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Nurs 1200 > Elimination > Flashcards

Elimination Flashcards

1
Q

Urinary Assessment: History

A

pattern changes, weight changes

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2
Q

Urinary assessment: Problems

A

frequency, difficulty starting, nocturia

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3
Q

Urinary Assessment: Existing Issues

A

medications, comorbilities

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4
Q

Urinary Assessment: urine assessment

A

color, odor, flaoters

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5
Q

Incontinence

A

Involuntary loss of urine

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6
Q

Incontinence: Complications

A

skin breakdown, mental health

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7
Q

Incontinence: Patient Education

A

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

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8
Q

Incontinence: Nursing care

A

Skin care, Clean Linens, Peri Care

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9
Q

Rentention

A

Unable to void urine

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10
Q

Rentention: Complications

A

bladder distention
Urinary tract infections

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11
Q

Rentention: Patient Education

A

void when urge is present
stay hydrated

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12
Q

Rentention: Nursing care

A

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

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13
Q

Straight/ In & Out Catheter

A

No ballon: sterile collection: acute retention

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14
Q

Foley Catheter

A

ballon: indwelling

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15
Q

Coude Catheter

A

Catheter with curved tip for enlarged prostate

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16
Q

Condom Catheter

A

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

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17
Q

Purewick

A

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

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18
Q

Urinalysis

A

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

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19
Q

Urine Culture

A

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

20
Q

Fecal Assessment: History

A

Pattern changes, color, form, diet, stress level

21
Q

Fecal Assessment: Problems

A

constipation, diarrhea

22
Q

Fecal Assessment: Existing Issues

A

medications, bleeding, comorbidities

23
Q

Fecal Assessment: Abdominal Assessment

A

bloated, soft/hard, tenderness, bowel sounds

24
Q

Constipation

A

Consistantly hard to pass

25
Q

Constipation: Complications

A

Nausea, vomiting, impaction

26
Q

Constipation: Patient Education

A

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

27
Q

Constipation: Nursing Care

A

administer fluids/ balanced diet
ambulation

28
Q

Diarrhea

A

more than 3 loose stools per day

29
Q

Diarrhea: Complications

A

Nausea, vomiting, dehydration, bleeding

30
Q

Diarrhea: Patient Education

A

2L oral fluid per day
avoid caffeine and alcohol

31
Q

Diarrhea: Nursing Care

A

administer fluids
assess for dehydration
electrolyte replacement

32
Q

Restoring Normal Bowel Patterns

A

bedpan/bedside commode
enema
excersise
diet/nutrition
positioning

33
Q

Fecal Occulating Blood Test

A

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

34
Q

stool culture

A

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

35
Q

Ostomy

A

opening in GI tract through the surface of the skin

36
Q

Ostomy: Why it’s needed

A

cancer, surgery, lifestyle changes, meds not working

37
Q

Ostomy: Whats it look like

A

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

38
Q

Ostomy: Education

A

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

39
Q

Ostomy: Nursing Care

A

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

40
Q

Minimum Amount of Urine output

A

30 mL per hour

41
Q

Types of Output

A

Urine
Emesis
Liquid Stool
Tube Drainage
Wound Drainage
Blood

42
Q

What counts as intake

A

anthing you drink, IV fluids

43
Q

How much water per day

A

2000 mL per day

44
Q

Intake/Output Process

A

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

45
Q

Types of Enemas
How to postion pt for enema

A

Saline Enema
Oil Enema

Sims’ position

Nurs 1200 (8 decks)

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