Exam (elaborations)
Milestone 2 retake info(144 questions and answers)
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Milestone 2 retake info(144 questions and answers)
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Milestone 2 retake info(144questions and answers)
continuous bladder irrigation
3 way lumen
-inflating the balloon w 30ml
-instillation
-outflow
continuous irrigation may be used w/ what?
TURP
The amount of fluid recovered in the drainage bag
must equal...
amount of fluid instilled
(secondary hemorrhage may occur from over-
distention)
what should an RN do if pt c/o pain w/ continuous
irrigation?
exam tubing.
irrigate drainage system w/ fluid (50ml)
if indicated: clear obstruction
continuous bladder irrigation or bladder wash out
is performed to help prevent...
Urinary obstruction
-by flushing out small blood clots that may form
after prostate or bladder surgery such as
TURP or TURB
,what does instillation of hypertonic or hypotonic
solution into a body cavity cause?
shift in cellular fluid
why do we only use sterile saline for bladder
irrigation after TURP?
irrigation must be isotonic to prevent fluid and
electrolyte imbalance
why do we test for STI when a pt comes in w/ UTI
sx?
sx overlap each other
risks of renal calculi.
infection
urinary statsis
periods of immobility
polysistic kidney disease
horseshoe kidneys
chronic strictures
IBD
pt w/ an ileostomy
antacid use
vit D
high aspirin doses
laxatives
immobile patients are prone to..
formation of urinary calculi
venous thrombosis
what is given to patients experiencing calculi pain
to prevent shock from pain?
, opioids analgesics
NSAIDS for pain also
whats the contraindications of imitrex?
hx of hypersensitivity to this rx
existing cerebrovascular or peripheral vascular
syndromes
what should the nurse ask the pt to distinguish the
origin of the seizure?
if pt experiences aura prior
tonic clonic seizure
tight and tense w/ convulsions, contractions,
clicking
whats absent seizures?
spaced out pt
phases of a tonic clonic seizure?
LOC
pt falls
body stiff for 10-20 seconds
extremities jerk for 30-40 seconds
pt feels tired and sleepy
triggers of seizures
5 S's
Stress
Sleep deprived
Strobe lights
Stimulations( environmental, put or in dark quiet
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