Nur 185 Exam 1 Questions With Complete Solutions
post-op nursing care?
*reiterate importance of turn/cough/deep breathe/IS
*stoma care
*dressings and tubes
*irrigate stoma to train bowel
*will not have bowel sounds for 48 hours
nursing interventions for the patient with a stoma?
*assess skin integrity
*assess for allergies to powders or adhesive
*provide education on changing pouch
*assess peristomal areas for infection
what is a ileal conduit?
most common ureters are implanted into a loop of the abdominal
wall
*the drainage bag fits over the stoma*
ileal conduit care?
*constant urine output
*cleanse with water and apply the new appliance as outlined in
the institutions standard of care
*bag is emptied 2-3 hour intervals
what is colorectal cancer?
*cancer found in the sigmoid and rectal regions of the colon
*second leading cause of cancer deaths
,colorectal cancer risk factors?
*adenomatous polyps
*ulcerative colitis
*diverticulitis
*heredity
signs and symptoms of colorectal cancer?
*weight loss
*blood in stool/rectal bleeding
*pain
*loss of appetite
medical management for colon cancer?
*chemotherapy
*radiation
*surgery (remove disease portion)
patient teaching for preventative measure for colon cancer?
*high fiber diet.fruits and vegetables
*stop smoking
*low fat diet
*no alcohol
*exercise
*yearly screenings
vancomyocin
*antibiotic
*it is a vesicant
, what should you assess and monitor for when taking
vancomyocin?
*nephrotoxicity
*ototoxicity
*BUN and creatine
*red man syndrome
Lomotil (Atropine/Diphenoxylate)
*used for diarrhea
*atropine is an anti-cholinergic and can be used to "dry" things
up
*Diphenoxylate will decrease the spasms and slows the gut
*know it works when there is no diarrhea*
Flagyl (metronidazole)
*is an antibiotic and and antifungal for skin, vaginal and GI
infections
Flagyl (metronidazole) side effects
*Dark urine
*metallic taste
*GI upset
*NO alcohol->GI upset
*diarrhea
GoLYTELY (polyethylene glycol)
*used to prep the bowel for colonoscopy or surgical procedure
*make icy cold-don't freeze
*do NOT use straws
post-op nursing care?
*reiterate importance of turn/cough/deep breathe/IS
*stoma care
*dressings and tubes
*irrigate stoma to train bowel
*will not have bowel sounds for 48 hours
nursing interventions for the patient with a stoma?
*assess skin integrity
*assess for allergies to powders or adhesive
*provide education on changing pouch
*assess peristomal areas for infection
what is a ileal conduit?
most common ureters are implanted into a loop of the abdominal
wall
*the drainage bag fits over the stoma*
ileal conduit care?
*constant urine output
*cleanse with water and apply the new appliance as outlined in
the institutions standard of care
*bag is emptied 2-3 hour intervals
what is colorectal cancer?
*cancer found in the sigmoid and rectal regions of the colon
*second leading cause of cancer deaths
,colorectal cancer risk factors?
*adenomatous polyps
*ulcerative colitis
*diverticulitis
*heredity
signs and symptoms of colorectal cancer?
*weight loss
*blood in stool/rectal bleeding
*pain
*loss of appetite
medical management for colon cancer?
*chemotherapy
*radiation
*surgery (remove disease portion)
patient teaching for preventative measure for colon cancer?
*high fiber diet.fruits and vegetables
*stop smoking
*low fat diet
*no alcohol
*exercise
*yearly screenings
vancomyocin
*antibiotic
*it is a vesicant
, what should you assess and monitor for when taking
vancomyocin?
*nephrotoxicity
*ototoxicity
*BUN and creatine
*red man syndrome
Lomotil (Atropine/Diphenoxylate)
*used for diarrhea
*atropine is an anti-cholinergic and can be used to "dry" things
up
*Diphenoxylate will decrease the spasms and slows the gut
*know it works when there is no diarrhea*
Flagyl (metronidazole)
*is an antibiotic and and antifungal for skin, vaginal and GI
infections
Flagyl (metronidazole) side effects
*Dark urine
*metallic taste
*GI upset
*NO alcohol->GI upset
*diarrhea
GoLYTELY (polyethylene glycol)
*used to prep the bowel for colonoscopy or surgical procedure
*make icy cold-don't freeze
*do NOT use straws
