unit 5 study guide

Question 1

2. Describe procedure for inserting indwelling urinary catheter.

Answer 1

video

clean off-stick in there-do balloon-tug on it

Question 2

1. Maintain aseptic technique.

Answer 2

open sterile tracheostomy kit

unwrap sterile basin

open small brush

sterile gloves

Question 3

Describe methods of caring for a patient with an indwelling urinary catheter

Answer 3

PROVIDE PRIVACY AND PROVIDE PERINEAL CARE

• STERILE FIELD
• FEMALE – CLEANSE WITH BETADINE IN DOWNWARD MOTION
• MALE – CLEANSE MEATUS FIRST, USING CIRCULAR MOTION OUTWARD
• USE A CATHETER SECURING DEVICE
• AGENCY UPDATES
• TESTING OF BALLOON PRIOR TO INSERTION,
  ACCORDING TO AGENCY POLIC

Question 4

4. Describe care of ostomy.

Answer 4

SKIN BARRIER
* ODOR CONTROL
* SKIN CARE

• CHANGE APPLIANCE AT LEAST ONCE A WEEK
• CHANGE BAG MORE
  FREQUENTLY- CAN REUSE, OR CAN BE DISPOSABLE

Question 5

Identify nursing assessment for a patient with alternative methods of elimination (urinary and bowel).

Answer 5

colonoscopy

illeostomy

Question 6

Describe techniques for obtaining specimens- urine, blood sputum, throat and stool.

Answer 6

URINE

MIDSTREAM/CLEAN CATCH URINE
* VOIDED SPECIMEN
* CATH SPECIMEN
COLLECTION
* KETONE CHECK
TYPE I DIABETES
* PEDIATRIC U-BAG
* 24- HOUR COLLECTION

STOOL
OCCULT BLOOD / HEMMOCULT

Sputum
DEEP COUGHS-from lungs

Throat
SWAB TONSILS NOT UVULA

Question 7

7. Describe technique for suctioning a tracheostomy.

Answer 7

Gather supplies- mask,
gown, sterile saline and
suction kit

1. Open kit, remove sterile
   container and pour sterile saline
2. Apply PPE, hold suction catheter in dominant hand- keep this hand sterile
3. With other hand, attach catheter to suction, lubricate catheter tip with saline
4. Insert catheter to point of resistance, back up, and apply suction while removing catheter
5. Hyperoxygenate between suction swipes

Question 8

8. Describe assessment of a patient with a tracheostomy.

Answer 8

observe for tube dislodgment, ddecannulation, or obstruction

observe for any excess secrestions

observe skin around treacheal stoma

asess hydration status

Question 9

Define terms used to describe common abnormal conditions related to elimination, specimen collection and tracheostomy suctioning and care

Answer 9

abnormal stoma-should not be black blue or purple

skin surrounding

stool appliance

abnormal stool-claycolored
melena-blood in stool
mucus-pus
high fat-foul smelling

Question 10

Describe technique for care of patient with a tracheostomy

Answer 10

Gather supplies- mask, gown, trach cleaning kit, suction kit, sterile saline and hydrogen peroxide

2. Wash hands and Apply PPE
3. Identify your patient and provide privacy, assess your patient for pain, explain procedure, position patient
4. Suction tracheostomy- remove soiled dressing- note drainage- remove gloves, hand hygiene
5. Open trach cleaning kit- put on sterile gloves
6. Keep dominant hand sterile- pour saline and peroxide into containers
7. Remove inner cannula- soak in peroxide/ or throw away and replace with disposable unit
8. Cleanse stoma with saline
9. Clean inner cannula- rinse in saline
10. Replace inner cannula- change dressing