dark red urine.
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kidneys or ureters
What is uremic syndrome?
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An increase in nitrogenous wastes in the blood, marked fluid and electrolyte imbalances leads to n/v, headache, coma and convulsions. *life-threatening
Bleeding from _______ causes bright red urine.
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bladder or urethra
Dark amber urine can be a sign of _______ dysfunction.
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liver dysfunction
All urine specimens should be labeled with:
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Client's name, date and time of collection.
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_______ precautions are necessary during urine specimen handling.
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Standard
What are timed urine specimens useful in measuring?
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Adrenocortical steroids/hormones; creatinine clearance, and protein quantity.
Which is more accurate? Specific gravity or urine osmolality?
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Urine osmolality (*number of particles in solution)
A specific gravity is useful in the determination of a client's _______ status.
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fluid balance
When should urine be collected for urinalysis and how soon should testing be done?
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Urine should come from the 1st void in the morning. Should be processed within 2 hours.
What is normal urine pH?
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4.6 - 8.0
What is the normal value of glucose in urine?
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0; less than 180 mg per 100mL is okay.
What is the normal level of ketones in urine?
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None
What is the normal specific gravity of urine?
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1.0053 - 1.030
What is the normal value of RBCs in urine?
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Up to 2
Ketones in urine can indicate...
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Dehydration, starvation, excessive aspirin usage, and poorly controlled diabetes mellitus.
  
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