Term
A. Decreased & highly concentrated |
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Definition
When a person has a fever or diaphoresis, the urine output will be: a)Decreased & highly concentrated b)Decreased & highly dilute c)Increased & concentrated d)Increased & dilute |
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Term
Inspection Auscultation Percussion Palpation Start with least invasive first. |
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Definition
Abdominal assessment includes??? |
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Term
Recent changes in bowel elimination Usual patterns of bowel elimination Problems with bowel elimination Aids to elimination Presence of artificial orifices (ostomy sites)
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Definition
What should I assess regarding bowel elimination? |
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Term
Volume, Frequency, Color, Odor, Consistency, Shape, Constituents Black stool - Iron pills White stool - barium or excessive antacids Red stool - at end of GI tract hemmorids Black stool - blood high up in GI tract Green stool - glucose, flu, something you ate |
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Definition
What should I look at when assessing stool? What are different colors of stool and what do they mean? |
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Term
Constipation Risk for Constipation Perceived Constipation Diarrhea Bowel Incontinence |
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Definition
Name some nursing diagnoses that would apply to Bowel Elimination |
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Term
Impaired Urinary Elimination Functional Urinary Incontinence Reflex Urinary Incontinence Stress Urinary Incontinence Total Urinary Incontinence Urge Urinary Incontinence Urinary Retention |
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Definition
Name some nursing diagnoses that would apply to Urinary Elimination |
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Term
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Definition
What is considered the most common cause of nosocomial infections? |
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Term
The amount of urine remaining in the bladder immediately after voiding. |
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Definition
What is postvoid residual? |
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Term
50ml or less = adequate bladder emptying More than 150ml = inadequate bladder emptying and is associated with the development of urinary tract infections. |
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Definition
What is the norm for volume of postvoid residual? |
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Term
Every 2 - 3 hours. If urine is held longer, that could be a PC (uti) |
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Definition
A person should urinate how often? |
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Term
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Definition
To promote regular defacation, a person should drink how many ml's of water ?? |
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Term
The recognition of a full bladder, The ability to hold urine for 2 hours, communicate the need to void, and can control urination until seated on the toilet. |
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Definition
What needs to be present in a child who is ready to start potty training? |
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Term
Amitriptyline - green to blue-green Anticoagulants - pink or red Pyridium - orange or orange-red Iron compounds - brown or black Levodopa - brown or black B vitamins ??
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Definition
What color could urine be if the patient was taking Amitriptylin (Elavil) ? B-Complex Vitamins? Anticoagulants? Phenazopyridine? Levodopa? Iron compounds? |
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Term
An increase in the patient's blood pressure. When bearing down to poop, the increased pressures in the abdominal and thoracic cavities result in a decreased blood flow and a temporary decrease in cardiac output. Once bearing down stops, the pressure is lessened. A larger than normal amount of blood returns to the heart. This act elevates the patient's blood pressure.
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Definition
During defacation, the patient experiences decreased cardiac output related to the Valsalva maneuver. After the Valsalva maneuver, the nurse assesses the patients vital signs and expects to find what??? |
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Term
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Definition
What percussion sound is consistent with excess flatus trapped in the intestines? |
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Term
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Definition
What type of sound is heard if there is an intestinal obstruction? |
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Term
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Definition
These are normal percussion sounds that are heard due to the hollowness of the intestines. What are they? |
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