Incontinence
Electrolytes
Nursing Interventions
Fluid Balance
Miscellaneous
100
Leakage of small amounts of urine during physical movement (coughing, sneezing, exercising)
What is stress incontinence?
100
These medications could cause hypokalemia
What are diuretics (loop or thiazide)?
100
This test is best evaluate urinary retention
What is a bladder scan?
100
This intervention is necessary to monitor and maintain Fluid balance
What is strict intake and output?
100
Symptoms include dysuria, frequency, leukocytes and fever/chills in the urine.
What is a UTI?
200
Leakage of large amounts of urine at unexpected times, with strong sensation to void.
What is Urge Incontinence
200
These are essential to the function of the cells and organs of the body
What are electrolytes?
200
This enema is used for a client with the labs: K 6.2, Na 139, Mg 1.7.
What is Kayexalate?
200
This imbalance can happen when fluid intake is less than output
What is fluid volume deficit?
200
This is the passive movement of electrolytes/other particles down concentration gradient(from areas of higher to lower)
What is diffusion?
300
Untimely urination because of physical disability or external obstacles.
What is Functional Incontinence?
300
These two electrolyte imbalances may cause positive Chvostek or Trousseau signs
What are hypomagnesemia and hypocalcemia?
300
The nurse should provide pressure relieving measures and turn the client q2hours to prevent this complication from fluid imbalances
What is skin breakdown?
300
This assessment finding indicates which imbalance?
What is fluid volume excess?
300
Output such as perspiration, respiratory vapor or weeping wound drainage
What is insensible fluid loss?
400
Leakage that occurs temporarily because of a situation that will pass such as infection or medication
What is Transient Incontinence?
400
This is required for a patient with decreased LOC. Labs= Na 120, Cl 100, K 3.9, Mg 2.0.
What are seizure precautions?
400
This GI complication can be prevented by increasing fluid and fiber intake, increasing activity, and administering laxatives.
What is constipation?
400
This assessment finding indicates which of the following imbalances?
What is fluid volume deficit?
400
An abdomen that has a curved outward appearance
What is a convex abdomen?
500
These types of incontinence make "Mixed" Incontinence
What are Stress and Urge Incontinence?
500
This is a priority action for a client with an NGT to suction, muscle weakness, cardiac dysrhythmias and K+ 2.9
What is administer potassium?
500
Keep the catheter below the bladder, provide perineal care at least every 8 hours, avoid dependent loops or kinks in the foley tubing, secure catheter.
What are ways to avoid a CAUTI?
500
This complication from fluid volume excess results in moist crackles on auscultation, dyspnea, hypoxia and can occur very quickly and lead to death
What is pulmonary edema?
500
The drop rate to administer 1000ml normal saline over 4 hours using 15gtt/ml tubing
What is 63 gtt/min