Answer Happy

CHAPTER TWENE 189 List four specific activities necessary to meet daily needs that may be addressed as self-care deficits. 6. Describe how you would prepare a bed bath for a patient who is able to wash him a. b. 7. List four advantages of a towel bath a. b. C d. A mother brings her 6-month-old baby to a well-baby cline for immunization. Upon examining the Infant, you notice dirt accu. mulated in the skin folds and a scaly scalp Write a sample diagnosis for the intant's luyglene deficit. Develop a nursing care plan for the infant and mother that includes teaching hygiene d. 3. List three benefits of back rub a b. c 9. Describe how the following conditions should be controlled in order to provides comfortable environment for the patient a Ventilation: Describe the activities the nurse would per form in the following scheduled care time periods a. Early morning care: b. Odors b. Morning care: Room temperature: Afternoon care: d. Lighting and noise Hour of sleep care s needed care: 10. You are visiting a patient at home who is- recovering from heart surgery. When you prepare a bed bath for the patient, you notice her skin is dry and flaky. List four interven- tions you could use for this patient to pre- vent injury and irritation, a. b. ve benefits of bathing c. d. Wolters Kluwer Study Guide for Andamentals of Nursing The Art and Science of Person-Centered Nursing Care 9th edit
37 Urinary Elimination ASSESSING YOUR UNDERSTANDING MATCHING EXERCISES March the terms associated with micturition in Part A with their definitions listed in Part B. PARTA a. Micturition b. Frequency c. Urinary retention d. Enuresis e. Autonomic bladder f. Hesitancy g. Stress Incontinence h. Urge incontinence 1. Mixed incontinence J. Overflow incontinence k. Functional incontinence I Total incontinence PART B 6. Occurs when urine is produced nor mally but not appropriately excreted from the bladder 7. The involuntary loss of urine associated with overdistention and overflow of the bladder 8. Continuous and unpredictable loss of urine resulting from surgery, trauma, or physical malformation 9. Voiding by reflex only 10. Occurs when there is an involuntary loss of urine related to an increase in Intra-abdominal pressure during cough- ing, sneezing, laughing, or other physi- cal activities 11. Symptoms of urge and stress inconti- nence are present, although one type may predominate Match the color of urine listed in Part A with the medication that produces that color listed in Part B. Answers may be used more than once. PARTA a. Pale yellow b. Orange, Orange-red, or pink c. Green or green-blue d. Brown or black e. Red PART B 12. Levodopa 13. Diuretics 14. B-complex vitamins 1. A delay or difficulty in initiating voiding 2. The involuntary loss of urine associated with an abrupt and strong desire to vold 3. Urine loss caused by factors outside the lower urinary tract, such as chronic impairments of physical or cognitive functioning 4. The process of emptying the bladder 5. Involuntary urination that occurs after an age when continence should be present
Urethrali 2. Yeteran for 3 days unaydin that could sity and he . Arte 16. Men 12 ans * Injectable from comprende SNORT ANSWER Describe how the following factors affect micution Developmental considerations 5. Liefout expected outcomes that denen mal volding in a patient. Food and Guid: d. 6. Explain how the following factos intuence Pychological variables patient's on parem a. Schedule d. Activity and muscle tone: b. Privacy Pathologic conditions Position: Medications d. Hygiene 2. List three factors that indicate a child is ready for toilet training 7. List three reasons for catheterization a b. b. C 3. Describe special urinary considerations that should be included in the nursing history for the following patients a. Infants and young children: & List two expected outcomes for a patient with a urinary appliance b. b. Older adults: Patients with limited or no bladder control or urinary diversions: APPLYING YOUR KNOWLEDGE CRITICAL THINKING QUESTIONS 1. Deselop a teaching plan to teach a postsurgi- cal patient and his wife how to insert and can for a Foley catheter in a home setting. What factors are likely to influence the success of your teaching plan? 4. Describe how you would examine the follow- ing areas of the urinary system when perform- ing a physical assessment. a. Kidneys: b. Bladder: Popyright 2019 by Wolters Kluwer Study Guide for Fundamentas of Nursing: The Art and Science of Person-Centered Nursing Care, the
PATIENT CARE STUDY Read the few study and your process tower the questions record of your add intake and output days. Note how your intake Intenced relimination. Write down the factors that could affect urine elimination. Are you at msk for urinary problems? If possible perform routine tests on a sample of your wine and record the results REFLECTIVE PRACTICE CULTIVATING OSEN COMPETENCIES Use the following expanded sommarlo from Chapter 37 in your textbook for the questions below Scenario: Midori Morita, age 69, is taking care of her 70-year-old husband at home. She states. "I'd like to talk with my husband's doctor about getting him a urinary catheter. Ever since he came back from the hospital this last time, he seems unable to use the urinal. He dribbles constantly and I can't keep up with the laundry. He had a catheter in the hospital, and I'm going to request that he has one at home." 1. How might