Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
|
encourage
normal bowel movement |
warm beverage at breakfast
|
|
|
constipation
|
hard dry stool
difficulty 3 days |
|
|
need for instruction
on prevention of constipation |
i never am constipated
i take a gentle laxative every night |
|
|
diet
low in dietary fiber results in a small stool that: |
becomes excessively dry
|
|
|
especially observant
indication of constipation pt taking ? |
iron supplements for anemia
|
|
|
nurese explains that the urge
to defecate (defecation reflex) can be destroyed |
repeatedly ignoring the urge
|
|
|
nurse recognizes
focused bowel assessment 80 resident complains of? |
feeling pressure and fullness in the rectum, but is unable to defecate
|
|
|
special caution
rectal digital exam on a patient with? |
congestive heart failure
|
|
|
to assist an 85 yr old adult with weak abdominal muscles to defecate, the nurse would
|
place a footstool under the feet of the patient when seated on the toilet
|
|
|
food with double action of providing fiber and laxative
|
prunes
|
|
|
pt take psyllium (metamucil)
|
increase his fluid intake to
3000 ml a day |
|
|
exhibiting signs of diarrhea and will need enhanced skin care precautions as the patient who has
|
no abdominal discomfort,
but has had three unformed stools in 8 hours |
|
|
nurse plans to reduce episodes of bowel incontinence by a proactive program of
|
establishing a toileting schedule
|
|
|
pt complains of feeling the need to urinate and fullness and tenderness in the bladder area. patient is restless and diaphoretic
|
palpate the bladder fundus
|
|
|
cardinal sign of stress incontinence when the pt says?
|
lifting my grandchild makes me wet my pants
|
|
|
kegal exercises to reduce
incontinence by |
strengthening the urinary sphincter
|
|
|
normal bowel stimulation patterns for elimination of each person are influenced by
|
level of activity
diet fluid intake lifestyle |
|
|
age related changes that promote constipation in the older adutlt, which include __
|
diminished abdominal muscle tone
reduced activity level inadequate fluid intake dependence on laxatives |
|
|
nurse encourages fluid intake for the older adult to prevent constipation because if fluid intake is inadequate, constipation occurs because?
|
fluid will be withdrawn from the stool
stool becomes hard and dry less mucus is formed in colon |
|
|
nurse assesses a risk for constipation related to pain because of the presence of conditions such as
|
hemorrhoids
anal fissures reduction of bowel mucus |
|
|
nurse is alerted to the possiblity of a fecal impaction when the older adult patient complains of
|
cramping
rectal pain abdominal distention anorexia passing small amts of liquid stool |
|
|
skin care for an older adult with diarrhea should include
|
perineal care, apply barrier cream
maintenance of dry linens patting the nal area dry leaving excoriated areas open to dry |
|
|
nurse is aware that the braod general causes of bowel incontinence are
|
inability to recognize defecation, inability to respond
inflammatory bowel disease, weak rectal muscles unexpected defecation when passing gas |
|
|
bladder has ___ ml of urine
|
300 ml
|
|
|
urge to defecate
defecation reflex and the __ |
gastrocolic reflex
|
|
|
senile purpura
|
fragility of capillary walls
|
|
|
documentation on upper thigh
|
erythematous scaly patch 2x2 on lateral aspect of right thigh, pt denies pain
|
|
|
gray hair
|
reduced melanocytes
|
|
|
toenails
brittle thick nail with longitudianal lines |
pedal pulses
|
|
|
intense itching
axillae and antecubital fossa small red lesions in linear patterns |
scabies
|
|
|
prevent shearing force
|
be lifted on draw sheets when being pulled up in bed
|
|
|
prevent pressure ulcers
|
change the patients position every 2 hours
|
|
|
score of 20 on both
norton scale braden scale |
low risk of developing a pressure ulcer
|
|
|
toenails
dark, thick brttle extremely mishapen |
fungal infection of the nails
|
|
|
reduce pruritus from dry skin
bathng schedule |
one shower a week
sponge baths in between |
|
|
reduce pressure ulcers
bedridden patient |
in a lateral position
body rotated 30 degrees gluteus bearing the weight |
|
|
gingivitis will cause
|
tooth loss
|
|
|
pt hasnt wore dentures in months, why dont they fit?
|
jaw shape has altered
|
|
|
complains of dry mouth
|
difficulty in chewing and swallowing
|
|
|
hard white patch developed on tongue
|
request medical consultation
for eval of precancerous lesion |
|
|
thrush
|
long term antibiotic therapy has destroyed the normal flora of his mouth
|
|
|
purpose of a hydrocolloid dressing
|
debride, prevent shear force
absorb exudate, prevent infection make an air occlusive seal |
|
|
adults are at risk for pressure ulcers
|
subcutaneous fat has diminished
skin receptor cells have reduced in sensitivity |
|
|
common symptom of pruritus in the older adult is the result of
|
reduction of sebaceous glands, reduce perspiration
excessive bathing, use of detergent soaps environmental conditions |
|
|
pressure ulcers on an older man who is laying on right side
|
right ear
lateral edge of right foot medial edge of left foot |
|
|
skin breakdown on dark complexted african american
|
halogen lights
palpate for edema touch for temp |
|
|
foot care must be referred to the podiatrist
|
85 yr old diabetic/100lb overweight
80yr old phlebitis/stasis ulcer on the left ankle |
|
|
xerostomia (dry mouth) may be caused by
|
reduction in saliva
inadequate fluid intake use of diuretic medications |
|
|
s/s of vincents angina
|
advanced state of malnutrition
enlargement of the cervical lymph nodes dysphagia |
|
|
painless area
partial skin loss |
stage 2 ulcer
|
