Podcast
Questions and Answers
Which type of incontinence occurs due to physical pressure, such as sneezing or pregnancy?
Which type of incontinence occurs due to physical pressure, such as sneezing or pregnancy?
Oliguria is defined as urine output of less than 400 ml/day.
Oliguria is defined as urine output of less than 400 ml/day.
True
Which of the following conditions is associated with leakage of stool due to obstruction?
Which of the following conditions is associated with leakage of stool due to obstruction?
What is the normal urinary output per hour?
What is the normal urinary output per hour?
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Increased fluid intake can help alleviate constipation.
Increased fluid intake can help alleviate constipation.
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What is a common treatment method for fecal impaction when laxatives are ineffective?
What is a common treatment method for fecal impaction when laxatives are ineffective?
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Decreased urine output of less than _____ ml/hr may indicate decreased renal perfusion.
Decreased urine output of less than _____ ml/hr may indicate decreased renal perfusion.
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Match the following terms with their definitions:
Match the following terms with their definitions:
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Factors affecting bowel elimination include age, fluid intake, pain, diet, and __________.
Factors affecting bowel elimination include age, fluid intake, pain, diet, and __________.
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Match the common bowel elimination terms with their definitions:
Match the common bowel elimination terms with their definitions:
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What is a common method to aid individuals with visual impairments during meal times?
What is a common method to aid individuals with visual impairments during meal times?
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Myopia refers to difficulty seeing distant objects clearly.
Myopia refers to difficulty seeing distant objects clearly.
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What condition causes clouding of the lens of the eye and results in blurry vision?
What condition causes clouding of the lens of the eye and results in blurry vision?
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___ is the leading cause of visual defects in the US due to age-related loss of vision in central visual fields.
___ is the leading cause of visual defects in the US due to age-related loss of vision in central visual fields.
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Which of the following is NOT a sensory impairment commonly found in elderly individuals?
Which of the following is NOT a sensory impairment commonly found in elderly individuals?
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Match the cognitive and sensory conditions with their definitions:
Match the cognitive and sensory conditions with their definitions:
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Creating a quiet environment is beneficial for individuals with hearing impairment.
Creating a quiet environment is beneficial for individuals with hearing impairment.
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What type of sensory alteration involves decreased sensation in the skin?
What type of sensory alteration involves decreased sensation in the skin?
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Which of the following is an appropriate intervention for managing impaction?
Which of the following is an appropriate intervention for managing impaction?
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Stretching of the rectum due to long-term use of rectal tubes may cause stool incontinence.
Stretching of the rectum due to long-term use of rectal tubes may cause stool incontinence.
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What is a common symptom associated with a urinary tract infection (UTI)?
What is a common symptom associated with a urinary tract infection (UTI)?
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A patient with a small intestine ostomy may experience __________ consistency of stool.
A patient with a small intestine ostomy may experience __________ consistency of stool.
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Match the type of enema with its primary effect:
Match the type of enema with its primary effect:
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Which of the following interventions can help manage hemorrhoids?
Which of the following interventions can help manage hemorrhoids?
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Cloudy and dark yellow urine is typically a sign of normal urinary health.
Cloudy and dark yellow urine is typically a sign of normal urinary health.
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What is a common type of bacteria that causes urinary tract infections?
What is a common type of bacteria that causes urinary tract infections?
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In systemic urinary tract infection, symptoms may include __________ pain.
In systemic urinary tract infection, symptoms may include __________ pain.
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What is one of the risks associated with ostomies?
What is one of the risks associated with ostomies?
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Which of the following is a common cause of peripheral neuropathy?
Which of the following is a common cause of peripheral neuropathy?
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Dementia is reversible if treated properly.
Dementia is reversible if treated properly.
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What is anosmia?
What is anosmia?
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The progressive hearing loss that causes vertigo is known as ________.
The progressive hearing loss that causes vertigo is known as ________.
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Match the sensory deficits with their definitions:
Match the sensory deficits with their definitions:
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Which intervention would be appropriate for someone experiencing sensory overload?
Which intervention would be appropriate for someone experiencing sensory overload?
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Wernicke's aphasia is characterized by an inability to understand spoken language.
Wernicke's aphasia is characterized by an inability to understand spoken language.
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What does the THINK method stand for in assessing delirium?
