Nontherapeutic communication
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Giving advice, challenging, defending, disapproving
• Colostomy effluent color and consistency
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o Stool similar to that normally passed through the rectum
Which of the following are true regarding the impact of aging related to urinary
elimination? (Select all that apply.)
A. The elderly are better able to concentrate urine than the middle-aged adult.
B. Aging can affect continence if the patient experiences impaired mobility or
decreased muscle tone.
C. The elderly are less likely to experience urinary frequency than middle-aged adults
because they tend to drink less.
D. The elderly are at increased risk for urinary tract infection because of retained urine
in the bladder.
E. It is part of the normal aging process for elderly patients to become incontinent.
Give this one a try later!
B. Aging can affect continence if the patient experiences impaired mobility
or decreased muscle tone.
D. The elderly are at increased risk for urinary tract infection because of
retained urine in the bladder.
Understand the differences between verbal and non-verbal communication
Give this one a try later!
o Verbal communication includes both spoken and written words.
o Nonverbal communication describes all behaviors that convey messages
without the use of words; includes body movement, physical appearance,
personal space, & touch.
,The patient begins to cough and choke as the nurse is inserting the NG tube. What is
the best action for the nurse to take at this time?
A. Pull the feeding tube out and start over in the opposite naris.
B. Pull the tube back into the posterior nasopharynx and attempt to reinsert.
C. Instruct the patient to take small sips of water and swallow.
D. Auscultate over the carina.
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B. Pull the tube back into the posterior nasopharynx and attempt to
reinsert.
Know how to place a patient on a bedpan (2 types)
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• Regular and Fracture PG 844 fig 34-2
• Regular:
o Upper end fits under the patients butt
o Lower end fits under the upper thighs toward the foot of the bed
• Fracture:
o Designed for patients with body or leg casts, or those who are restricted
from raising their hips.
o Upper end goes under butt
o The lower open end toward the foot of the bed
Identify signs and symptoms of accidental respiratory migration of a feeding tube.
(Select all that apply.)
A. Coughing.
B. Choking.
C. Decreased pulse oximetry.
, D. Sore throat.
E. Distention.
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A. Coughing.
B. Choking.
C. Decreased pulse oximetry.
Aspiration precautions
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• Check for unconsciousness or drowsiness
• Asses patient ability to sit upright for a reasonable length of time
• Asses end of life
• Asses oropharyngeal problem that will require surgical intervention
The nurse is going to administer an intermittent tube feeding. Because the patient's
feeding tube has been in place for 3 days, which action is best for the nurse to take at
this time?
A. Obtain an order for x-ray film verification of tube location.
B. Auscultate over the gastric area while instilling 30 mL of air into the feeding tube.
C. Aspirate gastric contents and test on a pH strip.
D. Verify the indelible ink mark on the tube is at the nares.
Give this one a try later!
C. Aspirate gastric contents and test on a pH strip.
Give this one a try later!
Giving advice, challenging, defending, disapproving
• Colostomy effluent color and consistency
,Give this one a try later!
o Stool similar to that normally passed through the rectum
Which of the following are true regarding the impact of aging related to urinary
elimination? (Select all that apply.)
A. The elderly are better able to concentrate urine than the middle-aged adult.
B. Aging can affect continence if the patient experiences impaired mobility or
decreased muscle tone.
C. The elderly are less likely to experience urinary frequency than middle-aged adults
because they tend to drink less.
D. The elderly are at increased risk for urinary tract infection because of retained urine
in the bladder.
E. It is part of the normal aging process for elderly patients to become incontinent.
Give this one a try later!
B. Aging can affect continence if the patient experiences impaired mobility
or decreased muscle tone.
D. The elderly are at increased risk for urinary tract infection because of
retained urine in the bladder.
Understand the differences between verbal and non-verbal communication
Give this one a try later!
o Verbal communication includes both spoken and written words.
o Nonverbal communication describes all behaviors that convey messages
without the use of words; includes body movement, physical appearance,
personal space, & touch.
,The patient begins to cough and choke as the nurse is inserting the NG tube. What is
the best action for the nurse to take at this time?
A. Pull the feeding tube out and start over in the opposite naris.
B. Pull the tube back into the posterior nasopharynx and attempt to reinsert.
C. Instruct the patient to take small sips of water and swallow.
D. Auscultate over the carina.
Give this one a try later!
B. Pull the tube back into the posterior nasopharynx and attempt to
reinsert.
Know how to place a patient on a bedpan (2 types)
Give this one a try later!
• Regular and Fracture PG 844 fig 34-2
• Regular:
o Upper end fits under the patients butt
o Lower end fits under the upper thighs toward the foot of the bed
• Fracture:
o Designed for patients with body or leg casts, or those who are restricted
from raising their hips.
o Upper end goes under butt
o The lower open end toward the foot of the bed
Identify signs and symptoms of accidental respiratory migration of a feeding tube.
(Select all that apply.)
A. Coughing.
B. Choking.
C. Decreased pulse oximetry.
, D. Sore throat.
E. Distention.
Give this one a try later!
A. Coughing.
B. Choking.
C. Decreased pulse oximetry.
Aspiration precautions
Give this one a try later!
• Check for unconsciousness or drowsiness
• Asses patient ability to sit upright for a reasonable length of time
• Asses end of life
• Asses oropharyngeal problem that will require surgical intervention
The nurse is going to administer an intermittent tube feeding. Because the patient's
feeding tube has been in place for 3 days, which action is best for the nurse to take at
this time?
A. Obtain an order for x-ray film verification of tube location.
B. Auscultate over the gastric area while instilling 30 mL of air into the feeding tube.
C. Aspirate gastric contents and test on a pH strip.
D. Verify the indelible ink mark on the tube is at the nares.
Give this one a try later!
C. Aspirate gastric contents and test on a pH strip.
