2025 QUESTIONS AND ANSWERS
Continuous bladder irrigation - ANS 3 way lumen
-inflating the balloon w 30ml
-instillation
-outflow
continuous irrigation may be used w/ what? - ANS TURP
The amount of fluid recovered in the drainage bag must equal... - ANS amount of fluid
instilled
(secondary hemorrhage may occur from over-distention)
what should an RN do if pt c/o pain w/ continuous irrigation? - ANS exam tubing.
irrigate drainage system w/ fluid (50ml)
if indicated: clear obstruction
continuous bladder irrigation or bladder wash out is performed to help prevent... -
ANS Urinary obstruction
-by flushing out small blood clots that may form after prostate or bladder surgery such as
TURP or TURB
what does instillation of hypertonic or hypotonic solution into a body cavity cause? -
ANS shift in cellular fluid
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,why do we only use sterile saline for bladder irrigation after TURP? - ANS irrigation must be
isotonic to prevent fluid and electrolyte imbalance
why do we test for STI when a pt comes in w/ UTI sx? - ANS sx overlap each other
risks of renal calculi. - ANS infection
urinary statsis
periods of immobility
polysistic kidney disease
horseshoe kidneys
chronic strictures
IBD
pt w/ an ileostomy
antacid use
vit D
high aspirin doses
laxatives
immobile patients are prone to.. - ANS formation of urinary calculi
venous thrombosis
what is given to patients experiencing calculi pain to prevent shock from pain? - ANS opioids
analgesics
NSAIDS for pain also
whats the contraindications of imitrex? - ANS hx of hypersensitivity to this rx
existing cerebrovascular or peripheral vascular syndromes
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, what should the nurse ask the pt to distinguish the origin of the seizure? - ANS if pt
experiences aura prior
tonic clonic seizure - ANS tight and tense w/ convulsions, contractions, clicking
whats absent seizures? - ANS spaced out pt
phases of a tonic clonic seizure? - ANS LOC
pt falls
body stiff for 10-20 seconds
extremities jerk for 30-40 seconds
pt feels tired and sleepy
triggers of seizures - ANS 5 S's
Stress
Sleep deprived
Strobe lights
Stimulates
Sodium(<135)/ Sugar is low <70)
graves disease - ANS hyperthyroidism
elevate TSH
CM of graves - ANS anxious
restless
fine tremors of hands
tachycardiac/ palpation
heat intolerance
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