Exam 2
Treat UTI
Antibiotics
Treat urinary retention
Bethanechol
Catheter care
Manage cath Manage fluid intake Provide pt comfort and safety Prevent CAUTI
Functional incontinence interventions
Modify environment Better lighting Clothing easy to remove Timed voiding Raised toilets
Interpersonal communication
Nurse talking to another member of health care team
Chronic kidney disease assessment findings
Paresthesias Hypertension
Vit D toxicity
bone pain confusion frequent urination
Symptoms of C-diff
fever nausea decr appetite decr weight bloody stool diarrhea
Pelvic floor muscle training (Kegel exercises)
manage stress, urge, or mixed UI
pt with renal failure gain 2lb in 24 hours
means 1000ml of fluid was retained
Relieve yeast infections
sitz bath
Which response would the nurse use when a client scheduled for a transurethral incision of the prostate (TUIP) voices concern regarding impotence?
"I can understand your concern, but this procedure usually does not cause impotence."
BPH med Reduces size of prostate gland 6 mo to work-keep taking them Pregnant women not touch them
5 alpha reductase inhibitors - finasteride (Proscar) and dutasteride (Avodart)
Which nursing behavior helps establish rapport with survivors of a disaster?
Active listening
Complications of BPH
Acute urinary retention obstruction Chronic retention UTI Bladder stones Renal failure
BPH med Relax smooth muscle of the prostate. Does not reduce size Side effect is retrograde ejaculation
Alpha adrenergic receptor blocker- tamsulosin (Flomax)
Treat urgency, frequency, nocturia, and urgency
Antimuscarinics
Relieve bladder spasms in urinary incontinence
Antocholinergics
Improves bladder storage capacity by relaxing bladder muscle during filling
B3-Adrenergic agonist- mirabegron (Mybetriq)
adolescent has episodes of binge eating followed by self-induced vomiting and strenuous exercise
Bulimia
A client develops steatorrhea with malabsorption syndrome. How will the nurse document this finding in the client's medical record?
Bulky and foul-smelling
reduce smooth muscle contraction strength reduce burning interstitial cystitis
Calcium channel blockers- diltiazem verapamil
Clear liquid diet
Clear fat-free broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, fruit ices, popsicles
isolation precaution for C-diff
Contact isolation
Diagnostic test Cdiff
ELISA NAAT-recommended
urinary retention and overflow after sustaining a cerebrovascular accident (CVA/brain attack)
Frequent voiding Suprapubic distention
Reduce aspiration during EN feeding by:
HOB 30 to 45 degrees, reducing sedatives, assess placement tolerance q4h bowel function GVR is >250 (risk for aspir)
local application reduce urethral irritation and incr host defense against UTI
Hormone Therapy estrogen cream
Symptom seen first in BPH
Nocturia
Intracommunication
Self talk
SBAR
Situation, Background, Assessment, Recommendation/Request
reduce sensory urgency and burning pain of interstitial cystitis reduce overactive bladder contractions
Tricyclic Antidepressants- amitriptyline imipramine (Tofranil)
Increase urethral resistance
a-Adrenergic Agonist- pseudoephedrine
dysphagia complications
aspiration pneumonia,(silent aspir) dehydration, decreased nutritional status, and weight loss-disability or decr functional status
dysphagia, thickened liquids, pureed diet
clear and full liquid, with addition of scrambled eggs; pureed meats, vegetables, and fruits; mashed potatoes and gravy
When to suspect fecal impaction
continuous oozing liquid from colon seeps around impacted mass
warning signs for dysphagia
cough, drooling, voice change, abnormal movements tongue/ mouth movement, gag, pocketing food, regurgitate
mechanical soft diet
cream soups, ground or finely diced meats, flaked fish, cottage cheese, cheese, rice, potatoes, pancakes, light breads, cooked vegetables, cooked/canned fruits, bananas, soups, peanut butter, scrambled eggs
At risk for fecal impaction
deliberated confused unconscious
BPH obstruction symptoms
difficulty starting stream weak urinary stream frequency of urination
Laxatives
do not use for prolonged use use fiber laxatives first
sign of dehydration infants/young children
dry mouth/ tongue no tears when crying no wet diapers 3 hrs sunken eyes, cheeks, soft spot high fever restlessness irritibility
a nurse would suspect malnutrition when pt is
easily fatigued tachycardia elevated bp dry skin inattentive/irritable constipation/diarrhea...etc (table 45.4 fundamentals book)
full liquid diet
ice cream, cream soups, custards, refined cooked cereals, vegetable juice, pureed vegetables, fruit juice, sherbet, pudding, frozen yogurt
Constipation older adults
incr fiber < 1500ml fluid/day lighter plastic cup-1/2 full-refill frequently exercise with limitations privacy meds that cause constipation-need for substitute? timed toileting, schedule
Constipation
is a symptom not a disease infrequent bowel movements 3 times per week hard dry stool
signs of dehydration in adults
thirst less frequent urination dark colored urine dry skin fatigue dizziness lightheaded
Tx for C-diff
vancomycin Flagyl stop all nonessential antibiotics Fluids/ Nutrition
prevent C-diff
wash hands with soap and water