Urinary Elimination
Average hourly urine output in mL for an adult:
What is 30ml per hour?
Client on bed rest is at risk for:
What is constipation?
Application that constricts the blood vessels
What is a cold pack?
Ensure labs are up to date
Confirm allergies
Confirm consent has been obtained by surgeon
What are pre-operative nursing care interventions?
Yellow thick fluid filled with pus indicating infection.
What is purulent drainage?
Best practice to follow when irrigating a urinary drainage system
What is aseptic technique?
Inflammation of the colon
Frequent loose stools
Pain
Risk for fluid and electrolyte imbalance
What is client with ulcerative colitis?
Pain that is stimulated by nerve endings after amputation
What is phantom pain?
Awake
Respond to stimuli
Vital signs are stable
What are signs that determine how long the client stays in the PACU?
Tissue that indicates wound healing
What is pink, granulated tissue?
Urinary urgency
Foul odor
Elevated WBCs
Dysuria
What are signs and symptoms of cystitis or UTI?
Do not postpone defecation.
Eat a diet high in fiber.
Drink at least 8oz of glasses of fluid daily.
Eat a diet high in fruits and vegetables.
What are instructions to promote regular bowel elimination?
What is chronic pain?
Colon resection
Heart bypass
Brain tumor removal
What are surgeries requiring general anesthesia?
Call for help.
Cover site with saline-soaked gauze
Stay with the patient.
Nursing care for patient with evisceration?
Urinary output less than 400ml in 24 hours
What is oliguria?
Diuretics
Anticholinergics
Sedatives
Calcium channel blockers
Opioids
What are meds that can cause or contribute to constipation?
Condition in which a person stops breathing for brief periods during sleep
What is sleep apnea?
Concern for both infant and older surgical patients
What is maintaining the core body temperature?
Healing intention for an abdominal surgical incision
What is tertiary or third intention?
Coude
What is a urethral catheter used for males with enlarged prostate?
May cause cardiac dysrhythmias during fecal impaction removal
What is a vagal response?
Allows patients to administer medication within safe boundaries based on their perception of pain
What is patient-controlled analgesia?
Postoperative device that is helpful to prevent atelectasis and hypoventilation
What is incentive spirometer?
Poor nutritional status
BMI >45
Fourth or fifth post op day
Dressing saturated with serosanguineous fluid
What are risks for patient to develop dehiscence?