Exam 3 1510 Elimination, Nutrition, Sexuality

Question 1

Assessment finding for a patient presenting with diareaha

Answer 1

Watery stools, hyperactive bowel sounds

Question 2

Assessment findings with urinary retention

Answer 2

Abdominal, bladder distention,

Question 3

Bladder scanner

Answer 3

Male or female matters because of other organs such as uterus in women.

Question 4

Concept of elimination

Answer 4

continence, incontinence, retention

Question 5

What part of the intestine is responsible for absorbtion?

Answer 5

small intestine

Question 6

fecal matter in the colon vs stomach

Answer 6

**

Question 7

constipation occurs in what part of the GI system

Question 8

How do we know that we know its time to eliminate?

Answer 8

sphincters, smooth muscle, peristalsis. Signals are sent

Question 9

Neurological damage or congenital disorder. what does this mean for a patient and elimination?

Answer 9

bowel and bladder program establishing a schedule/routine for elimination

Question 10

Stress incontinence
urge Incontinence
over active bladder
***

Question 11

Constipation relief

Answer 11

fiber and increased fluid

Question 12

Continuous use of laxatives can cause

Answer 12

dependency, happens at different rates depending on age.

Question 13

Individual risk factors for constpation

Answer 13

children- dont like to use public bathrooms
elderly- decreased motility
neurological impairment-
cognitive impairment- looses ability to control sphincters
Congenital defect-

Question 14

Common diagnostic tests

Answer 14

BUN, creatinine, culture, blood occult, CT, xrays, MRI, colonoscopy, uroscopy, bladder stress test, urine flow study.

Question 15

Anasarca

Answer 15

Systemic edema- over generalized fluid retention

Question 16

Malnutrition

Answer 16

Patient can be any weight

Question 17

Specific consequences for Malnutrition

Answer 17

Protein- tissue repair
Carbs-
Fatty acids-

Question 18

Vitamin and mineral deficiencies

Answer 18

Vtamin A- night blindness
Vtamin D-
Vitamin C-

Question 19

Population at risk for malnutrition

Answer 19

Very old and young.

Question 20

Constipation

Answer 20

decrease in bowel movements, stool is hard and difficult to pass, and there is less than one bowel movement every 3 days.

Question 21

Causes of constipation (6)

Answer 21

• Decrease in fiber and fluids
• Immobility
• Medications
• Overuse of laxatives
• Ignoring the urge
• Diverticulosis

Question 22

for constipation ask about?

Answer 22

OTC and home remedies used to treat the constipation, frequently use harsh laxatives.

Question 23

Clinical manifestations of constipation (4)

Answer 23

• Abdominal distention
• Decrease in the amount of stool
• Dry, hard, stool straining to pass
• Impaction

Question 24

Treatment for Constipation (5)

Answer 24

• change dietary intake- increase intake of fiber and water
• Bulk laxatives, and stool softeners, or enemas, for occasional constipation
• Instruct client to maintain normal bowel schedule
• Do not neglect the urge to defecate
• discourage long term use of laxatives to prevent dependency
• Encourage regular exersize

Question 25

Goals for constipation relief (2)

Answer 25

• identify client at risk for developing constipation and institute prevention measures.
• Implement impaction may be present if client has had no bowel movement for 3 days.

Question 26

Steps in removing impaction (3)

Answer 26

• Manually check for presence of impa

Question 27

RPR

Answer 27

(rapid plasma reagin) is a screening test for syphilis. It looks for antibodies that are present in the blood of people who may have the disease.

Question 28

VDRL

Answer 28

The VDRL test is a screening test for syphilis. It measures substances, called antibodies, that your body may produce if you have come in contact with the bacteria that causes syphilis. This bacteria is called Treponema pallidum.

The test is similar to the newer rapid plasma reagin (RPR) test

Question 29

Gonorrhea

Answer 29

Gram- bacteria
Present in: genitals, rectum, and oropharynx
Incubation period: 3-8 days

Question 30

Gonorrhea in Women

Answer 30

Usually asymptomatic In Women but can Elicits: tubal pregnancy, infertility in women, dysuria, vaginal discharge, urinary frequency. Can be passed to neonate. Its standard procedure for all neonates to get erithromycin in eyes unless allergic to it.

Question 31

Gonorrhea in Men

Answer 31

prostatitis, urethral stictures, white thick discharge from penis

Question 32

Gonorrhea reinfection

Answer 32

every sexual contacts must be treated.

Question 33

Syphilis

Answer 33

Spirochete bacterial
Infected through abrasions in the skin
Hits every major symptom, and causes progressive problems for patients 
Lesions that weep
IV drug use
Associated with HIV

Question 34

Syphilis and pregnancy

Answer 34

can result in still birth, die shortly after birth, or have problems in the heart. treatment should be initiated at 1st prenatal visit.

Question 35

Syphilis symptoms

Answer 35

flu-like symptoms: fever, chills, headache, fatigue and generalized adenopathy, thrush (In the mouth)

Question 36

Gummas

Answer 36

unhealing bedsores appearing anywhere in the body

Question 37

Chlamydial Gram -

Answer 37

usually asymptomatic, higher influence in women

Question 38

Chlamydial in Men

Answer 38

Dyuria, **

Question 39

Chlamydial in Women

Question 40

Genital Herpes
HSV 1 -above the waist
HSV 2- Below the waist

Answer 40

Viral infection
remission state is asymptomatic
triggers: stress, fatigue, illness, immunosupression, menses.
Emotional. phychological, psychosocial issues.

Question 41

Genital herpes Complications

Answer 41

impotence, constipation, atonic bladder

Question 42

Genital Warts

Answer 42

Viral
Lesions
Can cause cervical cancer in women.