Urinary Elimination
Bowel Elimination
Pain, Comfort, and Sleep
Surgical Patient
Wound Care
100

Average hourly urine output in mL for an adult:

What is 30ml per hour?

100

Client on bed rest is at risk for:

What is constipation?

100

Application that constricts the blood vessels

What is a cold pack?

100

Ensure labs are up to date

Confirm allergies

Confirm consent has been obtained by surgeon

What are pre-operative nursing care interventions?

100

Yellow thick fluid filled with pus indicating infection.

What is purulent drainage?

200

Best practice to follow when irrigating a urinary drainage system

What is aseptic technique?

200

Inflammation of the colon

Frequent loose stools

Pain

Risk for fluid and electrolyte imbalance

What is client with ulcerative colitis?

200

Pain that is stimulated by nerve endings after amputation

What is phantom pain?

200

Awake

Respond to stimuli

Vital signs are stable

What are signs that determine how long the client stays in the PACU?

200

Tissue that indicates wound healing

What is pink, granulated tissue?

300

Urinary urgency

Foul odor

Elevated WBCs

Dysuria

What are signs and symptoms of cystitis or UTI?

300

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?

300
Arthritis pain lasting for more than 6 months

What is chronic pain?

300

Colon resection

Heart bypass

Brain tumor removal

What are surgeries requiring general anesthesia?

300

Call for help.

Cover site with saline-soaked gauze

Stay with the patient.


Nursing care for patient with evisceration?

400

Urinary output less than 400ml in 24 hours

What is oliguria?

400

Diuretics

Anticholinergics

Sedatives

Calcium channel blockers

Opioids

What are meds that can cause or contribute to constipation?

400

Condition in which a person stops breathing for brief periods during sleep

What is sleep apnea?

400

Concern for both infant and older surgical patients

What is maintaining the core body temperature?

400

Healing intention for an abdominal surgical incision

What is tertiary or third intention?

500

Coude

What is a urethral catheter used for males with enlarged prostate?

500

May cause cardiac dysrhythmias during fecal impaction removal

What is a vagal response?

500

Allows patients to administer medication within safe boundaries based on their perception of pain

What is patient-controlled analgesia?

500

Postoperative device that is helpful to prevent atelectasis and hypoventilation

What is incentive spirometer?

500

Poor nutritional status

BMI >45

Fourth or fifth post op day

Dressing saturated with serosanguineous fluid

What are risks for patient to develop dehiscence?