Questions 2 Flashcards
1
Q
- List 3 indications for the insertion of a urinary catheter
A
- Bypass an obstruction
- Allow irrigation of bladder
- Empty contents of the bladder
2
Q
- Explain the procedure of neurovascular observations and what the importance of this nursing assessment is?
A
- GCS- eyes, verbal and motor response
- Used to access the LOC at regular interviews because changes in it proceed all other changes in vital and neurological signs.
- Lowest score 3- highest score 15
3
Q
- Discuss the conservative management approach to the management of a bowel obstruction.
A
• Fluids
• Medication and antibiotics
• Scan to determine what the obstruction is
- your wanting to prevent surgery from occurring and using it as a last option.
4
Q
- Why is it not ideal for surgical drains to remain institu for extended periods?
A
- Has the potential to cause infection
- Can delay wound healing
- Can cause trauma to tissues
5
Q
- Name 3 groups of individuals who may lack the capacity to act in a autonomus matter and whereby the clinician must seek consent from a legal guardian such as a parent, partner or trustee.
A
- Child – under the age
- Person with a diminished cognitive function – Alzheimer’s, dementia
- Unconscious or comatose person
6
Q
- From a methodological perspective, provide 2 characteristics that differentiate Quantitative from qualitative study in nursing research
A
Quantitative research is big in research size and more objective based, using formulated facts and uncovering patterns while qualitative research is more subjective and smaller research size and is more based at gaining understanding on thoughts and opinions and uncovering trends
7
Q
- Name 2 ways in which nurses commonly break the rule of veracity
A
- When the patient gives consent- such as when the patient does not want to know
- When veracity conflicts with the ethical principals of Beneficence and non-maleficence
8
Q
- What is Zollinger-Ellison disease, and why does it increase the risk of peptic ulcer?
A
• condition in which a gastrin-secreting tumour or hyperplasia of the islet cells in the pancreas causes overproduction of gastric acid, resulting in recurrent peptic ulcers.
9
Q
- What should be documented following insertion of a nasogastric tube?
A
• Document the initial measurements of the NGT to allow for comparison for future checking, as well as the position and pH level.
10
Q
- What are the indications for a fine bore nasogastric tube? What routine procedure cannot be undertaken with a fine bore tube?
A
- Long term use for those who unable to tolerate NG feeds
* Can’t be used for medications as it causes blockages
11
Q
- Discuss the routine nursing care associated with enteric feeding
A
- The position of the tube must be check prior to each feeding, medication administration, before putting anything down the tube or 4hrly.
- Checking the marker on the NGT
- pH testing should be performed
- ensure the taping is secure
- monitoring for any respiratory distress
- observations should be performed routinely
- assess the abdomen
- review bowel habits
12
Q
- Describe the significance of coffee grind vomitus or nasogastric aspirate, and one nursing intervention.
A
- Coffee-grind vomit is a serious symptom that indicates bleeding in the upper GIT
- You would inform the physician immediately
- Nil by mouth
13
Q
- Give 6 examples of when a nurse should check the position of a nasogastric by aspirating the contents of the gut and testing the pH of the aspirate.
A
- Before a feed
- Before each medication
- Before putting anything down the tube
- 4 hourly if receiving continuous feeds
- start of shift
- Serious coughing
14
Q
- Why is it important that the patient cease taking aspirin and NSAIDs prior to surgery?
A
- Can increase your chances of bleeding out
* Can have an adverse effect with the anaesthetics that will be used
15
Q
- Explain the initial post-operative assessment of your patient and explain why the nursing actions you take are important?
A
- Maintaining the patient’s airways is pertinent
- Check the patient is stable (if no return to PACU)
- Review documentation to gather essential information from surgeon, aneathatist and nurse – ie= complcations that may have taken place, meds used or given …
- Frequently assessing ‘ABCDDDE’’= Airway, Breathing, Circulation, Drips, Drains, Drugs and extra’s
- Check surgical site
- Check documentation for any pertinent information from the patients’ health history that may be significant
- Patients obs taken
