Solutions
A TPN consist of a ____ dressing change, but the tubing is a
______ aseptic procedure.
sterile; clean
A clear liquid diet is not ______ adequate
nutritionally
_____ feeding tubes do not have gastric reservoirs for
accumulated formula so you cannot check the gastric volume
Postpyloric
1500 cal diet - ____ total carb grams/day
196
2000 cal diet - ____ total carb grams/day
256
A nurse is checking the placement for an NG Tube by
withdrawing the gastric fluid. If she is in the small intestines
what colors could she possibly find?
medium to deep golden-yellow
A nurse is checking the placement for an NG Tube by
withdrawing the gastric fluid. If she is in the respiratory tract
what colors could she possibly find?
,off-white, tinged with mucus
What is anuria?
Failure of the kidneys to produce urine; less than 50 ml/d
What is oliguria?
abnormally small amounts of urine; less than 400 ml/d
What is polyuria?
excessive amounts or urinel over 2500 ml/d
What is dysuria?
painful urination
What type of patients excrete less than 50 ml/d (anuria)?`
Dialysis patients
What type of patients excrete less than 400 ml/d (oliguria)?
-End stage renal failure (3 or 4)
What is the minimum amount of urine one should produce in an
hour?
30-100 ml/hr
What is the minimum amount of urine one should produce in a
day?
600-2400 ml/d
,What is the clean-catch midstream urine?
o Specific protocol followed so that urine is not contaminated
o Urine is sent for culture and sensitivity
Clean-catch midstream urine method is a ________ technique
sterile
How is a clean-catch midstream obtained?
o Clean labia (Wipe with towelettes)
o Start voiding and than halfway get the rest in the sample cup
(We flush out the bacteria that is sitting on the labia and urethra
wall) à midstream sterile sample
How do we obtain a clean catch midstream if the person is
unable to get it themselves?
Intermittent (Straight) Catheter them
What are nursing considerations when collecting a 24-hour urine
collection sample?
o No tissue or stool in specimen
o Consider the patients lifestyle (Urinal, bedpan, bedside
commode etc.)
What is post void residual (PVR)?
Urine left in the bladder after voiding
, What is a normal PVR for urine in the bladder?
Less than 50 ml
What is an abnormal PVR for urine in the bladder?
Greater than 100 ml
How do we check a PVR (urine)?
o Once the patient voids --> intermittent (straight) cath for
residual
o Bladder scan
We use a _____ method while using intermittent (straight)
catheters at the hospital, inpatient care facilities and hospitals
sterile
When a patient has a high PVR for the first time, and we want
to drain their bladder, what should be the nurses next steps?
Use a intermittent (straight) catheter and drain the patients
bladder
Patients use a _____ method while using intermittent (straight)
catheters at home
clean
While using a intermittent (straight) catheters at home. how
often should each catheter be used?