Elimination

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A patient is having fewer than normal bowel movements with the difficult passage of hard, dry feces. The nurse would document this as

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A common cause of lower urinary tract infection would be

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Health promotion activities that the nurse might include in patient teaching to assist a patient in achieving normal defecation would include

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When caring for a patient with an indwelling catheter the nurse knows that it is necessary to maintain the closed urinary drainage system. While caring for the patient the nurse would

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When documenting a common symptom of urinary alteration, the nurse would correctly document voiding a diminished urine output of 325 cc over 24 hours as

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A patient was admitted with prostate gland enlargement. The patient continues to demonstrate urinary frequency with only small amounts voided with each void and is restless. The patient is most likely experiencing

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Your patient is an alert 40-year-old male, who is timid and reluctant to talk about his urinary retention. Which part of this plan of care could create stress for the patient and possibly increase his inability to urinate?

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During removal of a fecal impaction, which of the following could occur because of vagal stimulation?

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A caregiver of an 80-year-old patient tells the nurse that her mother frequently experiences nocturia and is sometimes incontinent. Following instructions about strategies to resolve the elimination problems, the nurse determines that the caregiver need further instructions when the caregiver says:

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When planning for the elimination needs of a patient, the nurse understands that:

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When differentiating among the types of urinary incontinence, the nurse understands that stress incontinence occurs:

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When caring for a patient who is unable to tolerate a large amount of enema fluid, which solution should the nurse anticipate that the physician will order?

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When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following?

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Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning?

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When a person has a fever or diaphoresis, how would the urine output be described?

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The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware of which of the following considerations?

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Nursing care for a patient with an indwelling catheter includes which of the following?

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After surgery, Ms. Young is having difficulty voiding. Which nursing action would most likely lead to an increased difficulty with voiding?

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Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. He is 80 years old and has an indwelling catheter in place. Which factor is most likely the cause of his UTI?

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Which of the following terms denotes a patient’s inability to void even though the kidneys are producing urine that enters the bladder?

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Mrs. D’Ambrosia, an alert, ambulatory, older nursing home resident, voids frequently and has difficulty making it to the bathroom in time. The nurse planning her care is aware of which of the following?

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The priority treatment option for Mrs. D’Ambrosia would most likely involve which of the following?

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A patient taking phenazopyridine (Pyridium, a urinary tract analgesic) should be cautioned that her urine may change to what color?

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Mr. Bales is 60 years old and alert. He is timid and reluctant to talk about his urinary retention problem. Which part of this plan could create stress for Mr. Bales and possibly increase his inability to urinate?

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Which of the following is a nursing priority when caring for a male patient with a condom catheter?

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A patient has a nursing diagnosis of Impaired Urinary Elimination related to maturational enuresis. You recognize that your patient is which of the following?

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Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. Of the information below, which is least important for the evaluation process?

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If a patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods?

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Which of the following is a true statement about the effects of medication on bowel elimination?

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Mr. J. has a fecal impaction. The nurse correctly administers an oil-retention enema by doing which of the following?

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As the nurse prepares to assist Mrs. P. with her newly created ileostomy, she is aware of which of the following?

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Which class of laxative acts by causing the stool to absorb water and swell?

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Mr. T. is nervous about a colonoscopy scheduled for tomorrow. The nurse describes the test by explaining that it allows which of the following?

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A bowel training program includes which of the following?

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Your patient complains of excessive flatulence. When reviewing the patient’s dietary intake, which food, if eaten regularly, would you identify as possibly responsible?

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A barium enema should be done before an upper gastrointestinal series because of which of the following?

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Nurses should recommend avoiding the habitual use of laxatives. Which of the following is the rationale for this?

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When explaining the action of a hypertonic solution enema, the nurse incorporates which of the following as the basis for action?

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Which of the following are included in the nursing plan of care to prevent adverse effects when caring for a patient with a nasogastric tube in place for gastric decompression? Select all that apply.

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During removal of a fecal impaction, which of the following could occur because of vagal stimulation?

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Which of the following would be a common nursing diagnosis for the patient with an ileostomy?

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Which of the following is an appropriate nursing action to promote regular bowel habits?

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How many mLs does the bladder hold before we get the desire to void?

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When do most children develop urinary control?

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What are liquids that decrease urine formations?

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Anticoagulants may cause hematuria. (blood in urine)

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Diuretics can lighten the color of urine to pale yellow.

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Phenazopyridine can turn the urine black or brown.

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Antidepressants or Beta complex vitamins turn the urine pale yellow.

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Antiparkinson drugs can turn your urine black or brown.

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Anuria is 24-hour urine output less than 500mL.

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Dysuria is pain or difficult urination.

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Oliguria is an increased amount of urine over a given amount of time.

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Polyuria is excessive output of urine. (diuresis)

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Pyuria is pus in the urine and makes it appear cloudy.

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Stress incontinence is coughing, sneezing, laughing, or other physical activities like childbirth, menopause, obesity, or straining.

