Gastrointestinal
Patient starts coughing after you start a tube feeding
What is check for feed tube placement and stop feeding until this is completed.
Genitourinary primary prevention
What is drinking plenty of fluids?
Urine color Red.
What is blood, infection, food, or drugs?
Inserted into the nose and ends in the stomach.
What is NG (nasogastric tube)?
Three symptoms of fluid volume deficit
What is tenting in skin turgor?
What is low BP?
What is rapid or slow pulse?
What is increased urine concentrated?
Bowel sounds more than normal.
What is hyperactive?
Increase in how often person urinates.
What is urinary frequency?
Urine cloudy and client complaints of burning when urinating.
What is a UTI?
Minimum urinary output per hour.
What is 30ml/hour?
Three symptoms of fluid volume excess.
What is increased or bounding pulse?
What is increased sudden or unexplained wt. gain?
What is edema?
What is enlarged jugular?
What is orthopnea (hard to breathe laying down)?
Bowel sounds more than 35 per minute.
What is Borborygmus?
Urination at night.
What is Nocturia?
Nurse scans bladder after patients' voids.
What is checking for residual urine in bladder?
Start of abdominal assessment begins with which quadrant.
What is RLQ because it follows the colon most active area (ileocecal) towards least active area (sigmoid)?
Primary prevention to prevent dehydration/fluid deficit.
What is ensure clean water source?
What is remind older people importance of drinking fluids?
What is increase fluid intake during hot weather?
What is monitor input and output?
Stool separate hard lump.
What is severe constipation?
UTI in Females Primary Prevention (list 2).
What is wipe front to back?
What is encourage urination after vaginal intercourse?
Client does not follow the procedure for completing a clean catch collection of urine specimen.
What is urine sample contaminated?
Bowel tones absent after how many minutes of auscultation.
What if 5 full minutes?
Has the highest risk for fluid volume deficit.
What is copious amounts of diarrhea and or vomiting?
What is excess blood loss?
What is sweat loss?
Assessment of stool.
What is Bristol stool char?
3 types of incontinence
What is overflow incontinence? bladder becomes so full the pelvic floor muscles are not strong enough to hold urine?
What is urge incontinence? sudden urge to urinate?
What is stress incontinence? pelvic floor muscles becomes weak?
Urge to pee.
What is starts when the bladder reaches 250-450 ml?
Three factors that makes for a greater risk for UTI.
What is being a female?
What is having an indwelling?
What is urinary retention?
What is inadequate fluid intake?
Fluid Maintenace Therapy.
What is oral, enteral tube feeding and or IV fluids?