Urinary System Handout

  1. Urinary System
  2. Essential to ______
  3. Every head to toe assessment must include ______
  4. Anatomy
  5. Kidney:
  6. Characteristics
  7. ______
  8. Shape: ______
  9. Color: ______
  10. #: ______
  11. Cortex
  12. Contains: ______
  13. ______unit of the kidney
  14. ______blood
  15. Creates ______
  16. Medulla
  17. Function: Drain ______from the ______to the renal ______
  18. Renal pelvis
  19. Contains
  20. ______
  21. Renal ______
  22. Renal ______
  23. Ureters
  24. Long narrow ______tube
  25. Moves urine via ______
  26. Extends from ______- ______
  27. #: ______
  28. BLADDER
  29. Description ______
  30. Location: Behind ______
  31. Function: ______for urine
  32. Normal Capacity: ______
  33. Urethra
  34. Carries urine from ______& ______its from the body
  35. Function of the Urinary System
  36. ______formation
  37. The ______form urine through a ______process
  38. Nephron: ______
  39. Glomerulus
  40. Bowman’s capsule
  41. Proximal convoluted tubule
  42. Loops of Henle
  43. Distal convoluted tubule
  44. Excretion of ______products
  45. The amt. of ______formed is r/t the amt. of fluid ______
  46. fluid intake  ______volume urine
  47. Characteristic: ______
  48.  fluid intake  ______volume of urine
  49. Characteristic: ______
  50. ______(waste product)
  51.  Blood Urea Nitrogen (BUN) = ______
  52. Creatinine
  53. Creatinine clearance compares the levels of Creatinine in the ______with the levels in the ______
  54. ______Creatinine Clearance = renal dysfunction
  55. Primary means of ridding the body of ______

Small Group Questions

  1. Describe the flow of urine from formation to excretion
  2. What is the functional unit of the urinary system? What does it do?
  3. Increased or decreased fluid intake has what effect on volume of urine and its characteristics
  4. What two main waist products do the kidneys rid the body of?
  1. Assessment
  2. Nursing Assessment
  3. Urine: ______
  4. ______urinating
  5. ______intake
  6. Painful urination: ______
  7. Urinating at night: ______
  8. Blood in the urine: ______
  9. Cloudy urine: ______
  10. Discharge?
  11. Pain: ______
  12. Symptoms
  13. Associated symptoms
  14. Hx of ______
  15. Meds
  16. Smoking or ______
  17. Females: ______
  18. Physical Assessment
  19. Urine sample: ______
  20. V/S
  21. Skin: ______
  22. Palpate ______
  23. ______kidney for tenderness
  24. Urinalysis
  25. Color: ______
  26. Specific gravity: ______
  27. ______of urine
  28. Related to the level of ______
  29.  fluid intake  ______H20 excretion _____ specific gravity
  30.  fluid intake ______H20 excretion _____ specific gravity
  31. pH: ______
  32. Protein: ______
  33. Negative for ______
  34. Trace only: ______
  35. Culture & Sensitivity
  36. ID ______
  37. Time: ______
  38. Clean-voided :uncontaminated by skin______.
  39. Female : Cleanse: ______to ______
  40. Male: Cleanse: tip of the penis ______
  41. Collect a "clean-catch"
  42. ______to void ______catchCollect ______oz of urine
  43. Safety
  44. ______precautions
  45. ______bag for transport
  46. Sterile urine specime
  47. CollectionIndwelling Foley Catheter
  48. ______from the drainage bag
  49. ______port
  50. Catheter –______cath
  51. A small amt of urine is allowed to run out of the catheter into a basin, then the urine is collect in a sterile specimen bottle.
  52. I&O
  53. Intake
  54. Oral ______
  55. 1 oz = ______mL
  56. Liquids a ______
  57. ______
  58. ______
  59. Output
  60. ______
  61. ______suction
  62. ______
  63. ______(chest / wound)
  64. Health person fluid ______= fluid ______
  65. If the client takes in more fluid than they excrete ______
  66. S&S
  67. Weight: ______
  68. Swelling: ______
  69. Urine output: ______
  70. Fluid ______
  71. Lungs
  72. Abd: ______
  73. Nursing Diagnosis: ______
  74. If a client excretes more fluid than they take in ______
  75. S&S
  76. ______
  77. Urine output______
  78. BP______
  79. Pulse______
  80. Mentation: ______
  81. Skin; ______
  82. Mucus membranes:______
  83. Weight: ______

