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  1. Nursing Interventions for Inflammation & infections of BLADDER
    • 1.A nurse would measure a clients intake and output.
    • 1a.Rationale: helps evaluate client's fluid and electrolyte balance

    • 2. A nurse can provide psychological support.
    • 2a.  Rationale: Because this can be humiliating to the client and by providing psychological support it will help the client gain self confidence.

    • 3. A nurse can provide Suprapubic tapping/thigh stroking
    • 3a. Rationale: This will stimulate a reflex and promote voiding
  2. Nursing Interventions for Nausea and Vomiting
    • 1. Remove triggers for N&V from environment (ie Odours)
    • 1a. RATIONALE: removing the trigger will prevent / decrease the N&V.

    • 2. A nurse can provide frequent mouth care
    • 2a. RATIONALE: Providing frequent mouth care gives client sense of cleanliness and promotes health care.

    • 3. A nurse can ensure that medicine for the pain is provided.
    • 3a. RATIONALE: As an anti-inflammatory and mild analgesic effect in reducing stiffness and will improve mobility for patient.
  3. Nursing intervention for Constipation or Diarrhea
    • 1. A nurse should ensure the client has access to the call bell.
    • RATIONALE: This way the client will feel confident that a nurse will be there right away to help.

    • 2.  A nurse can remove the stool promptly
    • RAtionale: Patient will be in a clean environment

    • 3. A nurse should use contact precautions if an infection is suspected.
    • Rationale:  This will help with infection control for the client/nurse and hospital
  4. Describe two types of bowel sounds?
    1.  Normal sounds (sounds heard every 5-20 seconds)

    2. Hypoactive sounds (hearing 1-2 sounds every 2min)
  5. Nursing diagnosis for N&V for client who is getting chemo
    Imbalanced nutrition (less than body requirement) related to nausea and vomiting
  6. Nursing GOAL for N&V with chemo
    Client will experience fewer episodes of N&V before, during and after chemotherapy
  7. Nursing diagnosis for Diarrhea
    Deficient Fluid Volume related to excessive fluid loss through the stool or vomit
  8. Nursing GOAL for Diarrhea
    Client a regular pattern of bowel elimination within 2days.
  9. nursing diagnosis for dehydration:
    Deficient fluid volume related to fluid lost through vomiting and inadequate fluid intake
  10. Nursing goal for dehydration:
    Client will report absence of vomiting within one day
  11. What is the rationale for giving a client antiemeis?
    to prevent nausea and vomiting
  12. What are the 6 types of incontinence?
    • Functional - urinary system intact. BR to far
    • Urge - involuntary elimination
    • Mixed - more tan one type of incontinence
    • Stress - weak muscle permits leakage
    • Overflow - abnormal bladder emptying
    • Reflex - no sensory awareness to void
  13. Name manifestation of DIARRHEA
    • 1. Abdominal cramps
    • 2. Incontinence
    • 3. Urgency
  14. name manifestation for constipation:
    • 1. Straining
    • 2. Small dry hard stool
    • 3. Sensation of incomplete emptying
  15. What is tPA? And what does it stand for?
    • Tissue Plasminogen Activator
    • This dissolves blood clots
    • tPA is a drug that can stop a stroke caused by a blood clot by breaking up the clot.
    • can only be given to patients who are having a stroke caused by a blood clot (ischemic stroke).
  16. Nursing intervention for client w/Stroke that has dysphasia (difficulty swallowing)
    • A nurse could provide or do the following:
    • 1. Allow client ample time to eat
    • 2. Place food on unaffected side
    • 3. Up-right position for meals
    • 4. No straw
  17. What are the 7 A's?
    • 1. Amnesia - loss of memory
    • 2. Aphasia - loss of language
    • 3. Agnosia - Loss of recognition
    • 4. Apraxia - loss of purposeful movement
    • 5. Anosognosia - no knowledge of their disease
    • 6. Apathy - lack of interest
    • 7. Altered Perception - loss of visual acuity/judgement
  18. Amnesia is?
    loss of memory
  19. Aphasia is?
    loss of language
  20. Agnosia is?
    Loss of recognition
  21. Apraxia is?
    Loss of purposeful movement
  22. Anosognosia is
    no knowledge of their disease
  23. Apathy is?
    lack of interest
  24. Altered Perception is?
    loss of visual acuity/judgement
  25. What is multiple sclerosis
    • condition that affects CNS (Brain & spinal cord)
    • myelin sheath becomes inflamed and damaged  once the injury occurs, electrical signals in the brain are slowed down.
    • autoimmune disease (immune system starts reacting against own tissues)
Card Set:
2014-03-13 15:05:22
Foundation Test Questions

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