Ch 15 Elimination

position of insertion of enema

left sims

insertion of foley catheter for

look at book for men and women

Coude catheter is used for

male patient with history of prostate enlargement

Catheterization of the bladder involves introducing a urinary catheter through the

meatus and urethra and into the urinary bladder

Unlicensed Assistive Personnel (UAP) may generally perform which task

obtain urinary specimen from a catheter

one action that may assist a patient to regain bladder control is to

to kegel exercises

dumping syndrome is caused by

too rapid infusion or highly concentrated infusions

After a Foley catheter has been removed, the practical nurse should assess the patient carefully for

urinary retention

One of the most effective measures to promote peristalisis and passage of flatus is

walking

Expected stool color after a barium enema procedure:

white

Perineal Care and the cleansing of the first 2 inches of the catheter are how often

8 hours

During insertion of a Foley catheter, the patient grimaces as the balloon is inflated. What is the immediate reaction of the nurse?

Advance the catheter into the bladder. Grimacing is a sign of pain indicating that the balloon might be in the urethra instead of the bladder. The catheter should be advanced before inflammation. Continue with procedure (advance the catheter into the bladder) ,Inform patient that the discomfort will subside and assess pain level, document and give something for pain.

What to document related to catheter care

amount, color, odor, and consistency of discharge

what should be a correct about catheter care

cleansing the first 2 in if the catheter with soap and water every shift

in hospitalized patients, flatulence is often caused by

decreased peristalsis, abdominal surgery, some narcotic medications, and decreased physical activity

Difference between a colostomy and an ileostomy:

difference between these two is that ileostomy it drains liquid to semi-liquid stool. Colostomy is solid. The ileostomy is higher in the GI tract and drains semi-liquid stool. The ileostomy is very similar in appearance to the colostomy, may not be permanent, and needs a pouch.

presence of air or gas in the intestinal tract is called

flatus

insertion of GT tube

high fowlers

the surgical creation of an opening in the *distal part of the small intestine to allow the passage of fecal material is called an

ileostomy

The client complains of pain as the nurse is inflating the balloon during insertion of a Foley catheter. The nurse should take which immediate action?

Aspirate the fluid, advance the catheter farther, and reinflate the balloon.

How should the nurse perform Foley catheter care and how should the nurse explain to a patient or caregiver?

Cleansing the first 2 inches of the catheter with soap and water every shift. The first 2 inches of the catheter should be cleaned with soap and water every shift or more often if the patient is incontinent. Alcohol and lotions are contraindicated. Catheter care should be done every shift. Clean inner to outer meatus every 8 hours with soap and water -PERINEAL CARE every 8 hours

Administration of an Enema

Documentation of enema administration should include -the type of enema given -amount of fluid/volume, ---characteristics of the fecal return/results, assessments before, during, and after the procedure, any calls placed to health care provider, and patient's tolerance of the procedure.

The nurse is inserting an indwelling urinary catheter. As the catheter is inserted into the urethra, urine begins to flow into the tubing. What should the nurse do next?

Insert the catheter 2.5 to 5 cm farther, and then inflate the balloon.

a pliable tube that is inserted through the patient's nasopharynx into the stomach

Nasogastric tube

Ileostomy

Patient wears a pouch to collect the semiliquid fecal matter

colostomy

Performed for patients with cancer of the colon, intestinal obstruction, intestinal trauma, or inflammatory diseases of the colon

What measurement should the nurse take for an NG tube insertion?

Tip to the nose to the earlobe to the xiphoid process.

Foley catheters designed with a balloon near the tip is so the balloon can be inflated before or after the insertion

after

The patient is to be catheterized for residual urine. The nurse must perform this catheterization within how many minutes following voiding?

10 minutes

Urethral catheters range in sizes from

14 to 24 Fr

This device is not a catheter but a drainage system connected to the external male genitalia and it is used for the incontinent male to minimize skin irritation from urine

Condom catheter