Exam (elaborations)
NUR 1023C Florida State College At Jacksonville NUR1023C Exam 2 Review
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NUR1023C Exam 2 Review
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NUR1023C Exam 2 ReviewAbdomen shapes: Correct Answer flat, rounded, scaphoid,
protuberant
Anuria: Correct Answer Absence of urination
50-100 ml/day
Barium Swallow/Upper GI Series (what it looks for and
prep/procedure): Correct Answer -Looks for ulcers, tumors,
hiatal hernias, scarring blockages esophageal damage (often
times caused by GERD- gastroesophageal reflux disease
-Swallow barium (contrast media CONTAINS IODINE-
ALLERGIES- SHELLFISH) prior
-Visualizes contrast via XRAY- know if your pt is pregnant!!!
-Can lead to constipation after- increase fluid intake, and
movement to help prevent!!!
-Stool may turn white or grey due to barium
-If barium not eliminated w/in 1-2 days give laxative
Benign Prostatic Hyperplasia/Hypertrophy (BPH) is an: Correct
Answer enlarged prostate
-Common in older men
-Compresses urethra, obstructing urinary flow, causing
retention.
-Can lead to UTI, bladder stones, bladder & Kidney damage
,Bladder scan (what it's used for and prep/procedure): Correct
Answer use if pt unable to void
• Bladder distention, dribbling, or unable to void, and
experiencing pelvic pain
• Uses ultrasound modality to image
• Fill bladder to see how much fluid is in bladder
• Perform and get order after
• If pt is post surgery, had foley catheter that was removed and
unable to void within 8 hrs pt needs bladder scan.
• Also tests for post void retention (PVR) to see how much urine
is left in the bladder right after post void- pt may not be
expelling as much urine as they should
Bladder ultrasound: Correct Answer • Similar to bladder scan
• Pt required to drink fluid and refrain from voiding before
procedure
• No fasting required
Blood Urea Nitrogen (BUN) & Creatinine levels tell you what?
Correct Answer tell how kidney is functioning. If lab values are
elevated or decreased this indicates poor function!!!
THIS IS A BLOOD LAB TEST!!!
Decreased kidney function can cause drug toxicity
Boborygmi Correct Answer hunger or obstruction, loud
prolonged growling
, Catheters are used for: Correct Answer o Relief of acute
urinary obstruction/retention
o Prevent contamination during surgical procedures
o Accurate measurement of urine in ill pts
o Maintaining skin integrity- perineal or sacral wounds in
incontinent pts
o End of life
o Immobilized pts for long periods
Colonoscopy (what it is and prep/procedure): Correct Answer
visualizes anus, rectum, colon
Prep/Post:
-Clear liquid diet 1-3 days prior (see through liquids like broth,
apple juice, white grape juice, water, gelatin, tea, sports drinks,
any fruit/vege juice w/out pulp, must be strained) STAY
HYDRATED!!!
-No red/purple/orange dyes
-Laxative or enema may be required night before
-NPO several hrs prior
-Sedative given during procedure- monitor VS after, increase
fluids after, no driving after
-Abnormal growths/tissues my be removed for further testing
-After procedure watch for signs of bowel perforation (bleeding
s/s- think signs of decreased perfusion), bloating/gas retention
(get pt moving)
Colostomy (what it is and risks): Correct Answer Takes one
end of large intestine out through opening in abdominal wall to a
pouch for collecting feces
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