NANDA Hydration Diagnoses Quiz

Questions and Answers

What is the primary purpose of blood cultures?

To identify infections in the bloodstream (correct)

To perform imaging studies

To analyze major electrolytes

To assess coagulation

Culturally competent care only applies to patients from different countries.

False

Name one benefit of relaxation for patients.

Reduces stress and anxiety.

In the four levels of communication, the level that involves emotional support is called the ______.

helping relationship Signup and view all the answers

Match the following studies with their primary focus:

Coagulation Studies = Assess blood clotting ability Blood Cultures = Detect infections in the blood Electrolyte Studies = Measure major electrolyte levels Imaging Studies = Visualize internal body structures Signup and view all the answers

Which of the following is NOT a key term associated with complementary health approaches?

Chemotherapy Signup and view all the answers

Nurses only need to understand their own cultural background to provide competent care.

False Signup and view all the answers

What is one element of cultural competence that healthcare providers should be aware of?

Awareness of personal biases. Signup and view all the answers

Which of the following is a nursing diagnosis related to fluid balance?

Excess Fluid Volume Signup and view all the answers

Deficient Fluid Volume can lead to dehydration.

True Signup and view all the answers

What is one common intervention for managing Excess Fluid Volume?

Administer diuretics. Signup and view all the answers

The main purpose of IV solutions is to maintain ______ balance.

fluid Signup and view all the answers

Match the types of exercise with their definitions:

Isotonic = Muscle contractions without changing the muscle length Isometric = Muscle contractions with joint movement Isokinetic = Controlled muscle contractions at a constant speed Signup and view all the answers

Which of the following is NOT a characteristic of non-assertive communication?

Clear expression of feelings Signup and view all the answers

Which type of exercise is characterized by joint movement?

Isotonic Signup and view all the answers

The SBAR technique is only used for verbal communication among nursing staff.

False Signup and view all the answers

Regular exercise has no effect on the body's systems.

False Signup and view all the answers

What does the SPICES assessment tool stand for?

Sleep disorders, Problems with eating or feeding, Incontinence, Confusion, Evidence of falls, Skin breakdown Signup and view all the answers

Identify one key term associated with nursing care and hygiene.

Personal protective equipment (PPE). Signup and view all the answers

The term used to describe the use of multiple medications in older adults is __________.

polypharmacy Signup and view all the answers

Match the following changes or conditions with their correct definitions or descriptions:

Delirium = A sudden and severe confusion due to rapid changes in brain function. Dementia = A decline in cognitive function severe enough to interfere with daily life. Elder Abuse = Harmful behavior directed toward older adults. Physical Changes = Normal physiological changes associated with aging. Signup and view all the answers

Which factor is most likely to promote effective communication?

Active listening Signup and view all the answers

Which statement correctly describes hospice care?

It offers end-of-life care for patients with a life expectancy of less than 6 months. Signup and view all the answers

Palliative care is synonymous with end-of-life care.

False Signup and view all the answers

What is one way to respond to a patient who says, 'I'm not ready to die'?

Tell me more about that/what you're feeling. Signup and view all the answers

___ is a very imminent sign of death characterized by the sound of secretions without a stethoscope.

Death rattle Signup and view all the answers

Match the components of a good death with their descriptions:

Pain management = Control over pain and discomfort. Dignity = Maintaining respect and self-worth. Support = Emotional and psychological encouragement. Communication = Open dialogue about care preferences. Signup and view all the answers

Which of the following factors can affect micturition?

All of the above Signup and view all the answers

Urinary incontinence is when a person has control over their urination.

False Signup and view all the answers

What is the main purpose of using devices for collecting and measuring urine?

To accurately assess urinary output. Signup and view all the answers

The _______________ nursing process includes Assessment, Diagnosis, Planning, Implementation, and Evaluation.

ADPEI Signup and view all the answers

Match the following terms with their definitions:

Urinary retention = Inability to empty the bladder completely Urinary incontinence = Loss of control over urination Catheterization = Insertion of a tube into the bladder UTI = Infection in the urinary tract Signup and view all the answers

Which age group is at a higher risk for urinary tract infections (UTIs)?

Older adults Signup and view all the answers

Urine color can indicate a person's hydration status.

True Signup and view all the answers

Name one nursing strategy to promote normal urination.

Encouraging regular toileting schedules. Signup and view all the answers

Study Notes

Urinary Elimination

Micturition is influenced by various factors including age, hydration status, and neurological conditions.
Urinary vocabularies such as diuresis, anuria, and incontinence are essential for clinical communication.

Intake and Output

Monitoring fluid intake and urine output helps in assessing a patient's hydration status and renal function.
imbalanced intake and output can indicate potential medical issues, requiring further assessment.

Nursing Process: ADPEI

Nursing process includes Assessment, Diagnosis, Planning, Evaluation, and Implementation to deliver quality care.
Utilizing the nursing process allows for systematic approach in managing urinary issues and patient education.

Physical Assessment of Urinary Functioning

Physical exam includes assessing hydration status, palpating bladder, and evaluating urine characteristics.
Important to note any abnormalities such as dysuria, frequency, or urgency during assessment.

Phrasing of Urination

Terminology such as "voiding," "micturition," and "urination" should be used appropriately in clinical settings.
Clear communication is vital when discussing urinary symptoms with patients.

NANDA Urinary Function Diagnoses

Common NANDA diagnoses related to urinary function include urinary retention, incontinence, and impaired urinary elimination.
Accurate diagnosis is crucial for effective treatment planning.

Urinary Retention

Urinary retention can lead to complications such as urinary tract infections and bladder damage.
Identifying causes can include medications, obstructions, and neurological disorders.

Urinary Incontinence

Types include stress, urge, overflow, and functional incontinence, each with distinct causes and management strategies.
Assessment of underlying causes is key to developing effective interventions.

Devices for Collecting and Measuring Urine

Devices include urine collection bags, catheters, and urinals, which help in monitoring urinary output.
Proper use of these devices is important to prevent infections and maintain patient comfort.

Promoting Normal Urination

Encouraging regular bathroom breaks, adequate hydration, and privacy can facilitate normal urination patterns in patients.
Behavioral interventions may be needed for patients experiencing bladder dysfunction.

Reasons for Catheterization

Indications include urinary retention, post-surgery, and specific diagnostic procedures.
Long-term catheterization can pose risks including infection and should be managed carefully.

Who Is At Risk for UTIs?

Individuals with diabetes, urinary stasis, or those who are sexually active are at increased risk.
Preventative strategies include proper hygiene and hydration.

Patient Education for Urinary Diversion

Educating patients involves explaining care procedures, recognizing complications, and promoting lifestyle adjustments.
Emotional support is essential during the adaptation to urinary diversions.

Clean Catheter Insertion Instructions

Proper hand hygiene and maintaining a sterile environment are critical steps.
Step-wise demonstration should include equipment gathering, positioning, and aftercare.

Urine Color Evaluation

Normal urine color ranges from light yellow to amber; darker urine may indicate dehydration.
Medications and certain foods can alter urine color, necessitating patient education.

Increased incidence of urinary incontinence and retention in older adults due to physiological changes.
Strategies include tailored hydration plans, regular toileting schedules, and environmental modifications for safety.

Four Components of Fluid

Total Body Water, Extracellular fluid, Intracellular fluid, and Plasma volume are crucial for maintaining hydration and homeostasis.
Understanding the balance among these components supports effective patient care.