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week 9 & 10 quiz- health assessment 1 Questions and Revised Answers 2023/2024 Version.
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week 9 & 10 quiz- health assessment 1 Questions and Revised Answers 2023/2024 Version.
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week 9 & 10 quiz- health assessment 1 cleaning, hypertonic enema Drawing fluid out of interstitial spaces into the colon, which then fills w/ fluids & distends ( Fleets) cleansing, isotonic enema Expanding the colon = peristalsis Oil retention Lubricates. Feces absorb the oil = softer & easier to pass. Medication enema Antibiotic treat infections (worms, parasites); (retention enema) carminative enema Simulating peristalsis = passage of flatus Soapsuds enema (SSE) Castile soap to tap water Enema unexpected outcomes severe abdominal bleeding, cramping, or sudden abd pain develops and is unrelieved by temporarily stopping or slowing flow of solution what to do if there are unexpected outcomes? enema stop enema, notify health care provider , obtain vital signs pt unable to hold enema solution during installation slow rate of infusion enema delegation enema may be delegated to UAP in some agencies. note: medicated enemas must be administered by nurse Fine or small bore NG tube med administration and enteral feedings Large-bore (12-French and above) gastric decompression or removal of gastric secretions nasogastric insertion: contraindications assess for hx. of skull fx, nasal problems, nosebleeds, facial trauma, deviated septum, anticoagulant therapy , coagulopathy nasogastric tube: pre-assessment nostrils, mental status, cough & gag reflex, ability to swallow , abd, spo2, VS nasogastric tube position high fowlers nasogastric tube delegation ng tube placement and maintenance may not be delegated to UAP ng tube uap responsibilities -measure and record drainage from ng tube -provide oral and nasal hygiene measures -perform selected comfort measures such as positioning or of fering ice chips if allowed -anchor tube to pts gown during routine care to prevent accidental displacement -immediately report any signs or pt complaints of burning, redness, or irritation to nares Pt complains of nausea, or pt's abd is distended & painful. -Assess patency of tube -Verify placement, irrigate tube -Verify that suction is on as ordered -Notify health care provider if distention is unrelieved Pt develops irritation or erosion of skin around naris. -Provide frequent skin care to area, keeping it dry -Try alternative tape or use of skin barrierThe benefits of buying summaries with Stuvia:
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