Milestone 2 Version B Questions and Answers (SCORED A)

Milestone 2 Version B Questions and Answers (SCORED A)Milestone 2 Version B Questions and Answers (SCORED A)Milestone 2 Version B Questions and Answers (SCORED A) Continuous bladder irrigation - ANSWER--Peri and Foley care will need to be done twice a day - Will be on this for 24 hrs and then after 24hrs need to be on a lot of fluids -Use only sterile saline with bladder irrigation ( prevents fluid and electrolyte imbalance) - Increase fluids to 3000mL/day - Sometimes give anti-spasmatic bc they have lots of bladder spasms - Make sure pt is on stool softener -Pt needs to urinate q2-3hr -Will have sensation of full bladder -Advise the patient to not attempt to void as it will cause bladder spasms urethritis - ANSWER-- Urethritis: Inflammation of the urethra (Lower UTI) - S&S: Burning on urination, urinary frequency (voiding more than every 3 hours), urgency, nocturia, incontinence, suprapubic or pelvic pain - RISK: Female, diabetes, pregnancy, neurologic disorder, gout, incomplete emptying of bladder - Prevention: Hand hygiene, careful perineal care, and frequent toileting may decrease UTIs TX: Antibiotics when bacteriuria present, monitor kidney function, monitor I&O, increase fluid intake if cardiac status does not contraindicate Renal calculi risk - ANSWER-Risk factors: - Family history, dehydration, certain diets (high in protein, sodium, and sugar increase risk), strictures, neoplasms, prostatic hypertrophy, medications/supplements (Vit C, laxatives, calcium-based antacids) Risks (emergency): - Can lead to infection with fever and chills à this is an emergency and can be life-threatening - Calcium and oxalate -Risk for developing kidney stone pt with gout (middle age) -Strain all urine -Avoid supine position -regularly scheduled pain medication rather then PRN to prevent spasm and promote comfort Calculi pain - ANSWER-- Opioid are given to prevent shock and syncope that may result from the excruciating pain - NSAIDS - Once stone is passed the pain the relieved - Hot baths or moist heat to the flank area may also be helpful - S&S nausea, vomiting, diarrhea, and abdominal distention