Bowel Elimination
The most common cause of constipation in hospitalized patients
What is immobility?
Normal adult urine output per hour
What is ≥30 mL/hr?
This type of pain is sudden and usually short in duration.
What is acute pain?
This sensory alteration is a decreased ability to perceive stimuli.
What is sensory deprivation?
This stage of sleep is when dreaming occurs.
What is REM sleep?
This is the first step of the nursing process.
What is assessment?
This is a common drug class that causes constipation
What are opioids?
This type of incontinence occurs when coughing or sneezing.
What is stress incontinence?
This pain theory suggests pain signals can be blocked before reaching the brain.
What is the gate control theory?
This occurs when the brain misinterprets sensory input.
What is an illusion?
This is a common consequence of sleep deprivation.
What is impaired cognition or irritability?
This is the best initial intervention for constipation.
What is increased fiber and fluids?
A patient with fecal impaction may experience this paradoxical symptom.
What is liquid stool leakage (overflow incontinence)?
The priority intervention for a patient with urinary retention is this.
What is bladder scanning before catheterization?
This scale is most appropriate for a nonverbal patient.
What is the FLACC scale?
Hearing voices with no external stimulus is called this.
What is a hallucination?
This hormone regulates sleep-wake cycles.
What is Melatonin?
When inserting a catheter in a female, urine should appear after advancing this far.
What is 5–7 cm (2–3 inches)?
This is the safest position for administering an enema.
What is the left Sims’ position?
This is the correct placement of a urinary drainage bag.
What is below the level of the bladder?
This is the priority assessment before administering opioids.
What is respiratory rate?
Older adults are at higher risk for this due to sensory changes.
What are falls/accidents?
This is the priority nursing intervention to promote sleep in hospitalized patients.
What is to reduce nighttime interruptions?
This is the priority action when a catheter stops draining.
What is check for kinks/obstruction?
During digital removal of fecal impaction, this dangerous response may occur.
What is vagal stimulation causing bradycardia?
Continuous bladder irrigation is most commonly used after this procedure.
What is after prostate surgery?
This non-pharmacological intervention uses warm water to relieve perineal pain.
What is a sitz bath?
This nursing intervention helps reduce sensory overload.
What is decreasing environmental stimuli (quiet room, dim lights)?
A patient who works night shift may develop this sleep disorder.
What is circadian rhythm sleep disorder?
A patient with incontinence should have this priority nursing diagnosis.
What is the risk for impaired skin integrity?