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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
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.
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
Describe two types of bowel sounds?
1. Normal sounds (sounds heard every 5-20 seconds)
2. Hypoactive sounds (hearing 1-2 sounds every 2min)
Nursing diagnosis for N&V for client who is getting chemo
Imbalanced nutrition (less than body requirement) related to nausea and vomiting
Nursing GOAL for N&V with chemo
Client will experience fewer episodes of N&V before, during and after chemotherapy
Nursing diagnosis for Diarrhea
Deficient Fluid Volume related to excessive fluid loss through the stool or vomit
Nursing GOAL for Diarrhea
Client a regular pattern of bowel elimination within 2days.
nursing diagnosis for dehydration:
Deficient fluid volume related to fluid lost through vomiting and inadequate fluid intake
Nursing goal for dehydration:
Client will report absence of vomiting within one day
What is the rationale for giving a client antiemeis?
to prevent nausea and vomiting
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
Name manifestation of DIARRHEA
- 1. Abdominal cramps
- 2. Incontinence
- 3. Urgency
name manifestation for constipation:
- 1. Straining
- 2. Small dry hard stool
- 3. Sensation of incomplete emptying
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).
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
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
loss of memory
loss of language
Loss of recognition
Loss of purposeful movement
no knowledge of their disease
lack of interest
Altered Perception is?
loss of visual acuity/judgement
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)
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