Bowel Elimination
What is needed for optimal bowel movement?
Water, Fiber, Exercise
What is the average daily output of urine?
1,200 mL/ day
Name 3 functions of sleep
-Reduce fatigue
-stabilize mood,
-improve blood flow
-increase protein synthesis
-maintain immunity
-promote cellular growth and repair
-improving capacity to learn and memory storage.
What are the 5 rights of medication administration?
Right Drug
Right patient
Right dose
Right time
Right route
What are 5 pharmaceutical categories that impair sleep?
Antiarrhythmics
Antihistamines
Beta blockers
corticosteroids
diuretics
nicotine products
serotine reuptake inhibitors
theophylline
thyroid hormone
What are three dietary restrictions for Fecal Occult Blood Test? (3 days before test)
No coagulants, no NSAID's, no more than 250mg of Vitamins C, citrus fruits or juices, red meat, and rod turnips, radishes, broccoli, beets, carrots, cauliflower, cucumbers, or mushrooms.
What are the 4 types of Urine specimen collection?
-Voided specimen
-Clean catch specimen
-Catheter specimen
-24 Hour Specimen
What is the sleep requirement for newborns, school age children, and adults?
Newborns: 14-17hrs
School age Children: 9-11hrs
Adults: 7-9hrs
What are the needed components of a medication order?
Drug name, Date and time order was written, Patient name, Dose, Route, Frequency, and Signature from prescriber.
What are some findings that indicate sleep apnea
-Mallampati score of 3 or 4
-Neck circumference of 16 or more in women and 17 or more in men
-BMI of 30 or more
What position does the patient need to lay for an enema or inserting a suppository.
Sims position
What is the difference between a straight catheter and a Retention catheter?
A straight catheter is temporary and provides sterile urine specimen, and a retention catheter is left in place for a period of time.
What foods and Beverages stimulate sleep?
Milk, eggs, poultry, fish, any foods with L-tryptophan.
What is the purpose of a scored tablet?
To make it easier to split in half.
What are some Primary preventions of sleep disorders?
What is the importance of irrigating a colostomy?
To regulate timing of bowel movement and remove formed stool.
According to the American Nurses Association, what are the goals to reduce catheter associated UTI's?
1. placing fewer indwelling catheters
2.timely removal of indwelling catheter per CDC guidelines.
3.consistant timely evidence-based nursing assessments and interventions for adequate bladder emptying.
List examples of Parasomnias
Somnambulism
nocturnal enuresis
sleep talking.
nightmares
bruxism
restless leg syndrome
Differentiate between Individual supply, Unit dose supply and stock supply.
Individual Supply: Container with enough prescribed drug for several days or weeks.
Unit dose supply: self contained packet that hold one tablet or capsule.
Stock supply: large number of drugs stored used for emergency.
What are some laboratory tests associated with elimination?
Urinalysis
Renal function test
culture
Occult blood test
What are the types of solutions used for enemas? and which two irritate the local tissue?
Tap water, normal saline, soap solution, hypertonic, and retention.
Irritants: Soap solution and hypertonic solution
What are the 6 types of incontinence?
Stress, Urge, Reflex, Functional, Total loss, Overflow.
What are the stages of sleep and what happened in each stage?
NREM 1: light sleep, easily aroused.
NREM 2: deeper relaxation and can be awakened with effort.
NREM 3: Early phase of deep sleep, difficult to arouse, snoring, parasomnias are possible.
REM: Very deep sleep, difficult to awaken, vivid dreaming, darting eye movements, vital signs fluctuate.
What is the effect of medication in the body when the function of the kidneys are diminished?
an increased circulatory drug concentration.
What are some pharmacologic agents that effect elimination?
Antibiotics, diuretics, antispasmodics, agents to manage constipation, Analgesics.