Elimination

Question 1

Urinary Assessment: History

Answer 1

pattern changes, weight changes

Question 2

Urinary assessment: Problems

Answer 2

frequency, difficulty starting, nocturia

Question 3

Urinary Assessment: Existing Issues

Answer 3

medications, comorbilities

Question 4

Urinary Assessment: urine assessment

Answer 4

color, odor, flaoters

Question 5

Incontinence

Answer 5

Involuntary loss of urine

Question 6

Incontinence: Complications

Answer 6

skin breakdown, mental health

Question 7

Incontinence: Patient Education

Answer 7

Drink fliuds from 0600 - 1800
limit alcohol/caffeine/citric juice intake
take diuretics in the morning
kegal excersises

Question 8

Incontinence: Nursing care

Answer 8

Skin care, Clean Linens, Peri Care

Question 9

Rentention

Answer 9

Unable to void urine

Question 10

Rentention: Complications

Answer 10

bladder distention
Urinary tract infections

Question 11

Rentention: Patient Education

Answer 11

void when urge is present
stay hydrated

Question 12

Rentention: Nursing care

Answer 12

assist pt to comfortable position
privacy/adequate time to urinate
bladder scan/ in & out catheter

Question 13

Straight/ In & Out Catheter

Answer 13

No ballon: sterile collection: acute retention

Question 14

Foley Catheter

Answer 14

ballon: indwelling

Question 15

Coude Catheter

Answer 15

Catheter with curved tip for enlarged prostate

Question 16

Condom Catheter

Answer 16

tip 1-2 in from end of cath; change daily

Question 17

Purewick

Answer 17

External cath for women, vaccum at 40, urethra to top 1/3 of cath; change daily

Question 18

Urinalysis

Answer 18

not sterile; void into clean bed pan/container or clean catch

Question 19

Urine Culture

Answer 19

Sterile; if foley, draw from port or clamp < 30 mins to allow urine to reach port, in & out cath if no foley

Question 20

Fecal Assessment: History

Answer 20

Pattern changes, color, form, diet, stress level

Question 21

Fecal Assessment: Problems

Answer 21

constipation, diarrhea

Question 22

Fecal Assessment: Existing Issues

Answer 22

medications, bleeding, comorbidities

Question 23

Fecal Assessment: Abdominal Assessment

Answer 23

bloated, soft/hard, tenderness, bowel sounds

Question 24

Constipation

Answer 24

Consistantly hard to pass

Question 25

Constipation: Complications

Answer 25

Nausea, vomiting, impaction

Question 26

Constipation: Patient Education

Answer 26

2 L oral fluids per day 20-30g fiber per day consistant excersise

Question 27

Constipation: Nursing Care

Answer 27

administer fluids/ balanced diet ambulation

Question 28

Diarrhea

Answer 28

more than 3 loose stools per day

Question 29

Diarrhea: Complications

Answer 29

Nausea, vomiting, dehydration, bleeding

Question 30

Diarrhea: Patient Education

Answer 30

2L oral fluid per day avoid caffeine and alcohol

Question 31

Diarrhea: Nursing Care

Answer 31

administer fluids assess for dehydration electrolyte replacement

Question 32

Restoring Normal Bowel Patterns

Answer 32

bedpan/bedside commode enema excersise diet/nutrition positioning

Question 33

Fecal Occulating Blood Test

Answer 33

detects blood in stool that isn't visible; color change = blood

Question 34

stool culture

Answer 34

sterile; use sterile bedpan/container; used to detect infection

Question 35

Ostomy

Answer 35

opening in GI tract through the surface of the skin

Question 36

Ostomy: Why it's needed

Answer 36

cancer, surgery, lifestyle changes, meds not working

Question 37

Ostomy: Whats it look like

Answer 37

stoma- red/pink, moist some swelling, serosanguineous fluid = normal no severe pain or abdominal distention

Question 38

Ostomy: Education

Answer 38

how to change bag/system diet: avoid gassy food support groups

Question 39

Ostomy: Nursing Care

Answer 39

Empty when 1/2 to 1/3 full skin is priority

Question 40

Minimum Amount of Urine output

Answer 40

30 mL per hour

Question 41

Types of Output

Answer 41

Urine Emesis Liquid Stool Tube Drainage Wound Drainage Blood

Question 42

What counts as intake

Answer 42

anthing you drink, IV fluids

Question 43

How much water per day

Answer 43

2000 mL per day

Question 44

Intake/Output Process

Answer 44

Measure Document (mL) Discard Peri care (if needed)

Question 45

Types of Enemas How to postion pt for enema

Answer 45

Saline Enema Oil Enema Sims' position