the nurse respond to Mrs. Morita's remarks regarding her husband's home care? Ser Esben was admitted to me term care facility when his wife of 62 Ged. He has two children, nether of the feels prepared to care for him the way his wife did. "We don't know how Mom did it yea yeats sons. After he need to his w pract, he was terribly demanding and it just seemed nothing she did for him pleased him. His Parkinson's disease does make it a bit difficult for him to get around but he's able to do a whole lot more than he setting on. He always been this way. The slides have reported to you that Mr. Eisenberg is frequently incontinent of both urine and stool during the day, as well as during the night. He is alert and appears capable of recognizing the need fo void or defecate and signaling for any assistance. His son and daughter report that this was never a problem at home and that he was able to go into the bathroom with assistance. He has been depressed about his admission to the home and seldom speaks even when directly approached. He has refused to participate in any of the floor social events since his arrival. 1. Identify pertinent patient data by placing a single underline beneath the objective data in the case study and a double underline beneath the subjective data 2. Complete the Nursing Process Worksheet on page 250 to develop a three-part diagnostic statement and related plan or care for this patient. 3. Write down the patient and personal nursing strengths you hope to draw on as you assist this patient to better health Patient strengths: 2. What would be a successful outcome for this patient 3. What intellectual, technical, interpersonal, and/or ethical/legal competencies are most likely to bring about the desired outcome? Personal strengths: What resources might be helpful for the Morita family? 4. Pretend that you are performing a nursing assessment of this patient after the plan of care is implemented. Document your findings. © 2019 by Wolters Kluwer Study Guide for fundamentals of Nursing: The Art and Science of Person Centered Nursing Care. 9th edition
5 UNI VE PROMOTING HEALTHY SOLDGICHESPONSES EACTICING FOR NCLEX s. The nate is collecting a can catches men from a patient. Which nursing action LTIPLE CHOICE QUESTIONS performed correctly in this procedure cle the letter that corresponds to the best 2. Clean the area at the meatus with antisep swer for each question tic solution The nurse is assessing a fernale patient who b. Collect the first 10 mL of urine voloed in states that she notices an involuntary loss of the sterile specimen containet. utine following a coughing episode. What c. Poution the container near the meatus, would be the nurse's best reply? and collect at least 10 ml of urine a. "You are experiencing stress Incontinence. d. Continue collecting the urine in the con Do you know how to do Kegel exercises?" tainer until the bladder is empty b. "You are experiencing reflex incontinence. 6. The nurse is choosing a collection device to Have you had a spinal cord injury in the collect urine from a nonambulatory male past? patient? What would be the nurse's best "You are experiencing total incontinence choice? Have you had any surgeries of trauma that a. Specimen hat may be causing this b. Large urine collection bag d. "You are experiencing transient inconti- Bedpan nence. Have you been administered diuret ics or IV fluids lately?" d. Urinal - The nurse measures a patient's residual urine 7. A male patient is being transferred to the by catheterization after the patient volds. hospital from long-term care facility with a What condition would this test verify? diagnosis of deliydration and urinary bladder infection. His skin is also excorated from us a. Urinary tract infection nary incontinence. Which nursing diagnosis b. Urinary retention is most appropriate for this patient? c. Urinary incontinence a. Impaired skin integrity related to functional d. Urinary suppression incontinence 3. What catheter would the nurse use to drain b. Stress urinary incontinence related to a patient's bladder for short periods (5 to urinary tract infection 10 minutes)? Impaired skin integrity related to urinary bladder infection and dehydration a, Foley catheter d. Risk for urinary tract infection related to b. Suprapubic catheter dehydration Indwelling urethral catheter d. Straight catheter 8. A nurse is inserting a catheter into a female urinary bladdet. Which nursing action is The nurse is preparing to catheterize a performed correctly? patient who is incontinent of urine following a. Clean the perineal area with a gauze pad bladder surgery. What fact should the nurse and alcohol using a different comer of the keep in mind when performing gauze with each stroke catheterization? b. Assist the patient to a prone position with a The bladder normally is a sterile cavity. knees flexed feet about 2 ft apart, with legs b. The external opening to the urethra abducted should always be sterilized. c. Using dominant hand, hold the catheter cPathogens introduced into the bladder 12 in from the tip and insert slowly into remain in the bladder. the urethra. A normal bladder is as susceptible to d. Use dominant hand to inflate the catheter infection as an injured one balloon, and inject entire volume of sterile water supplied in prefilled syringe. anto 2019 by Wote Kuwet Shy Glebor fundamental Musing: The Art and Science of Person-Centered Poring Careth edition