NUR 155 2 EXAM Questions and Verified Answers
,Sodium normal range
135-145 mEq/L
What is BMI?
Body Mass Index; a measure of body weight relative to height
BMI normal range
18.5-24.9
how to prevent food borne illness
hygienic handling of food & dishes
cook food thoroughly
defrost foods in refrigerator
factors effecting normal elimination
psychosocial: privacy, positioning, sufficient time
fluid/intake: increase intake=increase output
medications: may cause retention, diuretics increase output
muscle tone: good strength increase emptying appropriately
pathologic conditions: renal failure, kidney stones
surgical: swelling post procedure
,Altered urine production/elimination
polyuria, oliguria, anuria, nocturia, enuresis, incontinence
polyuria (diuresis)
excessive production of urine
oliguria
Decreased urine output <500 mL / day
anuria
absence of urine production
Frequency
voiding at frequent intervals >4 to 6 x/ day
nocturia
excessive urination at night >2x/night
urgency
feeling the need to urinate immediately, even if there isn't much urine
, enuresis
involuntary urination in children starting around 4-5 / bed wetting
incontinence
inability to control bladder and/or bowels/ symptom not disease
nursing process of urinary elimination:
assess: collect data, obtain urines sample
diagnose: give NANDA Dx for specific urinary issue
plan: goal specific to diagnosis
implement: how will you help pt meet goal
evaluate: were the goals met? yes, discharge. No, change strategy.
assessment of urinary system
history: baseline, COCA
Physical: Genitourinary system, hydration status, examine urine
relate data to results of diagnostic tests
Hypovolemia
Fluid volume deficit (FVD)
Hypovolemia S/S
confusion
dark/low urine output
dry mucous membranes(mouth, nose,eyes)
poor skin turgor
thirst
changes in awareness/mental state
ortho static hypotension