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Exam 3 > Elimination > Flashcards

Elimination Flashcards

1
Q

If a patient has a colostomy in the area known as the “ascending colon,” what would the nurse expect of the stool in the colostomy device?

A

Stool in the ascending colon is watery, or loose

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2
Q

Straining can put pressure on the vagas nerve and cause bradycardia

A

Valsalva maneuver

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3
Q

is passage and dispelling of stool through the intestinal tract by means of intestinal smooth muscle contraction

A

bowel elimination

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4
Q

is passage of urine out of the urinary tract through the urinary sphincter and urethra

A

urinary elimination

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5
Q

defecation

A

elimination of feces

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6
Q

micturition

A

elimination of urine

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7
Q

voiding

A

movement of urine

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8
Q

purposeful control of urinary or fecal elimination

A

continence

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9
Q

loss of control of either urine or bowel elimination

A

incontinence

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10
Q

control issues arise from….

A

underdeveloped mechanisms, malfunction of mechanisms, altered cognition

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11
Q

Air produces a higher-pitched,

hollow sound termed

A

tympany

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12
Q

Fluid or masses produce a short,

high-pitched sound with little resonance termed

A

dullness

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13
Q

listen to bowel sounds for at least

A

2 minutes

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14
Q

borborygmi- hyperperistasis

A

stomach growling

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15
Q

a swishing or buzzing sound and indicates turbulent

blood flow

A

bruit- vascular sound

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16
Q

painful and difficult urination

A

dysuria

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17
Q

absence of urine production

A

anuria

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18
Q

diminished urine prduction

A

oliguria

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19
Q

involuntary nocturnal urination

A

enuresis

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20
Q

pink tinged urine, burning, and frequency are common following a

A

cystoscopy

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21
Q

normal WBC levels in urine

A

below 5/hpf

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22
Q

average ph of urine

A

6.0

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23
Q

ranges of specific gravity

A

1.003 to 1.030

24
Q

the narrowest part of the urethra

A

ureterovesical junction (UPJ)

25
Q

the UPJ is

A

easily obstructed by urinary calculi

26
Q

if patient is unable to void….

A

palpate bladder, percussion, or a bladder scan is recommended

27
Q

bumetanide (bumex)

A

loop of henle diuretic that decreases reabsorption of sodium and cholride

28
Q

liver edges should feel

A

firm, sharp, and smooth

29
Q

if spleen is enlarged and palpated it could…

A

rupture

30
Q

light palpation

A

detects tenderness or cutaneous hypersensitivity, muscular resistance, masses and swelling

31
Q

deep palpation

A

abnormal organs and masses

32
Q

during deep palpation the rebound tenderness indicates

A

peritoneal inflammation

33
Q

upper GI diagnostics

A

provides visualization of the esophagus, stomach, and small intestine

34
Q

lower GI diagnostics

A

(barium enema) x-ray detects abnormalities in the colon

35
Q

shows the size and configuration of organs

A

ultrasonography

36
Q

images produced of colon and rectum

A

virtual colonscopy; CT and MRI

37
Q

endoscopic structures

A

esophagus, stomach, duodenum, colon

38
Q

ERCP, retrograde cholangiopancreatography

A

endoscopic procedure to see pancreatic, hepatic, and common bile duct

39
Q

noninvasive approach to visualize GI

A

capsule endoscopy

40
Q

liver biopsy diagnosis of

A

fibrosis, cirrhosis, neoplasms

41
Q

auscultate before

A

percussion and palpation

42
Q

diagnoses of acute pancreatitis is an elevated

A

serum amylase

43
Q

SNS activation can

A

decrease peristasis

44
Q

parasympathetic system can

A

stimulates peristasis

45
Q

opening into the common bile duct for the removal of stones

A

choledocholithotomy

46
Q

cholecystectomy

A

removal of the gall bladder

47
Q

cardiac output is essential for GI….

A

absorption

48
Q

increased serum creatinine is related to

A

decreased kidney function in the aging process

49
Q

uric acid is used to screen

A

purine metabolism or kidney disease

50
Q

normal serum creatinine

A

0.6 to 1.3 mg/dL

51
Q

normal BUN

A

6 to 20 mg/dL

52
Q

normal specific gravity

A

1.003 to 1.030

53
Q

normal serum uric acid

A
  1. 3 to 6.6 mg/dL (female)

4. 4 to 7.6 mg/dL (male)

54
Q

special instructions for creatinine clearance diagnostic test

A

discard first urination then save for the next 24 hours

55
Q

gentamicin is a potential…

A

nephrotoxic agent

56
Q

an abnormal finding after a cytoscopy

A

bright red bleeding (report immediately)

57
Q

after a renal biopsy…

A

pressure dressing placed, patient should lie on affected side for 30-60 minutes

Exam 3 (9 decks)

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