What does the THINK method stand for in assessing delirium?
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What is the primary reason we avoid using a mask on COPD patients?
What is the primary reason we avoid using a mask on COPD patients?
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Congestive Heart Failure (CHF) does not typically present with edema in the body.
Congestive Heart Failure (CHF) does not typically present with edema in the body.
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List three isotonic IV solutions.
List three isotonic IV solutions.
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____ is used for fluid volume deficit when treating underlying causes.
____ is used for fluid volume deficit when treating underlying causes.
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Match the condition with its related treatment:
Match the condition with its related treatment:
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When assessing a patient, 2+ pitting edema is most indicative of which issue?
When assessing a patient, 2+ pitting edema is most indicative of which issue?
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A BMI of 26 indicates that a person is classified as underweight.
A BMI of 26 indicates that a person is classified as underweight.
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What stage of grief is often experienced by a child whose mother has only a week to live?
What stage of grief is often experienced by a child whose mother has only a week to live?
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Study Notes
Bowel Elimination
- Unexpected findings in abdominal assessment/stool tests can indicate impaction or constipation
- Factors affecting bowel elimination include age, fluid intake, pain, and diet
- Common elimination problems include constipation, diarrhea, impaction, and hemorrhoids
- Constipation can be caused by decreased mobility, opioids, and sedatives
- Interventions for impaction include laxatives, enemas, and digital disimpaction
- Diarrhea increases peristalsis and can lead to dehydration and electrolyte imbalance (e.g., potassium)
- Assessing for bright red blood in stool (assess for signs of bleeding when concerned)
- Ostomy care involves hydration, clean stoma, and emptying bag when half full for small-intestinal ostomies
- Ostomy care for large-intestinal ostomies involves education to avoid gas-producing foods and support groups
- Changes due to aging, immobility, and opioids affect bowel elimination
- Nursing diagnoses and interventions related to bowel elimination, including enema use are part of the subject
- Risk of skin breakdown and infection is also important with ostomy care
Urinary Elimination
- Unexpected findings related to elimination include UTI (explaining symptoms)
- Urine characteristics (cloudy, dark yellow – UTI, normal urine is sterile, contains fluids, salts, and waste products)
- Urine output of less than 30 ml/hour may indicate decreased renal perfusion
- Common disease conditions that affect urination include renal conditions, diabetes, and BPH
Sensory/Cognitive Alterations
- Common terms and types of cognitive and sensory alterations are included (visual, speaking, and hearing impairment)
- Maintain adequate lighting and photos, audiotapes if necessary
- Create a quiet environment for hearing impairments
- Sensory impairments, such as decreased skin sensation, are considerations
- Cognitive impairment factors involve age, # of stimuli, environmental factors
- Myopia, presbyopia, cataract, glaucoma, diabetic neuropathy, and macular degeneration are all examples
- Peripheral neuropathy, anosmia, and presbycusis can affect sensory deficits
- Differentiate Delirium, Dementia, and Depression and how they affect patients
- Interventions that are used to prevent sensory and cognitive impairments
Cumulative
- Interventions for sensory, cognitive, and cumulative are important to address for patients
- Common terms and types of cognitive and sensory alterations discussed (visual, speaking, and hearing impairment)
- Key concepts (PAD, PVD, DVT, edema)
- electrolyte imbalances such as K and Na imbalances
- Nursing diagnoses and interventions for sensory and cognitive alterations and their complications
Other
- Hyperkalemia, hypocalcemia, Hypocalcemia- tingling and numbness in fingers tactile disturbances,
- Blood flow through the heart, right atrium, ventricle, pulmonary artery etc
- COPD- rhonchi, dry cough, thick mucous, increased sputum, interventions
- IV solutions: Isotonic, Hypertonic. Fluid volume excess, deficits, and electrolyte imbalances
- Assessment and documentation of wounds and their characteristics (dressings etc)
- Nursing diagnoses and interventions relating to urinary elimination; catheterization; infection prevention
- Questions on various situations in healthcare and how nurses would act given different factors/situations
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Description
This quiz covers essential concepts related to bowel elimination within nursing practice, including common problems like constipation and diarrhea. It also addresses factors affecting bowel health, nursing interventions for impaction, and ostomy care essentials. Test your knowledge on how age and medication influence bowel elimination.
