Nur 42 elimination Tables and values

Card Set Information

Author:
Stephaniec2106
ID:
78169
Filename:
Nur 42 elimination Tables and values
Updated:
2011-04-08 14:15:15
Tags:
Nur elimination Tables values
Folders:

Description:
Nur 42 elimination Tables and values
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Stephaniec2106 on FreezingBlue Flashcards. What would you like to do?


  1. box 46-4, p, 1190
    What are some risk factors for getting colon cancer?
    • Age: Over 50 years old
    • Family history: Colorectal cancer
    • Personal history
    • Ethnic Background: Jews of eastern european
    • Race: African Americans
    • Diet: HIgh intake in animal fats and low in fruit and veggies
    • Obesity: and inactivity
    • Smoking: and alcohol intake
    • Diabetes:
  2. Skills 46-3 pg 1211 - 1215
    What are the first steps for Pouching an ostomy?
    • 1. Hand Hygiene & Ausculate bowel sounds
    • 2. Apply gloves & inspect skin, pouch, & lenght of stay
    • 3. Inspect stoma
    • 4. Measure stoma
    • 5. observe abdominal incision
    • 6. Keep record of I&O & remove gloves
    • 7. Check for gas accumulation
  3. Box 46-10 Ostomy Management
    What are some client teaching patterns for a client with an ostomy?
    • Provide a list of products needed for ostomy care
    • Contact # & location of nearest medical supply store
    • Show steps for changing pouch
    • Let client change puoch while in hospital
    • Set up visits from a stoma care nurse
    • Provide detailed discharge instructions for everyday activities
  4. Table 46-5, p. 1198
    What are some actions of a bulk forming Laxative?
    • High fiber content absorbs water and increases solid and intestinal bulk
    • Agents stretch the intestinal wall to stimulate peristalsis
    • Absorbs water and increases sold & intestinal bulk
    • Choice for chronic constipation
  5. Skills 46-1 Enemas pg 1200 - 1202
    What are the 1st steps in administering a cleansing enema?
    • 1. Asses the status of client
    • 2. Asses medical history
    • 3. Check rationale for enema
    • 4. Review health care providers order
    • 5. inspect & ausculate abdomen
    • 6. Determines clients understanding of enema
    • 7. identify client & procedure
    • 8. Collect appropriate equipment
    • 9.hand hygiene & put gloves
    • 10. provide privacy
    • 11.raise bed to waist
    • 12. put client in sims position
  6. Box 46-9, p1199
    What are the steps in Digital removal of stool?
    • Verify medical history & last bowel
    • Hand hygiene, inspect, & ausculate
    • Explain procedure
    • get vital signs before procedure
    • Position; knees flexed, back toward you
    • privacy, bedpan & cloth underneath
    • apply gloves & lubricate 2 fingers
    • put finger in rectum n move in a scissor motion till reached hard mass
    • remove small pieces & place in bedpan
    • Periodically assess vital signs
  7. p. 1195, Box46-8
  8. Table 45-1, p. 1138
    What is nocturia?
    voiding one or more times at night
  9. Table 45-3; p. 1141
    What is the normal value in routine urinalysis for pH?
    4.6 - 8.0
  10. skill 45-1, pp. 1142-1144
    What are the steps in collecting midstream (clean-Voided) Urine specimen?
    • 1. For women spread labia open and clean side to side then middle & for male clean in 3 circular motions.
    • 2.Urinate a little in toilet, stop, and then urinate in a cup and collect about 30 - 60 mL
  11. skill 45-3, pp. 1162-1164
  12. skill 45-2, p.1154- 1161
  13. Table 45-5, p. 1152
    What are the different types of urinary incontinence?
    • 1. Functional - loss of urine by factors outside the urinary tract
    • 2. Stress - involuntary leakage of urine with pressure on abdomen. coughing, sneezing, laughing, r/t increase abd. pressure.
    • 3. Urge - Involuntary passage of urine after a strong sense of urgency to void. feels the urge to go suddenly and can’t get to the toilet.
    • 4. Mixed - Combination of urge urinary incontinence signs and symptoms
    • 5. Reflex - Involuntary loss of urine at intervals without sensations. Unaware the bladder is full and the client voids in response to spinal reflex.
  14. Figure 45-4, p. 1135
  15. figure 45-12, p. 1153
  16. skill45-10, p. 1169
    What are the steps in applying a condom catheter?
    • 1. Do assessments & hand hygiene
    • 2. Explain procedure to client
    • 3. raise bed, drape client, & prepare catheter
    • 4. provide perineal care
    • 5. apply condom catheter & leave 2.5 - 5cm of space b/w tip of penis & catheter
    • 6.secure in place
    • 7.attach drainage bag
    • 8. make client comfortable & observe
  17. skill45-4, pp.1166-1168