Small Group Questions

  1. Describe the nursing assessment of a client who is complaining of voiding issues?
  2. What dx test do you expect the doctor to order for a client with renal failure
  3. What does a UA measure & what should not be found in the blood.
  4. Increased & decreased fluid intake have what effect on specific gravity
  5. Describe how to get a clean catch and a sterile urine specimen?
  6. Calculate the intake of a person who ate, 5 oz of jello, 10 oz chicken broth, and a 24 oz soda.
  1. Cystitis
  2. Inflammation of the ______
  3. Etiology: ______
  4. S&S
  5. ______uria
  6. ______
  7. ______
  8. ______uria
  9. ______uria
  10. ______uria
  11. Lower ______discomfort
  12. Gerontologic Considerations
  13. ______S&S
  14. ______
  15. Altered ______function
  16. ______temp
  17. Pyelonephritis
  18. Inflammation of the renal ______& parenchyma
  19. Etiology: ______/ ______
  20. S&S
  21. Cystitis +
  22. ______pain
  23. ______/ diarrhea
  24. ______/ chills
  25. ______
  26. Dx: ______
  27. Rx:______& Urinary ______
  28. Nursing Assessment
  29. S&S
  30. ______patterns
  31. ______intercourse
  32. Health promotion
  33. Fluids: ______
  34. Void when :______
  35. Female - Clean ______to ______
  36. ______after intercourse
  37. Avoid : ______
  38. ______underwear
  39. ______not bath
  40. Nrs. Dx: Pain
  41. Assess
  42. Admin
  43. Teach
  44. Diet

Small Group Questions

  1. What are the S&S of cystitis?
  2. Differentiate with cystitis & Pyelonephritis
  3. What are the gerontological considerations for a client with a UTI?
  4. What would you teach a client about preventing further UTI’s
  1. Glomerulonephritis
  2. Inflammation of the ______
  3. Damage 
  4. ______& ______escapes into tubule
  5. Etiology
  6. Acute: ______
  7. Chronic: ______
  8. Nephrotic Syndrome:
  9. Group of ______
  10. ______in the urine
  11. ______serum ______
  12. ______
  13. _____ serum ______
  14. S&S
  15. #1 ______
  16. ______
  17. ______
  18. Irritability
  19. Fatigue
  20. Dx finding
  21. ______
  22. ______uria
  23. ______emia
  24. ______emia
  25. Azotemia: Increased ______products in the blood
  26. Complications
  27. Renal ______
  28. ______
  29. Medical management
  30. Edema: ______
  31. Inflammation: ______
  32. Infection: ______
  33. Diet
  34. Sodium: ______
  35. Protein: ______azotemia ______
  36. Fat: ______
  37. Nursing Management
  38. Edema:
  39. Qday ______
  40. ______
  41. Measure ______girth
  42. Skin ______
  43. Diet ______
  44. Kidney Stones AKA: Renal ______
  45. Risk factors
  46. ______
  47. Urinary ______
  48. ______
  49. ______
  50. S&S
  51. ______:
  52. ______
  53. ______
  54. ______
  55. ______uria
  56. DX
  57. ______
  58. ______
  59. CT scan / MRI
  60. Cystoscopy: ______scope to inspect ______
  61. ______anesthesia
  62. Medical management
  63. #1 goal :______:
  64. ______analgesic
  65. ______
  66. ______
  67. ______
  68. Diet
  69. Fluids
  70. Protein
  71. Sodium
  72. Surgical Management
  73. Nursing Dx: Acute pain / deficit knowledge
  74. Administer: ______
  75. Positision
  76. ______
  77. ______to flank
  78. Fluids
  79. Assess ______
  80. ______
  81. ______the urine with gauze
  82. Avoid ______

Small Group Questions

  1. What are the classic clinical manifestations fro a client with Glomerulonephritis
  2. What causes Glomerulonephritis
  3. What are the medical interventions for a client with Glomerulonephritis
  4. What are the specific nursing interventions of this client
  5. What are the S&S of renal calculi
  6. How is a renal calculi treated?
  1. Cancer
  2. Pathophysiology
  3. Most common site: ______
  4. Carcinogen: ______
  5. Metastasize ______
  6. S&S
  7. Initial: ______
  8. Late: ______& ______uria
  9. Med Treatment
  10. Goal Eradicate before ______
  11. ______
  12. Cystectomy/ Nephrorectomy
  13. Radiation
  14. Chemotherapy
  15. Renal Failure
  16. Unable to remove accumulated ______products from the ______
  17. Acute
  18. ______onset
  19. Often ______
  20. Etiology: ______- ______
  21. S&S
  22. ______uria: urine < ______mL/day
  23. BUN ______
  24. GFR ______
  25. ______
  26. Confusion
  27. ______& ______retention
  28. ______& ______
  29. ______kalemia
  30. End-stage
  31. ______kidney distruction
  32. S&S
  33. ______
  34. ______
  35. Weakness
  36. ______
  37. ______
  38. Medical treatment
  39. No ______drugs: ______
  40. Antihypertensives
  41. Diuretics
  42. Fluid: ______
  43. Sodium: ______
  44. Dialysis
  45. Purpose
  46. Remove ______and ______products from the body
  47. Definition
  48. ______means of removing waste from the blood
  49. Types:
  50. ______dialysis ______dialysis
  51. Process
  52. ______and ______across a semi permeable membrane into a ______solution
  53. Toxins and wastes are removed by ______
  54. Excess water is removed by ______
  55. Hemodialysis
  56. A ______with an artificial semi-permeable membrane
  57. Frequency: ______
  58. Peritoneal
  59. Uses the ______lining of the abd cavity
  60. Complication: ______
  61. Frequency: ______