Ch 30 Bowel Test 2 Fundamentals

Question 1

Functional unit kidney

Answer 1

Nephron

Question 2

How much urine will be excreted per day to remove toxins

Answer 2

600 cc

Question 3

What to monitor for pt with kidney stones

Answer 3

Place sieve in toilet / strained when voided

Question 4

Trauma disription types catheters

Answer 4

Mallicot-sutured

Mushroom tip de pezzer

Question 5

Coude catheter

Answer 5

For prostate enlargement
Placed by urologist
Red
Rounded  bulbous tio
No balloon

Question 6

Take aways for continuous bladder irrigation

Answer 6

Know the return should be pink to light red

Monitor output

Question 7

Changes occur w aging kidneys

Answer 7

Decrease functioning nephrons
Decreased gfr
Decreased bladder tone- nocturia (1-2 times)
Decreased bladder emptying- uti leftover urine
Enlargement of prostate- urethral obstruction
Incontinence NOT normal otmal part of aging

Question 8

Anuria

Answer 8

Less 100 ml q 24 w dialysis pts

Question 9

Dysuria

Answer 9

Pain urination

Question 10

Dysuria

Answer 10

Pain urination

Question 11

Oliguria

Answer 11

Less than 400 ml

Question 12

Polyuria

Answer 12

Over 1500 ml

Question 13

Average urine output

Answer 13

30 cc per hour

Question 14

map- like a ekg but for the kidneys

Answer 14

Mean arterial presence shiws good perfusion to kidneys

Should be over 65

Question 15

Where is adh secreted from

Answer 15

Pituitary

Makes u keep urine in

Question 16

Characteristics nml urine

Answer 16

Color. Nml yello/amber/clear
Abnormal colors Dark brown /smoky red- myoglobin or blood. Rhabdo

Clarity-transparent slightly ok
Very cloudy bacteria or uti

Odor- should smell like ammonia

Specific gravity- how thick or thin urine is-1=dehydration
. Greater than 3 is fluid overload

Ph- slightly acidic. 5.5-7

Question 17

Cystitis

How to orevent

Answer 17

Uti bladder information 
Wipe front to back 
increase fluids
Avoid citrus
Avoid bubble baths

Question 18

Midstream clean catch urine what is it used for

Answer 18

Culture and sensitivity for uti
Urinate then midstream use that urine
Clean front to back

Question 19

Taking specimen from indwelling catheter

Answer 19

From the self sealing catheter. Needless connector or 25 gauge needle

Question 20

How much urine is needed from indwelling cather

Answer 20

3ml

Question 21

Hiw long for soecimen to get to labs

Answer 21

15 minutes

Question 22

How many hours after cath removal should u urinate

Answer 22

8 hours before u need a bladder scanner if urine need order for straight in and out cath

Question 23

Doc orders sterile urine sample

Answer 23

Must use straight cath to get urine specimen

Question 24

24 hiur urine take away

Answer 24

Throw first specimen out. If anything dumped out u restart. Place ice in basin.

Question 25

Glycosuria

Answer 25

Glucose in urine

Question 26

Proteinuria

Answer 26

Protein in urine

Question 27

Hematuria

Answer 27

Blood in urine

Question 28

Pyuria

Answer 28

Pus in urine

Question 29

Ketonuria

Answer 29

Ketones in urine

Question 30

Condomn catheter

Answer 30

Non invasive Right size Once placed on must have 1-2 inches at tip

Question 31

Putting catheter in

Answer 31

Dorsal recumbant position Place onnnon movable bed piece Perineal care at least 2 x daily and 7-10 inches down. Clean around and retract skin

Question 32

What to do after urine starts to flow in catheter

Answer 32

Advabce 1-2 inches more . Inflate balloon

Question 33

How much urine from midstream needed

Answer 33

1 ounce

Question 34

Bladder irrigation types

Answer 34

Continuous or intermittent | Urine shoukd be pink to light red

Question 35

Kegel

Answer 35

Training muscles stop flow.

Question 36

Intermittent bkadder irrigation

Answer 36

To remove blood clots , residual

Question 37

What is my role with kidney stones

Answer 37

Give a sieve send to lab, give pain meds

Question 38

When does the bladder empty

Answer 38

250-400 ml

Question 39

What is blockage of ureters caused by

Answer 39

Trauma or disruption of bladde

Question 40

What is dry sterile gauze used fir 4x4 or 2x2

Answer 40

Drainage

Question 41

Shiny non adherent non stick

Answer 41

Tefla

Question 42

Large oad doaks up alot

Answer 42

Abdominal pad

Question 43

Used stage 1 pressure ulcers the padding area

Answer 43

Thin film

Question 44

Used stage 2 and 3

Answer 44

Foam pad

Question 45

This is hydrocolloid 2 and 3

Answer 45

True duoderm infused with moisture padded to be used with stage 2 and 3 pressure injuries

Question 46

Opsite

Answer 46

No tegadrrm stage 1 before transparent

Question 47

Sharp debridement

Answer 47

Cutting off dead tissue

Question 48

Enzuymatic

Answer 48

Something poured 9n area to liquify so it can be removed

Question 49

Chemical debridement

Answer 49

Dakens solution- if they dont respond to anything else Sterile maggots

Question 50

Explain autolytic

Answer 50

Self body makes enzymes that dissolve

Question 51

Mechanical

Answer 51

Whirlpool hydrotherapy. Wound washout

Question 52

Keflex

Answer 52

Wrap around

Question 53

Mesh

Answer 53

Sleeve over iv

Question 54

3lastic bandage

Answer 54

Ace

Question 55

Montgomery strap

Answer 55

Silk tape

Question 56

3rd intention use thiss to clean dressing changed every 3 weeks

Answer 56

Wound vac

Question 57

Explain wound irrigation

Answer 57

Check order 4 right solution | Hold syringe 1 inch from wound.

Question 58

What dressing change is performed every 4-6 hours.

Answer 58

Wet to dry

Question 59

Wet to damp dressing

Answer 59

Every 2 hours