Advanced Nursing Skills 1: Special Procedures P.2 Flashcards
What are some proctology exam pre-procedures according to the powerpoint?
- Client teaching
- No special preparation
- Administer enemas, if ordered
What are some proctology exam post-procedures according to the powerpoint?
- Resume diet as ordered
- Monitor bowel elimination
- Monitor for severe bleeding
What are some gastroscopy exam pre-procedures according to the powerpoint?
- Informed consent
- NPO after midnight before test
- Assess for allergies
- Problems with prior procedures
What are some gastroscopy exam post-procedures according to the powerpoint?
- NPO until gag reflex returns
- Avoid driving home after procedure
What are some gall bladder series pre-procedures according to the powerpoint?
- Fat free dinner night before test
- Ingesting radiopaque dye, liver excretes dye into bile → gallbladder…
- NPO 12 hours after ingestion of dye, only water (no smoking, no gum chewing)
- NPO midnight before test
- Administer enema, if ordered
What are some gall bladder series pre-procedures according to the powerpoint?
- Increase oral intake of water
- Monitor for constipation
- Passage of contrast → whitish, clay colored stool
What are some Radionuclide Imaging pre-procedures according to the powerpoint?
- Client teaching•Informed consent
- Assess for allergies
- NPO at least 4 hours prior to test
What are some Radionuclide Imaging post-procedures according to the powerpoint?
- Monitor injection site- pain, swelling, redness
What are some Lumbar Puncture pre-procedures according to the powerpoint?
- Position the client
- Assist MD as needed
- Talk to client, offering reassurance
- Assess color & clarity of CSF
- Monitor client for problems
What are some Lumbar Puncture post-procedures according to the powerpoint?
- Keep client head flat/supine for at least 6 hours
- Assess vitals & neuro signs, compare with baseline
- Monitor for complications post-LP
- Pounding headache, unrelieved by meds
- Nausea, vomiting
- Brain herniation, paralysis
- Encourage fluids
- Monitor insertion site for leakage of CSF, hematoma, edema
What is a Paracentesis and its purpose?
- Paracentesis is the puncturing of a body cavity for aspiration of the fluid.
- Most commonly performed on the abdominal cavity with patients who have liver failure.
- Helps relieve respiratory distress due to excess fluid immobilizing the diaphragm.
What is Thoracentesis and its purpose?
- A treatment in which it requires a puncturing of the chest wall with a large needle with a guide (trocar) to remove excess fluid or air from the pleural cavity.
- It is performed for diagnostic procedures or treatment using sterile procedures.
During a Thoracentesis and Paracentesis, what nursing interventions must be completed during the procedure?
- Informed consent is needed due to invasive procedure.
- Done at bedside.
- Client is in a sitting position and leaning on a padded overbed table. Also, can be in a side-lying position of the unaffected site.
- Site to be punctured is determined by x-ray and/or needle guided by ultrasound.
- Site is cleansed and anesthetized
During a Thoracentesis and Paracentesis, what nursing interventions must be completed post-procedure?
- Assess for bleeding.
- Pressure dressing is applied to puncture site.
- Patient remains on bedrest on unaffected site for at least 1 hour.
- Chest x-ray is performed to evaluate for any puncturing of the lungs.
- Complications include pneumothorax, pulmonary edema, infection, and cardiac distress.
