fundies. exam review 11/29 Flashcards
The nurse is instructing a pt on kegels. What is she instructing the pt to do?
to tighten the pelvic floor muscles
pt should should void 8 hours later. What time will it be ?
5 p.m.
pt with prostate enlargement has a catheter and asks why it is attached to their abdomen.
this prevents pulling on meatus
when female pt needs to void in a cup. When should you catch it?
mid stream or after they have voided alittle
when you dipstick urine what indicates infection?
the presence of leukocytes
what is the rationale for developing a prevention program?
Medicaid will no longer reimburse
name example of a normal uranalysis
straw colored urine, ph of 6, and 1.015
What is occult blood
blood in the stool
the nurse needs to plan interventions to combat constipation in pt who has completed a?
barium studies of the bowel
when a pt is on Metamucil. What do they need?
large amounts of fluid
your pt was in Mexico recently and is c/o of diarrhea. What should you give them?
anti-diarrhea Imodium
What drink should you give a dehydrated pt?
Gatorade
why should you administer yogurt?
yogurt has acidropalis
id your pt is anxious about colostomy placement. What should you do?
an open ended question
pt asks nurse what is the difference between a colostomy and a ileostomy?
colostomy is from the colon and ileostomy is attached to the ileum
is cheese a constipating agent?
yes
name the age related changes in the intestinal tract
decreased motility of the large intestine, decreased absorption of vitamin b, and atrophy of the villi in the small intestine.
your client is 82 years old and exercises/ socializes. What theory is this?
activity theory
85 year old widow is forgetting this indicates further assessment is needed to evaluate?
a need for increased level of care
the nurse knows that the immune system failure theory states that older adults will lose their ability to respond to infections and ?
may even die from them
when you have an older client and they reminisce about heir life during their interview which indicates?
ego integrity-affirms positives of their life
a home health aid notices a client has bruises on their face and arms. What should you do?
report to their nursing supervisor who should then report it the authorities
a 76 year old who has to get out of bed to void has some incontinence. What is the best explanation for this?
as a pt’s get older they start losing bladder muscle tone so they hold less urine as a result
a client tells the home health nurse they are afraid to get out of bed because they are afraid of falling. What does the nurse do?
get a PT consult
Your pt hass fallen twice in the last couple of days because they have altered depth perception due to their cataracts . What should the nurse know based on this information?
the cause o the pt’s falls is due to altered depth perception
Why are the elderly more likely to fracture bones when they fall?
loss of calcium
older adults ae more likely to develop lower respiratory infections when exposed to illness as a result of?
weakened respiratory muscles and fewer cilia
the nurse should encourage
exercise 30 mins a day 5 days a week
a pt tells the nurse they had a good rewarding life. The nurse is aware the pt attained eriksons stage of?
integrity
when the elderly experiences suicidal thoughts they are more likely to do what?
act on them successfully
elderly physical changes such as being cold all of the time is because of?
low thyroid hormone levels and decrease of subcutaneous fat
primary instance of elder abuse is?
neglect
the nurse is caring for a dehydrated pt who has a Foley . What should you asses for?
adequate urine output-30 mL
how do you prevent recurrent cystitis in a pt?
advise them to wear cotton under and avoid nylon underwear and tight clothing
for an elderly pt with a UTI
observe for confusion
to prevent chemical characteristic changes after obtaining a urine sample. Send urine..?
within 10- 15 mins
24 hour urine collection have pt void at
the beginning of the collection throw it away
use a sieve for…?
urolithiasis
if your pt feels too weak to walk to the bathroom place a?
commode at the bedside
when offering a bedpan make sure the…
HOB is elevated
the nurse will help the pt to void by
running water in a nearby sink
urinary catheter should be
18’
leaving 1-2 inches between the tip of the penis and the drainage part is?
inappropriate technique
what prostate surgery catheter provides continuous irrigation?
koch
nurse is cleaning the perineal area
cleanse downward towards the urinary meatus
when attempting to Cath a male pt.
the first thing is for the pt to take a deep breath
