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nursing therapeutics 1 > quiz 2 > Flashcards

quiz 2 Flashcards

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1
Q

constipation

A

fewer than 3 bowel movements a week
dry, hard to pass bowel movements or incomplete emptying of bowels

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2
Q

causes of constipation

A

little fiber
little liquids
medications
- narcotics
- antacids
- antidepressants
- anti-parkinsons
pregnancy

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3
Q

non medical remedies for constipation

A

increase fluids
increase fiber
increase movments

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4
Q

medical intervention for constipation

A

medications
- stoll softener
- laxatives
enemas

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5
Q

bowel diversion/ostomies

A

allows waste to pass through a surgically created stoma, can be reversed if bowel heals and functions properly

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6
Q

ileostomy

A

liquid water lighter colored stool

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7
Q

colostomy

A

more formed mushy brown stool

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8
Q

ostomy care

A

keep patient free of odors
empty bad frequently
inspect stoma
measure fluid intake and output
explain eat aspect of care to the patient and how to take care of themselves

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9
Q

what to look for when inspecting stoma

A

size (will stabilize after 6-8 weeks)
cleanliness of skin around stoma
making sure to wash with non fragrance products
should be red/pink and moist

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10
Q

uses of NG tubes

A

decompression
removal of fluid/gas
lavage / removal of toxins
treat obstruction or paralytic ileus
compress GI tract
administer contrast for CT
administer feedings or meds

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11
Q

levin/single lumen

A

mostly used for feedings or medications is soft and pliable and 12ft or larger for adults

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12
Q

salem/double lumen sump

A

mostly used for decompression and can be used for medications/feedings if needed. has an airport and anti-reflux valve

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13
Q

dual purpose tubes

A

keofeed/dobbhoff
nasojeunal tubes (goes into small intestine), soft and pliable, small bore for feedings. usually have a guidewire for placements

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14
Q

ng placement steps

A

client in high-fowler’s position (45)
do not force insertion
communicate with patient
check aspirate color/ consistency and pH to check placement and set up x-ray to confirm placement

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15
Q

enteral feeding

A

administering nutrients directly to GI tract usually into stomach

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16
Q

dysphagia

A

difficulty swallowing or inability to swallow, is associated with increased risk for aspiration

17
Q

diagnosis that may require tube feedings

A

dysphagia
esophageal cancer
surgery
oral/dental procedures
coma
malnutrition

18
Q

long term feedings (more than 4 weeks)

A

J tube, G tube, combination tubes

19
Q

jejunostomy or J tube

A

used it G tube cannot be placed do to obstruction
less risk for aspiration
slow continuous feeding

20
Q

G tube

A

most common, can be placed surgically or endoscopically

21
Q

combination tubes

A

GJ tubes are used when feeding is needed, meds that absorb in stomach are needed, or draining of stomach is needed

22
Q

short term feeding tubes

A

NG tube, nasointestinal tube

23
Q

nasointestinal tube

A

inserted through nose and into upper portion of small intestine
indicated for patient with increased risk for aspiration or slow gastric motility
avoids potential for gastric reflux
dumping syndrome my develop due to bypassing the pyloric valve
monitor for signs of distention of small intestine

24
Q

advantages of continuous feedings

A

allows gradual introduction of formula
promotes maximal absorption
intestinal feedings are always continuous

25
Q

disadvantages of continuous feedings

A

requires pumps with limits mobility and increases cost
increases risk for reflux and aspiration

26
Q

intramuscularly

A

injection is given at a 90 degree angle into a muscle

27
Q

intravenously

A

medication or fluid directly into vein - most affective route

28
Q

intravenous piggyback

A

medication is prepared in a small volume of fluid is attached to the IV at specified times

29
Q

handheld nebulizer

A

medication is placed in a device that produces a fine spray for inhalation

30
Q

metered-dose inhaler

A

an aerosol device delivers medication by inhalation

31
Q

NG tube med route

A

medication is placed in stomach through a tube in the nose

32
Q

subcutaneously

A

injection us usually given at a 45 degree angle into subcutaneous tissue

33
Q

what to do if their is a med error

A

take vital signs and report to the doctor

34
Q

five things to check when administering meds

A

right patient
right med
right dose
right route
right time

nursing therapeutics 1 (1 decks)

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