Know for Exam 2

Question 1

diurisis

Answer 1

increased or excessive production of urine

Question 2

absence of urine output

Answer 2

anuria

Question 3

residual

Answer 3

amount of urine left in the bladder after voiding

Question 4

polyuria

Answer 4

voiding large amounts of urine

Question 5

dysuria

Answer 5

painful or difficult urination

Question 6

self care deficit

Answer 6

assess whether family can help. assess home environments that might affect hygiene

Question 7

fibre

Answer 7

dietary material containing substances such as cellulose, lignin, and pectin, that are resistant to the action of digestive enzymes

Question 8

vagal nerve stimulation

Answer 8

anytime there is a disruption in the gi tract, can drop HR and BP, can be fatal

Question 9

rectal suppository

Answer 9

• sims position
• lubricate anus and suppository
• go as far as finger will go and press suppository against rectal wall
• ask client to hold for 15-30 mins

Question 10

glycerin suppository

Answer 10

• contains no medication
• osmotic laxative -pulling fluid from body into bowel
• mild action, does not cause irritation
• takes 15-20 mins

Question 11

dulcolax (bisacodyl) suppository

Answer 11

• contains medication
• increases peristalsis by irritating the rectum
• promotes fluid accumulation in the rectum (osmotic)
• takes 15-60 mins

Question 12

sodium phosphate fleet enema

Answer 12

• sims position
• expel air
• squeeze entire contents in
• ask client to hold as long as possible

Question 13

microlax enema

Answer 13

• must do rectal check first as it only works if there is stool in the rectum
• causes stool to break into smaller pieces; does not irritate bowel well
• maintain pressure on the container as you remove
• works in 5-20 minutes

Question 14

when does someone usually feel the urge to void?

Answer 14

at 150-200 ml of urine

Question 15

laboured breathing

Answer 15

increased effort to breathe

Question 16

pulse deficit

Answer 16

ineffiencent contraction of the heart that fails to transmit a pulse waive to the peripheral pulse site. the difference between the radial and apical pulse rates

Question 17

peripheral pulse

Answer 17

a pulse recorded in the arteries (radial or pedal) in the distal portion of the limbs

Question 18

holistic/comprehensive assessment

Answer 18

should consider all of the patients needs in order to identify act. or pot. problems

Question 19

quick priority assessment

Answer 19

carried out to gain an abbreviated overall assessment

Question 20

focused or selective assessment

Answer 20

uses knowledge of the patients history and presenting problem

Question 21

blood pressure

Answer 21

the force excerted on the walls of the arteries by the pulsing blood under pressure from the heart

Question 22

optimal bp

Answer 22

120/80

Question 23

normal bp

Answer 23

130/85

Question 24

normal high bp

Answer 24

130-139/85-89

Question 25

grade 1 hypertension

Answer 25

140-159/90-99

Question 26

grade 2 hypertension

Answer 26

160-179/100-109

Question 27

grade 3 hypertension

Answer 27

anything greater then 180/110

Question 28

normal respirations

Answer 28

12-20

Question 29

bad respirations

Answer 29

less than 10, greater than 24

Question 30

apnea

Answer 30

no breathing

Question 31

eupnea

Answer 31

good breathing

Question 32

dyspnea

Answer 32

bad breathing

Question 33

orthopnea

Answer 33

shortness of breathing when laying flat

Question 34

pulse pressure

Answer 34

difference between systolic and diastolic. the force that the heart generates

Question 35

orthostatic

Answer 35

low bp from standing up from sitting or laying down

Question 36

normal pulse

Answer 36

60-100 beats per minute

Question 37

normal pulse pressure

Answer 37

30-50 mm Hg

Question 38

cyanosis

Answer 38

bluish cast on the skin and mucous membranes caused by low oxygen in the red blood cells

Question 39

as you get older body temperature....

Answer 39

gradually decreases

Question 40

if a person feels short of breath and has a high respiratory rate what should the nurse do

Answer 40

position the patient in a supported semi fowlers or high fowlers position, then retake the respiratory rate

Question 41

the normal adult urine output is

Answer 41

1500/1600 mL per day

Question 42

what is not a risk for UTI

Answer 42

acidic urine

Question 43

hospital acquired UTIS are often related to what

Answer 43

poor hand hygiene and poor catheterization technique

Question 44

lifestyle choices to improve incontinence include

Answer 44

weight loss