MB16 136-149
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| 136 A) Describe the 3 step process of urine formation: | show 🗑
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| show | •kidneys remove wastes
•filter into the Bowmen’s capsule.
•Some fluid excreted as urine, most reabsorbed back to plasma.
•Urine output must be at least 30ml/hour
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| 137) Discuss factors that affect urinary elimination: | show 🗑
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| show | •History: usual pattern/ alterations
•Bladder distension
•I & O (Intake & Output)
• UA (urinalysis)
• Culture and sensitivity
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| show | • strict, use Pilgrim’s Hat to measure cc. • • not strict, note that the patient urinated (x3) or however much they went.
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| show | •Position
•Privacy
•Fluid intake
•Stimulation of reflexes
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| 141) Identify the basic structures and functions of the G.I. system: 23-26 feet long. | show 🗑
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| 142) Discuss factors that affect bowel elimination; | show 🗑
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| show | •Personal habits, Position
•Pain, Pregnancy
•Surgery/anesthesia- stops peristaltic waves
•Manipulation during surgery
•Medications- narcotics slow the GI tract (slowed peristalsis), laxatives
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| 143) Describe normal bowel elimination: | show 🗑
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| show | •Constipation- Valsalva maneuver can be a danger
•Impaction- confused and debilitated patients are at risk. Loose stool can be a sign (with no recent formed stool) distension. Loss of appetite, N/V
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| show | •Diarrhea- electrolyte imbalance
•Incontinence
•Flatulence, Hemorrhoids
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| 145 ?s to assess bowel elimination problems | show 🗑
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| show | See Lynn book for exam tips and lovely pics
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| show | 1.Bowel incontinence 2.Colonic constipation 3.Impaired skin integrity 4.Excess fluid loss
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| 148. Nursing interventions that promote normal bowel elimination | show 🗑
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| 149. Care for patients experiencing BM problems | show 🗑
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