Hondros NUR 195 Exam 2 Questions with correct answers

hemicolectomy - Answer-Type of surgery done to remove part of your large intestine Hemicolectomy Recovery - Answer-Dr. will follow up, ask how much pain pt feels, how well they can keep food down. Before going home pt must pass gas, and solid waste Hemicolectomy post surgery diet - Answer-Applesauce, banannas, cheese, fiber rich foods or supplements, oatmeal, cream of wheat, pasta, potatoes, yogurt, sweet potatoes, mild teas More Hemicolectomy post op care and diet - Answer-Drink more water or drinks w/electrolytes, monitor for hemorrhage, infection, bowel sounds and degree of abdominal distention Hemicolectomy post op care continues - Answer-Assess color, amount, odor of drainage Note any changes or the presence of clots or bright red bleeding. Initial drainage may be bright red, but and then become dark and finally clear or greenish yellow overt the first 2-3 days. Hemicolectomy Complication - Answer-Change in the color, amount or odor of the drainage may indicate a complication such as hemorrhage, intestinal obstruction, or infection Care Coordination - Answer-Set of activities purposefully organized by a team of personnel that includes the patient to facilitate the appropriate delivery of the necessary services and information to support optimal health and care across settings over time Who needs care coordination the most? - Answer-Elderly, very young, and people w/multiple and complex chronic health conditions PACE - Answer-Stands for Program for All inclusive Care for the Elderly. Provider based, and integrates both acute and long term health care and social services.( This is the best integrated model for care coordination) Urolithiasis Prevention - Answer-Reduce salt, stay hydrated, eat less animal protein, eat fewer oxlaterich foods like spinach, coffee, soy products, peanuts, sweet potatoesUrolithiasis - Answer-Formation of urine calculi, can develop in any area of the urinary tract (kidney stones) Occurs when minerals precipitate out of solution, forming stones that vary in size Risk Factor for Urolithiasis - Answer-Immobility, obesity, family history, male gender, hyperparathyroidsm, recurrent UTI's Objective Data for Urolithiasis - Answer-Hematuria and Vomiting Diagnostic Test for Urolithiasis - Answer-KUB, IVP, Xray, Ultrasound, cytoscopy, urinalysis, 24hr urine Meds and Treatment Options for Urolithiasis - Answer-Antiinfective agents, surgery, stone manipulation, extra corporeal shock wave lithotripsy. Urine must be strained daily Nursing Interventions for Urolithiasis - Answer-Physical Activity, hydration, may require opioid meds for pain, all urine strained and any stones or gravel noted needs to be sent to lab for analysis, assess urine for hematuria, monitor BUN and creatine, fluid intake of 2000ml in 24 hours(unless contraindicated), avoid calcium Renal Colic - Answer-May occur as the patient passes the stone fragments FEMA - Answer-Stands for Failure Mode Effective Analysis-designed to prevent the occurence of errors or system failures Leapfrog Group - Answer-Employer base coalition, to identify and propose solutions to reduce medical errors through the adoption of specific best practices Leapfrog requires hospitals to apologize in the event of "never events" and also... - Answer-Report the event Conduct root cause analysis waive cost related to event male organizations policy available to patients and payers Near miss event - Answer-An error that could have caused harm to a patient, but did not, as a result of chance, prevention, or some intervention that mitigated the patient. The majority of adverse events are near miss events. (use FEMA to analyze cause)adverse event - Answer-An error that results in moderate to severe harm to a patient. One of the most common adverse events involved medication administration. (use FEMA to analyze cause)