Milestone 2 retake
Study online at https://quizlet.com/_bfg26y
1. Continuous bladder irrigation: A three-way (lumen) irrigation is used to de-
crease bleeding and to keep the bladder free from clots—one lumen is for inflating
the balloon (30 mL); one lumen is for instillation (inflow); one lumen is for outflow.
Continuous irrigation may be used with TURP.
The amount of fluid recovered in the drainage bag must equal the amount of fluid
instilled -- secondary hemorrhage may occur from overdistension
2. Urethritis: Common in postmenopausal women
Low estrogen levels decrease moisture and secretions in the perineal area, predis-
posing it to the development of infection
Testing: STI, multiple dipstick, leukocyte esterase, nitrite testing, x-ray, CT, ultra-
sonography, kidney scans
3. Renal Calculi Risk Factors: 1. Kidney diseases: Polycystic kidney disease,
horseshoe kidneys, chronic strictures, and medullary sponge disease
2. IBD, ileostomy, bowel resection
3. Medications: Antacids, acetazolamide (Diamox), vitamin D, laxatives, and high
doses of aspirin
4. Calculi pain: Requires immediate attention
IV or IM opioids
IV NSAIDs
If pain increases, notify HCP
5. Imitrex contraindications: Ischemic heart disease
St. John's wort
6. Seizures: Assessment
· History, factors/precipitating events, alcohol, aura
Planning and Goals
· Prevention of injury, control seizures, psychosocial adjustment, understanding,
absence of complications
Nursing Interventions
· Prevent injury, seizure precautions
Reducing Fear of Seizures
· Adhere to prescribed treatment, take on a regular basis, monitor for drug resistance
Precipitating factors:
, Milestone 2 retake
Study online at https://quizlet.com/_bfg26y
· Emotional disturbances, new environmental stressors, onset of menstruation, fever,
change in lifestyle routine, bright flickering lights, stress, alcohol
Monitoring and Managing Potential Complications
· Status epilepticus
· Toxicity of meds
7. Hyperthyroidism signs/symptoms: Ophthalmopathy - exophthalmos (abnor-
mal protrusion of one or both eyeballs), (not always reversible)
Nervousness: Hyperexcitable, irritable, apprehensive, · cannot sit quietly, fine hand
tremor
Cardiac: palpitations, rapid pulse, A-fib (new onset in adults), fatigability, weakness
Skin: tolerate heat poorly, perspire, flushed skin, dry skin, diffuse pruritus
GI: · amenorrhea, changes in bowel function, increased appetite, weight loss
8. Exophthalmos-POC: Assessment:
- Vision changes, trauma, visual acuity
Treatments:
- Antibiotic eyedrops if infection is the underlying cause
- Antithyroid therapy (propylthiouracil, methimazole), if Graves' disease is the under-
lying cause
- Corticosteroids for optic neuropathy
- Eye lubricants (artificial tears)
- Surgery if vision is threatened
General:
- Cold/warm compresses (trauma)
- Eye protection (sunglasses)
Testing:
- CT, MRI, ultrasonography
9. Sensory perception peripheral neuropathy: The heels are particularly suscep-
tible to breakdown because of loss of sensation of pain and pressure associated
with sensory neuropathy.
The skin is assessed for dryness, cracks, breakdown, and redness, especially at
Study online at https://quizlet.com/_bfg26y
1. Continuous bladder irrigation: A three-way (lumen) irrigation is used to de-
crease bleeding and to keep the bladder free from clots—one lumen is for inflating
the balloon (30 mL); one lumen is for instillation (inflow); one lumen is for outflow.
Continuous irrigation may be used with TURP.
The amount of fluid recovered in the drainage bag must equal the amount of fluid
instilled -- secondary hemorrhage may occur from overdistension
2. Urethritis: Common in postmenopausal women
Low estrogen levels decrease moisture and secretions in the perineal area, predis-
posing it to the development of infection
Testing: STI, multiple dipstick, leukocyte esterase, nitrite testing, x-ray, CT, ultra-
sonography, kidney scans
3. Renal Calculi Risk Factors: 1. Kidney diseases: Polycystic kidney disease,
horseshoe kidneys, chronic strictures, and medullary sponge disease
2. IBD, ileostomy, bowel resection
3. Medications: Antacids, acetazolamide (Diamox), vitamin D, laxatives, and high
doses of aspirin
4. Calculi pain: Requires immediate attention
IV or IM opioids
IV NSAIDs
If pain increases, notify HCP
5. Imitrex contraindications: Ischemic heart disease
St. John's wort
6. Seizures: Assessment
· History, factors/precipitating events, alcohol, aura
Planning and Goals
· Prevention of injury, control seizures, psychosocial adjustment, understanding,
absence of complications
Nursing Interventions
· Prevent injury, seizure precautions
Reducing Fear of Seizures
· Adhere to prescribed treatment, take on a regular basis, monitor for drug resistance
Precipitating factors:
, Milestone 2 retake
Study online at https://quizlet.com/_bfg26y
· Emotional disturbances, new environmental stressors, onset of menstruation, fever,
change in lifestyle routine, bright flickering lights, stress, alcohol
Monitoring and Managing Potential Complications
· Status epilepticus
· Toxicity of meds
7. Hyperthyroidism signs/symptoms: Ophthalmopathy - exophthalmos (abnor-
mal protrusion of one or both eyeballs), (not always reversible)
Nervousness: Hyperexcitable, irritable, apprehensive, · cannot sit quietly, fine hand
tremor
Cardiac: palpitations, rapid pulse, A-fib (new onset in adults), fatigability, weakness
Skin: tolerate heat poorly, perspire, flushed skin, dry skin, diffuse pruritus
GI: · amenorrhea, changes in bowel function, increased appetite, weight loss
8. Exophthalmos-POC: Assessment:
- Vision changes, trauma, visual acuity
Treatments:
- Antibiotic eyedrops if infection is the underlying cause
- Antithyroid therapy (propylthiouracil, methimazole), if Graves' disease is the under-
lying cause
- Corticosteroids for optic neuropathy
- Eye lubricants (artificial tears)
- Surgery if vision is threatened
General:
- Cold/warm compresses (trauma)
- Eye protection (sunglasses)
Testing:
- CT, MRI, ultrasonography
9. Sensory perception peripheral neuropathy: The heels are particularly suscep-
tible to breakdown because of loss of sensation of pain and pressure associated
with sensory neuropathy.
The skin is assessed for dryness, cracks, breakdown, and redness, especially at
