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Nursing 111 - ELIMINATION > Urinary Elimination > Flashcards

Urinary Elimination Flashcards

1
Q

Subjective GI System Assessment

A

History
Medications
Surgery
Lifestyle
Diet
Weight changes (intentional or not)
Abdominal distention; pain
Changes in urine timing or appearance

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2
Q

Abdominal Assessment (In Order)

A

Inspection
Auscultation
Palpation
Percussion

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3
Q

Inspection:

A

Provide privacy
Provide warm comfortable environment
Drape the patient
Adequate lighting
Raise bed to improve observation

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4
Q

Inspect abdomen for:

A

Rashes or lesions
Scars
Venous pattern (fine veins or engorged prominent veins)
Color (may be paler than overall skin; abdominal - dark bluish striae, redness, purple flank color, pale & taut with ascites

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5
Q

Normal; Abnormal Contour

A

Normal: Rounded, flat
Abnormal: Distention

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6
Q

Normal; Abnormal Symmetry

A

Normal: Symmetrical
Abnormal: Asymmetrical

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7
Q

Normal; Abnormal Surface Motion

A

Normal: No movements or slight peristalsis visualized over aorta.
Abnormal: Bounding peristalsis or pulsations

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8
Q

Normal; Abnormal Stool Color

A

Normal: Brown to dark; brown
Abnormal: Black, tarry, bright red

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9
Q

Normal; Abnormal Emesis color

A

Normal: Varies
Abnormal: Bloody (hematemesis), coffee grounds (old blood)

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10
Q

Normal; Abnormal Urine Color

A

Normal: Clear, yellow, odorless
Abnormal: Tea, orange, green, cloudy, purulent (pus), bloody (hematuria), foul odor.

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11
Q

Profolol (high doses) can cause:

A

Green urine

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12
Q

Pus in urine indicates:

A

UTI

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13
Q

What is located in the RUQ?

A

Liver, transverse colon, gallbladder

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14
Q

What is located in the LUQ?

A

Stomach

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15
Q

What is located in the RLQ?

A

Ascending colon, appendix

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16
Q

What is located in the LLQ?

A

Small intestine, descending colon, sigmoid colon

17
Q

Auscultation of bowel sounds:

A

Use stethoscope to listen to bowel sounds in all 4 quadrants.
Normal is 5-30 sounds/minute
Must listen for ONE minute (minimum) in each quadrant.
If absent sounds, listen for an additional minute.

18
Q

Borborygmus

A

Rumbling noise caused by the movement of gas through the intestines

Nursing 111 - ELIMINATION (2 decks)

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