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