test 5 misc.
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Created by:
taemdalton on November 4, 2011
Subjects:
Test 5: P&P Fundamentals of Nursing
Description:
misc.
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34 terms
Terms | Definitions |
|---|---|
 an elevated amount of ketones in the urine can be a sign of __ | ketoacidosis |
| increased CO2= hypo or hyper ventilation? | hypoventilation |
| decreased CO2= hypo or hyperventilation? | hyperventilation |
| increased CO2 = acidosis or alkalosis? | acidotic |
| decreased CO2= acidotic or alkalotic? | alkalotic |
| D 0.45% NS is a __ solution and should be given to patients experiencing __ because water will go from the vein to the __ | hypotonic dehydration cell |
| D 0.9% NS and Ringer's are __ solutions | isotonic |
| D 3% NS is a __ solution and will cause cells to __ | hypertonic solution shrink |
| IV tubing can be used for up to __ but should be replaced after that | 3 days |
| what are some S/S to look for with IV infiltration? | pallor coolness swelling poss pitting edema pain @ insertion site poss decreased in flow rate |
| for a blood transfusion you need at least a __ gauge needle, preferably a __ gauge | 20 18 |
| blood infusion must start __ after the blood reaches the unit, and shouldn't be hung for over __ | 20-30 min 4 hrs |
| aldesterone causes __ and __ __ | sodium and water retention |
| ADH increases __ __, __ urinary output | water reabsoption decreases |
| __ inhibits the releases of ADH, thus __ water loss in urine | alcohol increases |
| for patients doing self-cath, the nurse must instruct the pt to always use __ __, and to increase __ __ | clean technique fluid intake |
| __, __, and __ acidify the urine, helping to prevent UTIs | cranberry juice prunes whole-grain bread |
| the client needs to provide a stool sample for guaiac fecal occult blood testing as part of a __ | routine screening for colon cancer |
| the max amount of fluid for a cleansing enema is __-__ | 750-1000 mL |
| if bleeding occurs during an enema, the nurse should __ the __, assess __ __, and notify __ | stop the enema, assess vital signs. healthcare provider |
| a nurse trained to care for ostomy pts is a __ | wound-ostomy-continence nurse |
| when irrigating a colostomy, the nurse should use a __ to prevent damage/ injury to the stoma | cone-tipped irrigator |
| to prevent client from performing the valsalva's maneuver, the nurse might order a stool softner for clients with what conditions? | glaucoma cardiovascular disease risk for increased intracranial pressure |
| what foods should ostomy patients avoid because they cause gas? | beans, onions, cauliflower |
| what are three sx of impaction? | nausea liquid stool continuous bowel sounds |
| what two foods could give a false reading on a fecal occult blood test? | fish raw veggies |
| if a person has IBS or had recent bowel surgery, once they graduate from clear liquids, do not give them a __ diet | high-fiber |
| if a person has bile problems their stool will be __ colored | light brown/ clay colored |
| __ kill normal GI flora, causing __ | antibiotics diarrhea |
| what are some complications of diarrhea? | -stool passing too quickly to allow for absorption -F & E imbalances -impaired skin integrity -acid-base balances |
| nursing hx for bowel elimination should include: | -usual pattern -stool characteristics -elimination routine -use of artificial aids -bowel diversions -appetite -diet hx -fluid intake -surgical hx -medications -emotional state -activity lvl -pain status -social hx incl cultural considerations |
| EGD | diagnostic endoscopic procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum. |
| colonoscopy | visual examination of the colon (with a colonoscope) from the cecum to the rectum |
| CT abdomen | a painless, noninvasive X-ray procedure that produces an image created by the computer representing a detailed cross section of the tissue structure within the abdomen. |
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