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Reflex urination is experiencing emptying of the bladder without the sensation of the need to void.

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Total incontinence is urine loss caused by the inability to reach the toilet because of environmental barriers, physical limitations, loss of memory, or disorientation.

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Total Incontinence is a continuous and unpredictable loss of urine, resulting from surgery, trauma, or physical malformation.

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For a clean voided (midstream), a sterile urine specimen is not required for a routine uri-nalysis. Collect urine by having the patient void into a clean bedpan

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Sterile specimen means that the patient voids and discards a small amount of urine; continues voiding in a sterile specimen container to collect the urine.

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Characteristics of healthy urine (select all that apply):

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Intravenous pyelogram is the radiographic examination of the kidney and ureter after a contrast material is injected intravenously. It is used to diagnose kidney and ureter disease and impaired renal function.

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Cystoscopy is the direct visual examination of the bladder, ureteral oriﬁces, and urethra with a cystoscope. It is used to view, diagnose, and treat disorders of the lower urinary tract, interior bladder, urethra, male prostatic urethra.

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Retrograde pyelography is the radiographic and endoscopic examination of the kidneys and ureters after a contrast material is injected into the renal pelvis through the ureter.

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Antibody is an immunoglobin produced by the body in response to a specific antigen.

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Antigen is a foreign material capable of inducing a specific immune response.

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Anaerobic is bacteria that require oxygen to live and grow.

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Aerobic is bacteria that require oxygen to live and grow.

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An animal or person on or within which microorganisms live.

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An infection that occurs as a result of a treatment or diagnostic procedure.

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Medical asepsis is practices designed to reduce the number and transfer of pathogens; synonym for clean technique.

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Surgical asepsis are practices that render and keep objects and areas free from microorganisms; synonym for sterile technique.

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A vector can be (select all that apply):

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Virulence is the inability to produce a disease.

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Exudate is a fluid that accumulates in a wound; may contain serum, cellular debris, bacteria, and white blood cells.

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Drainage that is comprised of white blood cells, liquefied dead tissue debris, and both dead and live bacteria.

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Drainage that is a mix of serum and red blood cells.

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Drainage that is composed of clear, serous portion of the blood and from serous membranes.

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Incubation period, prodromal stage, full stage of illness, and the convalescent period are the stages in order of an infection.

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A person is most infectious during the incubation stage.

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Incubation Period is the interval period between the pathogen’s invasion of the body and the appearance of symptoms of infection.

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Convalescent period is the recovery period of an infection.

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What are the cardinal signs and symptoms of inflammation?

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The protective mechanism to the inflammatory response is localization, attack, remove dead damaged tissue and repair/replace.

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When the injury is flooded with blood to promote wound healing is called vasoconstriction.

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Vasoconstriction is when the wound is confined of blood to limit tissue damage.

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During the cellular response there is increased cellular permeability and WBCs move into area-Clean wound-consume debris which results in pain, edema, loss of function.

Chapter 37 and 38

Elimination

A patient is having fewer than normal bowel movements with the difficult passage of hard, dry feces. The nurse would document this as

A common cause of lower urinary tract infection would be

Health promotion activities that the nurse might include in patient teaching to assist a patient in achieving normal defecation would include

When caring for a patient with an indwelling catheter the nurse knows that it is necessary to maintain the closed urinary drainage system. While caring for the patient the nurse would

When documenting a common symptom of urinary alteration, the nurse would correctly document voiding a diminished urine output of 325 cc over 24 hours as

A patient was admitted with prostate gland enlargement. The patient continues to demonstrate urinary frequency with only small amounts voided with each void and is restless. The patient is most likely experiencing

Your patient is an alert 40-year-old male, who is timid and reluctant to talk about his urinary retention. Which part of this plan of care could create stress for the patient and possibly increase his inability to urinate?

During removal of a fecal impaction, which of the following could occur because of vagal stimulation?

A caregiver of an 80-year-old patient tells the nurse that her mother frequently experiences nocturia and is sometimes incontinent. Following instructions about strategies to resolve the elimination problems, the nurse determines that the caregiver need further instructions when the caregiver says:

When planning for the elimination needs of a patient, the nurse understands that:

When differentiating among the types of urinary incontinence, the nurse understands that stress incontinence occurs:

When caring for a patient who is unable to tolerate a large amount of enema fluid, which solution should the nurse anticipate that the physician will order?

When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following?

Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning?

When a person has a fever or diaphoresis, how would the urine output be described?

The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware of which of the following considerations?

Nursing care for a patient with an indwelling catheter includes which of the following?

After surgery, Ms. Young is having difficulty voiding. Which nursing action would most likely lead to an increased difficulty with voiding?

Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. He is 80 years old and has an indwelling catheter in place. Which factor is most likely the cause of his UTI?

Which of the following terms denotes a patient’s inability to void even though the kidneys are producing urine that enters the bladder?