Nurs 208 8

Front 1

What is the most common use for an enema?

Back 1

relieve constipation

Front 2

What type of enema promotes complete evacuation of feces from the colon by stimulating peristalsis through the infusion of a large volume of solution or through local irritation of the colon's mucosa

Back 2

cleansing enema

Front 3

What type of enema is hypotonic and exerts a lower osmotic pressure than the fluid in interstitial spaces?

Back 3

tap water enema

Front 4

What type of enema is the safest?

Back 4

normal saline enema

Front 5

What type of enema exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel?

Back 5

normal saline enema

Front 6

What type of enema is a solution infused into the bowel to exert osmotic pressure that pulls fluid out of interstitial spaces?

Back 6

hypertonic solution

Front 7

What type of enema irritates the intestines to stimulate persistalsis?

Back 7

soapsud enema

Front 8

What type of enema lubricates the rectum and colon, and allows the feces to become softer and easier to pass?

Back 8

oil retention enema

Front 9

What type of enema provides relief from gaseous distention?

Back 9

carminative enema

Front 10

If a client has an impaction, an enema fails, and all other methods have failed, what should you do as a LAST RESORT?

Back 10

digital removal of the stool

Front 11

What is a WOCN?

Back 11

Wound Ostomy Continence Nurse; a nurse specifically educated to care for ostomy clients

Front 12

Do you need a doctor's order for digital removal of the stool?

Back 12

yes

Front 13

During the first few weeks after ostomy surgery, what type of diet should the client be on?

Back 13

low-fiber diet

Front 14

What is a pliable hollow tube that you insert through the client's nose into the stomach?

Back 14

nasogastric tube (NG)

Front 15

What 9 types of food are included in a low-fiber diet?

Back 15

1) bread 2) noodles 3) rice 4) cream cheese 5) eggs 6) strained fruit juices 7) lean meats 8) fish 9) poultry

Front 16

What are the 5 high-fiber foods that cause problems (blockages) for clients with ostomies?

Back 16

1) stringy meats 2) mushrooms 3) popcorn 4) fruits 5) some seafood

Front 17

Why would clients with ostomies not want to eat broccoli, cauliflower, dried beans, or brussel sprouts?

Back 17

they cause gas and odor

Front 18

What are the two types of NG tubes?

Back 18

1) fine or small-bore tubes 2) large-bore tubes

Front 19

What is the primary goal for a client with hemorroids?

Back 19

to have soft-formed, painless bowel movements

Front 20

What is hyperesthesia?

Back 20

When a client is overly sensitive to tactile stimuli

Front 21

What are large-bore NG tubes used for?

Back 21

gastric decompression and removal of gastric secretions

Front 22

How should you handle a client with aphasia?

Back 22

listen and wait for client, don't shout, sit/stand at same level, use simple, short questions and facial gestures to give additional clues, avoid childish phrases, rephrase if needed, speak slowly in normal tone as usual.

Front 23

What are small-bore NG tubes used for?

Back 23

medication administration and enteral feedings

Front 24

How should you handle a client with an artificial airway?

Back 24

Use pictures, objects, or word cards, offer a pad and pencil, speak with hands, your face and eyes, provide an artificial voice box (vibrator-yes, a vibrator), give enough time for client to write messages.

Front 25

How should you handle a client with a hearing impairment?

Back 25

Get the client's attention, don't startle, avoid speaking while walking away, don't eat or chew while talking.

Front 26

Jason has been on contact isolation for 4 days because of a GI infection. He has had few visitors and has had few opportunities to leave his room. His ambulation is also still limited. What are some ways you can reduce sensory deprivation?

Back 26

assisting Jason to a chair or bringing a flower into the room, sitting down, speaking, touching, and listening to Jason's feelings and perceptions

Front 27

Does nasogastric tube insertion require sterile or clean technique?

Back 27

clean

Front 28

The home care nurse is providing instructions to a nursing assistant regarding care of an older client with visual loss. The nurse is considering normal age-related visual changes by telling the nurse assistant that clients with visual loss often do what?

Back 28

Use colored tape to distinguish settings on electrical appliances and to highlight the edge of stairs.

Front 29

Ms. Smith is a 71 y/o client with bilateral hearing loss but only wears a hearing aid in her left ear. What is the best way to facilitate communication?

Back 29

face the client when speaking; speak slower and in a normal volume

Front 30

If a client has a NG tube, how often should you provide mouth care?

Back 30

Every 2 hours

Front 31

The nurse is caring for an older client with glaucoma. While developing a discharge plan, how will you enable the client to function safely with existing deficits and continue a normal lifestyle?

Back 31

Work closely with the client to identify ways to modify his or her home environment, and as appropriate, refer to community-based resources.

Front 32

Rachel is 75 y/o and has returned to the nursing home following surgical removal of bilateral cataracts. She reports feeling a little uncertain about walking by herself. How would you assist with ambulation?

Back 32

Have the client grasp your arm just above the elbow, and walk at a comfortable pace, warning the client when you approach obstacles

Front 33

If a client with a NG tube complains of a sore throat, what can you do?

Back 33

give them an ice bag to apply externally to the throat

Front 34

Because hearing impairment is one of the most common disabilities among children, a nursing intervention is to teach parents , schoolteachers, and children to:

Back 34

take precautions when involved in activities associated with high intensity noises.

Front 35

To help prevent distention from a NG tube, what should you do?

Back 35

turn the client regularly (it collapses the channels of gastric secretions and promotes emptying of the stomach)

Front 36

"I have right-seded partial paralysis and reduced sensation, so I should dress the left side of my body first." -This indicates that the teaching of the nurse discharging the client was: effective or ineffective?

Back 36

ineffective

Front 37

If the client is shouting but consistently smiles and nods in agreement when the nurse talks what is the most probable diagnosis for this patient?

Back 37

Hearing deficit

Front 38

What is the stool discharged from an ostomy called?

Back 38

effluent

Front 39

"What have you tried to correct the visual difficulty" is an example of an assessment question targeted to assess what?

Back 39

Visual loss

Front 40

What are some recommendations to give a client who is suffering from isolation and loneliness? (deprivation)

Back 40

Provide info about social groups in the area or recommend them to move closer to family and friends.

Front 41

To regulate colon emptying of an ostomy, what can you or the client do?

Back 41

irrigate the colostomy (ONLY colostomies can be irrigated)