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Exam (elaborations)

NCA test Unit 1 2023 with 100% correct questions and answers

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What is urge? need to void perceived frequently, with short lived ability to sustain control What is reflex? spontaneous loss of urine when the bladder is stretched with urine What is stress? poor closure of bladder What is overflow? poor bladder contraction blockage of the urethra What is total urinary incontinence? loss of urine without any identifying pattern or warning What is functional urinary incontinence? due to medications or health problems making it difficult to reach the restroom. What is the goal of urinary continence? to restore control of urination What is bladder retraining? teaching PT to refrain from urinating until an appropriate time and place What does TIAN stand for? toilet in advance of need [helps with frquency] What is the Crede maneuver? apply firm pressure with the palm of the hand moving forward the synthesis pubis to expel urine. What is electronic stimulation? small electrode that's places in vagina or rectum What is a pessary ring? used to hold up a prolapsed bladder. Elastic or rigid device that's inverted into the vagina What is meant for the use of an external catheter? [cath condom] leave space at the tip to decrease irritation. Sheath maybe applied to tightly, which restricts blood flow. Moisture accumulates the beneath causing skin break down. Freq. leak. What is an intermittent self catheter? urine drainage tube is inserted but not let in place. Also called a [STRAIGHT CATH] What is urinary catherization? introduction of a cath threw the urethra into the bladder for removing urine. What is a foley cath? it is connected to a drainage bag What is a straight cath? invert, drain, and with draw immediately What is a coude cath? curved tip- used on most PT with enlarged probate.[guys] inverted by urologist. What is a supra pubic catheter? inserted into the bladder threw a cut in the abdomen 3 inches below the naval, done under light general anesthetic. Less likely to give infection. Used when there is urethral trauma. Long term cath. What is asepsis? practices that reduce or eliminate infectious agents, their reservoirs, and vehicles for transmission What are standard precautions? measures for reducing the risk of microorganism transmission from both recognized and unrecognized sources of infections What does standard precautions include? Hand hygiene PPE safe injection practices respiratory hygiene/ cough etiquette special lumbar procedures What is medical asepsis? clean technique, frequent hand hygiene, What does PPE do? serves as a barrier What are common practices of medical asepsis? hand hygiene intact skin PPE What are disinfectants? bacterial agents that kill microorganisms but not their spores What are antiseptics? inhibit growth of microorganisms What is the surgical sterile technique? measures that eliminate all microorganisms and spores completely from supplies and equipment before entering the body What are methods of sterilization? chemical and physical (heat) What is lipping? pouring a small amount of liquid from the mouth of the container washing away airborne contaminants What is the inflammatory process? bodys response to injury, lasts 2-5 days What are the purposes of the inflammatory process? 1- Limit local damage 2- Remove injured cells and debris 3- Prepare wound for healing What is the key to wound healing? Adequate blood flow to the injured tissue What is an open wound? one in which the skin/mucous membrane is no longer intact What is a closed wound? No opening to the skin How do you document wounds? Type Secretions Color Approximation Related items Response What are the stages of a wound? Stage 1- Skin intact and reddened Stage 2- Ulcer is red and accompanied by blister Stage 3- Ulcer has shallow skin crater extending into sub q Stage 4- Life threatening, tissue deeply ulcerated, exposed muscle and bone with foul odor. What are some of the acceptable reasons for catheterization? Specimen Pre-op surgeries Retention Prolonged immobilization Bladder obstruction Promote wound healing Critical illness End of life care What is a CAUTI? catheter associated urinary tract infection How can cautis develop? If catheter left in too long Most common cause of nosocomial infection Insertion or reinsertion of catheters Crusting at tube Improper insertion What is the french size for a female, male, and child? female= 14-16 male= 16-18 child= 8-10 What is CBI used for? continuos bladder irrigation What is a 3 way lumen used for? a catheter with a space within the tube and 2 separate ports What are the 3 lumens foley catheter for in a TURP patient? 1- to inflate balloon 2- for fluid draining 3- irrigating solution What are the methods used for heat to destroy spores? radiation or heat boiling water free flowing steam dry heat What is ethylene oxide? traditional method for destroying micro organism, if heat and moisture is likely to damage intense or no better method is available. What is the reason for sterile tech? to prevent the spread of infection What are factors that affect wound healing? Extent of injury blood supply type of tissue injured presence of debree or infection patients health What is the goal of wound care? promote tissue repair and regenerate skin integrity What is the purpose of an undressed wound? for O2 absorption What are the types of dressings? gauze, transparent, hydrocolloid, hydrogel, alginate What are the different types of bandages? figure 8 spiral circular spiral reverse spica What do you check in a wound assessment? wound bed surrounding tissue length width depth drainage related items What is exudate? drainage What is serous fluid? thin, clear, and watery plasma What is sanguineous drainage? bloody drainage What is serosanguineous drainage? Pale, pink, watery; mixture of clear and red fluid What is purulent drainage? thick, opaque, yellow, green, tan, or brown

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