    What are the steps for applying a closed catheter irrigation?
  18. Skill 45-2 Inserting a straight or indwelling catheter
  19. box 46-4, p, 1190
    What are some warning signs of Colon Cancer?
    • Change in bowel habits
    • Rectal bleeding
    • Sensation of incomplete bowel evacuation
  20. Skills 46-3 pg 1211 - 1215
    What steps should be taken While removing an ostomy pouch?
    • 1. determine clients emotional response & knowledge.
    • 2. Explain procedure; encourage client to interact.
    • 3. Change pouch when client is comfortable
    • 4. Hand Hygiene
    • 5. Postion; supine or standing
    • 6. Place towel under client
  21. Skills 46-3 pg 1211 - 1215
    What steps should be done when an ostomy pouch is already removed?
    • 1. Clean skin with warm water
    • 2. measure stoma for correct pouch
    • 3. Prepare selected pouch
    • 4. Gently press on flange to facilate adhesion
    • 5.Put small amount of ostomy deodorant
    • 6. Properly dispose of soiled equipment & pouch
    • 7. Remove gloves & do hand hygiene
    • 8. ask if client has discomfort
    • 9. observe condition of skin
    • 10. Ausculate bowel sounds & observe characteristics of stool
  22. Table 46-5, p. 1198
    What are some risks of a Bulk forming Cathartics?
    • Must be mixed with at least 240mL of water & swallowed quickly
    • Cannot be given to clients who have restricted intake of fluid
    • Follow each dose with 8oz of water
  23. What is a Cathartics?
    • 1. causing emptying of the bowels.
    • 2. an agent that empties the bowels.
  24. Table 46-5, p. 1198
    What are the actions of a Emollient or wetting Cathartic?
    • Softens stool that lower surface tension of feces
    • They increase secretion of water by intestine.
  25. Table 46-5, p. 1198
    What are some risks of a Emollient or wetting Cathartics?
    This agent is at very little value for treatment of chronic constipation
  26. Table 46-5, p. 1198
    What are the actions of a saline Cathartic?
    • Contain salt preparation not absorbed by intestine
    • Lubricates feces
    • Osomotic effect to increase pressure in bowel to stimulate peristalsis
  27. Table 46-5, p. 1198
    What are some risks of a saline Cathartic?
    • Not for long term management of constipation
    • Not for clients with kidney dysfunction
    • Not for clients on fluid restrictions
  28. Table 46-5, p. 1198
    What are the actions of a stimulant Cathartic?
    • irritate intestinal mucosa to increase motility
    • Decrease absorbtion in small bowel & colon
    • Phenolphthalein & Danthron cause pink or red urine
  29. Table 46-5, p. 1198
    What are some risks of a stimulant cathartic?
    • cause severe cramping
    • Not for long term use
    • Could cause fluid and electolyte imbalance
    • Not for clients who are pregnant or breastfeeding
  30. Table 46-5, p. 1198
    What are lubricants?
    • Coats fecal contents for increase motility
    • reduce water absorption in colon
  31. Table 46-5, p. 1198
    What are some risk factors for lubricants?
    • Decrease absorption of fat soluble vitamins (A,D,E,K)
    • can cause a dangerous form of pneumonia if aspirated into lungs
    • When taken with emollients mineral oil increases risk for fat emboli
  32. Skills 46-1 Enemas pg 1200 - 1202
    Steps in administering a cleansing enema?
    • 1. Add warm solution to enema bag
    • 2. Allow solution to fill tubing
    • 3. reclamp tube
    • 4. lubricate tip of rectal tube 2 1/2 - 3in
    • 5. seperate buttocks n tell client to slowly breathe out.
    • 6. insert tip in direction to clients umbilicus
    • 7. open clamp & slowly let solution enter
    • 8. clamp when solution finished
    • 9. place tissue around rectum & remove tubing
    • 10 dispose soiled
    • 11.Assist client to bathroom or bedpan
    • 12. inspect stool & abdomen cramping
  33. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis for protein?
    none or up to 8mg/100mL
  34. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis for Glucose?
    NONE
  35. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis for Ketones?
    NONE
  36. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis for Specific Gravity?
    1.0053 - 1.030
  37. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis based on microscopic examination for RBCs?
    up to 2
  38. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis based on microscopic examination for WBCs?
    0-4 per low-power field
  39. Table 45-3 pg. 1141
    What is the normal value in routine urinalysis based on microscopic examination for Crystals?
    NONE

What would you like to do?

Home > Flashcards > Print Preview