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INTRO adult health > FINAL > Flashcards

FINAL Flashcards

1
Q

accumulation of urine due to the inability of the bladder to empty

A

urinary retention

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2
Q

Results from catheterization or procedure

A

urinary tract infection

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3
Q

Involuntary leakage of urine

A

urinary incontinence

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4
Q

what is the purpose of Nephrostomy tubes

A

Small tubes tunneled through the skin into the renal pelvis. Placed to drain the renal pelvis when the ureter is obstructed

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5
Q

characteristics of urine

A

color, clarity, and odor

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6
Q

normal range of urine production

A

1-2 L a day

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7
Q

when the brain gives the bladder permission to empty, the bladder contracts, the urinary sphincter relaxes and urine leaves the body through the urethra

A

micturition

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8
Q

A patient with a long-standing history of diabetes mellitus is voicing concerns about kidney disease. The patient asks the nurse where urine is formed in the kidney. The nurse’s response is the:

A

nephron

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9
Q

areas of the brain involved in bladder control

A

cerebral cortex, thalamus, hypothalamus and brainstemqc

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10
Q

common side affect of opioid analgesics

A

constipation

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11
Q

why is it bad to drink alcohol and take acetaminophens

A

both are metabolized in the liver which can cause liver damage.

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12
Q

comes from bone, joint, connective tissue, or muscle.

A

somatic pain

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13
Q

pain that arises from organs

A

visceral pain

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14
Q

normal GFR rate is

A

125

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15
Q

protein is normal

A

6-8.3

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16
Q

rating pain on 1-10 scale for assessment of pain.

A

0-3 mild pain
4-6 moderate pain
7-10 severe pain (pain emergency)

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17
Q

Drug delivery system that allows patients to self-administer opioids (morphine, hydromorphone, and fentanyl) with minimal risk of overdose

A

patient controlled analgesia PCA

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18
Q

how is PCA given

A

IV push or subc

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19
Q

when does PCA deliver the meds

A

System delivers specific # of doses every 1-4 hours given every 1-15 min

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20
Q

discharge teaching for hydrocodone

A

look up !!!!!!!

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21
Q

Understanding of peripheral neuropathy in feet

A

Diabetics
Lose feeling
Wear shoes
This can affect the patient’s response to pain

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22
Q

Manual compression of the bladder walls with each attempted void

A

credes method

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23
Q

urinary incontinence affects perineal skin

A

excoriation/redness

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24
Q

turns urine orange

A

Phenazopyridine (Pyridium)

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25
what to do for a hip fracture patient who needs to have a BM
raise the head of the bed
26
Inability of the intestine (bowel) to contract normally and move waste out of the body.
ileus
27
who's at risk for an ileus
surgical patients
28
abnormal findings in the ileostomy stool
blood
29
Reduction of pressure points with immobile patients to prevent what
decubitus ulcers
30
Intact skin with non blanchable redness
stage 1
31
Partial-thickness skin loss involving epidermis, dermis, or both
stage 2
32
Full-thickness tissue loss with visible fat
stage 3
33
Full-thickness tissue loss with exposed bone, muscle, or tendon
stage 4
34
what is primary intention healing
surgical incision; wound is closed
35
what is secondary intention healing
wound is left open and closes naturally
36
type of wound healing for a laparoscopic appendectomy
primary wound healing
37
wound heals with scar tissue
secondary wound healing
38
examples of secondary wound healing
burn, pressure ulcer, or severe laceration
39
edges of a wound no longer meet.
wound dehiscence
40
most common wound dehiscence
abdominal incisions- splints
41
dehiscence with protrusion of visceral organs
Evisceration; medical emergency
42
what to do for a wound dehiscence
Place sterile saline soaked gauze over extruding tissue and call physician
43
what is important for wound healing
albumin
44
what must be debrided
black ulcer covering
45
type of patient that may require special assistive devices
black ulcers
46
type of isolation that can occur with hearing and visual impairments
social isolation
47
with obstructive sleep apnea, what will fall
pulse ox
48
Maintaining fluid and electrolyte balance
kidneys
49
if the urine has prolonged contact with the skin what can occur
skin breakdown can occur
50
inflammation of the bladder
cystitis
51
where is urine formed in the kidney
nephron
52
drug that changes the urine intense yellow
riboflavin
53
most UTIs are caused by
e. coli
54
what is urge incontinence
when your bladder is full and you have to go pee soon bad but you wait and involuntary leakage of urine
55
what is stress incontinence
when you sneeze, cough; urine associated with effort
56
urine specimens need to reach the lab in how many hours
2
57
treat urgency, frequency, nocturia and urgency UI
Antimuscarinics
58
treat urinary retention
Bethanechol
59
relax smooth muscle
Tamsulosin and silodosin
60
shrink the prostate
Finasteride and dutasteride
61
treat urinary tract infections
antibiotics
62
adverse effects of Antimuscarinics
dry mouth, constipation, and blurred vision
63
The exercises work by increasing the pressure within the urethra by strengthening the pelvic floor muscles and by inhibiting unwanted bladder contractions.
kegel exercises
64
patient history of hay fever; asthma; and allergies to certain foods such as bananas, grapes, apricots, kiwi fruit, and hazelnuts
patients at risk for a latex allergy
65
what to look for with a patient with PCA
monitor for over sedation or respiratory depression
66
most common cause of peripheral neuropathy is
diabetes ; usually in hands and feet
67
some people with an allergy to apsirin also have an allergy
to NSAIDS
68
what is the braden score scale
6-23; 6 being the worst and 23 being the best
69
what should you do before a dressing change
give medication for pain
70
tactile
touch
71
gustatory
taste
72
the stimulation of sensory nerve fibers and the transmission of impulses to higher centers within the brain
sensory reception
73
integration and interpretation of stimuli
perception
74
stimulation of a receptor such as light, touch, or sound
reception
75
Disruption of flow of fluids in inner ear
Ménière's Disease
76
what is stop bang
``` S-snoring T- tired O- observed apnea P- blood pressure B- BMI more than 35? A- age N- neck circumference greater than 17 G- ender ```
77
what is malignant hyperthermia
excessive intracellular Ca
78
protective reflex response
modulation
79
awareness, and physiological and behavioral response
perception
80
pain impulse up spinal cord to the brain
transmission
81
thermal, mechanical, or chemical pain stimulus
transduction

INTRO adult health (4 decks)

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