Elimination Flashcards
Your patient coughs and pees a little, what is this known as?
Stress Incontinence
You need to get a urine sample from a patient’s foley. Your instructor says you must take it from the port. Why?
It won’t be a clean sample because (theoretically) the foley has been in for a few days
What does C & S mean when collecting a urine sample?
Culture and sensitivity
T/F Specific gravity of the patients urine is high. This may be because the patient has a fluid volume deficit.
True
Your patient is ordered for a urine C&S. Why would this test be performed?
To identify the specific antibiotic needed
What kegel exercises do for your patient?
To strengthen the pelvic floor muscles
T/F collecting urine for a urinalysis is a sterile procedure?
False, it is a clean procedure
Your patient’s urine is cloudy with sediment, this is known as…
Pyuria
If you are having difficulty placing a urinary catheter, it is best not to attempt to force the catheter due to possible perforation of ______
the urethra
How is the foley (indwelling) different from a straight cath?
The indwelling has a balloon
Your patient is anuric. You need a urine sample. What do you use?
A straight catheter
How many days can a straight (intermittent) catheter be left in place in your patient?
ZERO days
What is the purpose of the triple lumen urinary catheter
Bladder irrigation and infusion of medication
Your patient has had their bladder removed. This will result in the creation of…
A urostomy
T/F If an ileal conduit is emptied on a regular basis, the patient will not need to wear a collection pouch
False, because the urine is flowing continuously. If you take the pouch off the urine will keep going
Your patient now has a continent urostomy. This means
An internal collection pouch has been created from part of the intestines. Instead of the opening, it can collect in the body (content because it can be emptied)
Your patient has a continent urostomy. This is possible because a urostomy has a _____
Valve
Where does the suprapubic catheter insert?
Abdominal wall
Why would a patient have a suprapubic catheter aside from any other catheter?
The catheter could not be passed through the urethra
The nurse has an order to flush the patient’s nephrostomy tube. What is the purpose?
To decrease urine backflow (flushing in the kidney and towards the bottom; keep it patent)
T/F A condom catheter is an invasive technique
False
You decide to use the bladder scanner on your patient. What is the purpose of this device?
To check for post void residual
You infuse dialysate, allow the fluid to dwell and empty the fluid to complete the exchange. This describes ____
Peritoneal dialysis
Purpose: to get rid of toxins
What is the purpose of hemodialysis?
To cleanse toxins out of the blood
The patient is admitted to the ED and needs immediate hemodialysis. The physician needs to place a ________
a Shiley venous catheter
Your renal patient went to the OR. The surgeon used artificial tubing to join an artery and vein. This is called ______
an ateriovenous graft
T/F An arteriovenous graft can be used within 24 hours of placement
False
Your patient’s AV fistula has a positive bruit and positive thrill. What is the next step of the nurse?
Document this as normal
What is used for immediate versus long term dialysis?
A Shiley venous catheter is used for immediate dialysis.
Fistula (your own artery and vein) and graft (artificial tube) has to mature so it is long term.
In addition to taking multiple narcotics, your patient is taking iron and is hypovolemic. What is your patient at risk for?
Constipation
Your patient has N/V, has not had a bowel movement in 5 days but does have some leakage of liquid brown stool. This could be a result of…
A fecal impaction
Your patient needs a stool sample for O&P, What does this stand for?
Ova and parasites
T/F Checking for occult blood in stool by smearing a sample on a test card is a sterile procedure
False
T/F If polyps are noting during a colonscopy, they can be removed immediately
True
You are infusing a large volume enema of normal saline. The patient complains of cramping, what could you do to help?
Adjust the rate with the roller clamp
Your patient is on bedrest and has severe/continuous diarrhea. What device may be helpful?
A flexi-seal
What is fecal diversion
Intestines brought through the abdominal wall
How does a patient clean a new ostomy?
Soap and water with a wash cloth is fine
A characteristic of a double barrel colostomy is ____
It has two separate bags
Your patient has a colostomy in which the colon is not completely severed in half. This is a _____ colostomy
Loop
A patient with a new descending colostomy. They ask you about irrigation
Done every 24 hours, it allows the patient to go without bag
