week 4 Flashcards

A Coudé catheter is often used when a client has

A nurse caring for a client with chronic diarrhea expects to find increased:

Which step is correct when collecting a urine specimen for culture and sensitivity from a client with an indwelling catheter?

A nurse is assessing a client with a new ileostomy. Which finding would indicate a healthy stoma?

___ intestinal obstructions result from pressure on the intestinal walls. It is caused by various conditions, including tumors, adhesions, stenosis, and diverticulum.

You are teaching an older adult client who reports constipation. Increased ___ diet is advised such as fresh fruits, raw vegatables, and whole-grain carbohydrates.

A nurse is monitoring the urinary output of a client. A 3000 milliliters of 24-hour urinary output total indicates _.

What is the term used to describe black or tarry stools with a foul smell that are a sign of bleeding in the upper digestive tract?

A nursing student asked a nurse about indications for urinary catheterization. Which of following indications should the nurse include?

A client who underwent surgery is experiencing decreased urine output postoperatively. Which nursing interventions should the nurse consider?

The nurse assessing a client with a permanent ileostomy expects to find a half-full ileostomy bag with _____ feces.

The purpose of FOBT or "Fecal Blood ____ Test" is to detect the presence of hidden blood in the stool, which may be an indication of gastrointestinal bleeding or colorectal cancer.

To effectively eliminate urine, a client must produce an average of at least _ milliliters of urine each hour.

The large intestine is in chargeof the _____of fluids.

The term ____ means emptying the bladder

Which statement describes diuresis?

You are taking care of an older adult client who is unable to move independently due to a stroke infection l month ago. What complications of immobility should the nurse watch out for?

Which option should the nurse include in teaching a client with colostomy about foods that may help to control diarrhea?

During ________ a machine is used to filter harmful wastes, electrolytes, and fluid from the blood which would typically be eliminated in the client's urine by healthy kidneys.

The nurse is assessing a 37-year old client who is on a 4-day-postoperative following exploratory laparotomy. The nurse noted a moderate pinkish exudate on the dressing. This drainage is known as

A client with diabetes mellitus type 1 reports painful foot. The nurse assessing this client understands that an increase in neutrophils and localized swelling are indications of___

Among the following laboratory values, which one would affect the healing of wounds caused by pressure ulcers?

Which nursing intervention is essential to further prevent skin breakdown for a client with Stage 1 pressure injury affecting both heels?

A nurse is educating a client about the factors that contribute to the development of constipation. The nurse should include which of the following?

What kind of dressing should the nurse apply when caring for a client who has a central venous access site in place?

What is the best indicator that a student nurse can differentiate between excoriation and pressure ulcers?

What nutrient that is essential for repairing and growing tissues should the nurse include when educating a client about foods that promote wound healing?

A thick and milky discharge from a wound that often indicates an infection is called _ drainage.

A nurse is assessing a client who has a pressure ulcer. The manifestation of stage ___ pressure ulcer includes full-thickness skin loss with necrotic subcutaneous tissue.

Which nursing intervention is most appropriate for preventing pressure injuries in a client who is at risk?

Which position is commonly used for procedures such as enemas, rectal exams, and colonoscopies?

Which nursing action would be appropriate to slow down the rate of an enema during administration?

Prior to changing the wound dressing for a client with a painful wound, the nurse anticipates providing the client with ____ medication to promote comfort during the procedure.

A nurse informs a client who has a pyloric obstruction that the insertion of a nasogastric (N.G.) tube can aid in relieving the pressure in the stomach. Which definition best describes pyloric obstruction?

A client is being assessed by a nurse following a colon surgery. The nurse should focus on reassessing for _sounds based on the effects of anesthesia and manipulation of the bowel during surgery.

A __________ means collecting all the urine in a special container over the course of an entire day.

Peristalsis is controlled by the

Order of auscultation

increases peristalsis and exacerbates chronic condition

decreases peristalsis

IAPP

collect 3 times, 3 different samples

Blue result- positive

Make sure all collection are correctly labeled

varices, tears

ulcers, acute gastritis

ulcers

Retention oil enema

Carminative retention eneme

Anthelmintic retention enema

Medicated retention enema

Colostomies

end in ileum (liquid stool)

due to cancer & other bowel diseases

to resolve medical emergencies (temporary)

Assessment for urinary elimination

Condom cath

Coude cath

Transient

two or more types of incontinence

never getting the urge to go & overflowing

trouble getting to the bathroom

nerve damage, ex: spinal cord injury

hardest to treat, we don't know why it happens

happens to women that have had multiple births

bladder doesn't allow them time to get to the bathroom

can change odor, monitor for loose stools & rash

treat urinary incontinence

bladder analgesic

many SE, increases blood supply to bladder