Chapter 15 Assisting with Elimination

Card Set Information

Author:
Tanie
ID:
309662
Filename:
Chapter 15 Assisting with Elimination
Updated:
2015-10-15 15:18:42
Tags:
Chapter 15 Assisting Elimination
Folders:
Redcross,CNA
Description:
- Assist people in your care with elimination in a sensitive , professional way. - Describe the characteristics of normal urine and feces. - Explain the importance of knowing a person's regular elimination pattern. - List actions nurse assistants can take to promote normal elimination. - Define the word incontinence and describe the care needs of a person who is incontinent. - Describe the signs and symptoms of a urinary tract infection and actions nurse assistants can take to help prevent those in their care from developing urinary tract infections. - Describe care measure for a person who has diarrhea. - Describe actions nurse assistants can take to prevent those in their care from becoming constipated or developing a fecal impaction - List observations that a nurse assistant may make while assisting a person with elimination that should be reported to the nurse right away. - Describe the care needs of a person with an indwelling urinary catheter. - Explain what an ostomy appliance is and how to care for a person who has an ostomy appliance. - Describe types of enemas and precautions that should be taken when administering an enema. GOALS: After practicing the corresponding skills, you will have the information needed to: - Help a person use a toilet, portable commode, bedpan or urinal. - Apply a condom catheter - Measure urine output - Obtain urine and stool specimens - Provide catheter care for a person with a urinary catheter - Empty a urine drainage bag - Change an ostomy appliance. - Give a top water, soap solution or commercially prepared enema.
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  1. 1. The nurse asks you to obtain a midstream (clean catch) urine specimen.  What should you do?

    a. Collect and store all of the urine the person voids in a 24-hour period.

    b. Empty urine from the bedpan into a specimen container.

    c. Remind the person to start the stream of urine, then stop, then collect the urine sample from the restarted stream of urine.

    d. Provide catheter care before obtaining the urine sample.
    c. Remind the person to start the stream of urine, then stop, then collect the urine sample from the restarted stream of urine.
  2. 2. Mrs. Klein uses the toilet to void.  The nurse asks you to obtain a urine specimen from Mrs. Klein?

    A. A bottle
    B. A commode hat
    C. A bedpan
    D. A urinal
    B. A commode hat
    (this multiple choice question has been scrambled)
  3. 3. What is the propose of a scheduled toileting program for a person with dementia who is incontinent?

    a. To punish the person for episodes of incontinence

    b. To teach the person how to use the toilet again.

    c. To give the person the opportunity to void or have a bowel movement just before the person would normally void or have a bowel movement (as indicated by the person's normal elimination patterns), to reduce the likelihood that the person will have an episode of incontinence.

    d. To reduce the number of times the nurse assistant needs to help the person with elimination.
    • c. To give the person the opportunity to void or have a bowel movement
    • just before the person would normally void or have a bowel movement (as
    • indicated by the person's normal elimination patterns), to reduce the
    • likelihood that the person will have an episode of incontinence.
  4. 4. Who often should a person's incontinence pad of briefs be changed?

    A. When you detect an ordor
    B. Whenever they become soiled
    C. At the end of every shift
    D. Every hour
    B. Whenever they become soiled
    (this multiple choice question has been scrambled)
  5. 5. Mrs. Summers can get out of bed but she can only walk a few feet before becoming very weak.  She is able to sit up without assistance.  Which piece of equipment would be best to use when assisting Mrs. Summers with eliminations?

    A. Indwelling urinary catheter
    B. Portable commode
    C. Bedpan
    D. Tilet
    B. Portable commode
    (this multiple choice question has been scrambled)
  6. 6. Which of the following could increase a person's risk for developing a urinary tract infection?

    a. Not drinking enough water
    b. Not emptying the bladder completely
    c. Having an indwelling urinary catheter
    d. All of the above
    d. All of the above
  7. 7. Mr. Reynolds has not had a bowel movement in 3 days.  usually he has a bowel movement every other day, after breadfast.  What should you do?

    a. Give Mr. Reynolds and enema

    b. Encourage Mr. Reynolds to rest.

    c. Nothing, since Mr. Reynolds does now seem to be complaining.

    d. Report the change in Mr. Reynold's bowel elimination pattern to the nurse.
    d. Report the change in Mr. Reynold's bowel elimination pattern to the nurse.
  8. Mrs. Cummings has an indwelling urinary catheter.  When caring for Mrs. Cummings you should:

    a. Remove the catheter to provide perineal care.

    b. Secure the tubing and urine drainage bag to the side rail of the bed.

    c. Make sure the tubing and urine drainage bag are lower than Mrs. Cummings bladder.

    d. Disconnect the urine drainage bag from the tubing o empty it.
    c. Make sure the tubing and urine drainage bag are lower than Mrs. Cummings bladder.
  9. 9. When is as ostomy appliance used?

    a. When a person is incontinent of urine or feces

    b. When a stool sample is required of the person

    c. When a person has had the bladder or a portion of the bowel surgically removed.

    d. Before, during or after surgery
    c. When a person has had the bladder or a portion of the bowel surgically removed.
  10. 10. Mrs. Ito can use the toilet to meet her elimination needs, but she needs help transferring to the bathroom, sitting down on the toilet and getting up from it.  When assisting Mrs. Ito with elimination, you should:

    a. Make sure the toilet paper and call signal are within her reach, and then leave her alone (but stay nearby and check on her every 5 minutes).

    b. Stay with Mrs. Ito in the bathroom.

    c. Encourage Mrs. Ito to use a bedpan instead, because it is safer.

    d. Encourage Mrs. Ito to use a portable commode instead, because it is less work to assist her to transfer to the commode.
    b. Stay with Mrs. Ito in the bathroom.

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