FACTILE Flashcards
(30 cards)
A patient says “I have to go right now”. What does this indicate?
Urgency
A client says “I feel like I have to go all the time”. What does this mean?
Frequency
A patient struggles to begin urination. What does this mean?
Hesitancy
What term is used to describe the symptom of urinary incontinence?
Leaking or dribbling
Which type of urinary incontinence is caused by UTI?
Transient incontinence
What will the nurse teach the client with stress incontinence?
Kegals. Performed by contracting the pelvic floor muscles with 5 quick flicks and 10 sustained contractions.
Which type of urinary incontinence may require the nurse to insert an indwelling urinary catheter?
Overflow
A client with an indwelling catheter is on bed rest. How often should the nurse empty the urinary bag?
When it becomes half full
The nurse is calculating urinary output. What amount must be reported to the physician?
30 mL/ hour
The nurse applies a condom catheter to a client. The nurse evaluates placement 15 minutes after application. What finding would require immediate removal of the condom catheter?
Discoloration or pain
What are nursing interventions that must be completed to reduce CAUTI?
Insertion: sterile
Using clean protocol: wipe away from urethra Q8H
Empty bag when half full or before ambulation to prevent back flow
Prevent kinks or loops
Clean spigot with alcohol wipe after emptying urine
Do not touch outspout to anything
Which assessment skill is used to hear tympany?
Percussion
What does a protuberant abdomen indicate?
Abdominal distention
What should the nurse perform last for a client with abdominal pain?
Palpation
What is the nurse assessing for during deep palpation?
- Masses
- Tenderness
- Involuntary gaurding
- Organomegaly
What does a postive fuid wave or shifting dullness indicate?
Abdominal ascites
What common type of medication given after surgery is a risk factor for constipation?
Opioids
What will the client not do if they have a bowel obstruction?
Pass stool or gas
What changes in vital signs need to be monitored for when performing a digital dis-impaction?
Decreased HR, Irregular rhythm, and decrease BP
Vagus nerve stimulation
Which laxative stimulates peristalsis within a few hours of administration by irrigating the bowel? This type of laxative can cause dependence and abdominal cramping.
Stimulant
Which type of enema solution is contraindicated for a client in fluid overload?
Tap water/ Hypotonic
Which vitamin is found in high amounts in citrus fruits?
Vit. C
A client on a heart healthy diet should avoid this type of essential nutrient?
Saturated and trans fats
Which food should not be increased for a client on blood thinners?
Spinach/ collards
