Recent

  • Show all results for ""
Nausea and Vomiting Management
40 Questions
3 Views

Nausea and Vomiting Management

Created by
@EnjoyableTrombone

Questions and Answers

What is the main purpose of restricting the client's diet to clear liquids initially?

  • To allow the digestive system to rest completely
  • To prevent the risk of dehydration
  • To observe for improvement or worsening of symptoms (correct)
  • To provide the client with essential nutrients

    • Which of the following is a sign that should be assessed when evaluating vomitus?

  • Presence of bright red blood or coffee-ground material (correct)
  • Temperature of the vomitus
  • Volume of vomitus only
  • Smell of vomitus regardless of color

    • What technique is recommended to help a client experiencing nausea?

  • Using strong scents to distract the client
  • Having the client eat small amounts of solid food
  • Telling the client to sit straight up to ease discomfort
  • Encouraging the client to take slow, deep breaths through the nose (correct)

    • Why should gloves be worn when assisting a client who is vomiting?

    <p>To reduce the chance of spreading infection</p> Signup and view all the answers

    The presence of coffee-ground material in vomitus is indicative of what?

    <p>Bleeding in the lower digestive tract</p> Signup and view all the answers

    What does the term ‘vomitus’ refer to?

    <p>Stomach contents that are expelled during vomiting</p> Signup and view all the answers

    What is one key action to take when monitoring a client's intake and output (I&O) related to vomiting?

    <p>Consider the vomitus as part of the output</p> Signup and view all the answers

    What is a recommended method to help soothe a client who is experiencing nausea?

    <p>Placing a cool, damp washcloth on the client’s forehead</p> Signup and view all the answers

    What is a primary reason for observing the condition of a new stoma?

    <p>To assess for changes that may indicate complications</p> Signup and view all the answers

    Why is cleanliness particularly emphasized for clients with a stoma before mealtime?

    <p>It provides a psychological comfort to the client</p> Signup and view all the answers

    When changing an ileostomy appliance, why should the nurse check for undissolved medications?

    <p>To determine if the digestive tract is functioning properly</p> Signup and view all the answers

    What should be avoided when caring for the skin around a stoma?

    <p>Using soap that irritates the skin</p> Signup and view all the answers

    What is the recommended action if redness or yeast-appearing growth appears around a stoma?

    <p>Consult with a healthcare provider for antifungal treatment</p> Signup and view all the answers

    How can Stomahesive products assist in stoma care?

    <p>They provide protection from drainage</p> Signup and view all the answers

    What is a primary disadvantage of using soap and alcohol in stoma care?

    <p>They can cause skin dryness and breakdown</p> Signup and view all the answers

    What is the benefit of using a drain tube attachment device (DTAD) in stoma care?

    <p>It can secure the tube to prevent leaks</p> Signup and view all the answers

    Why is it important for a client to maintain the Sims' position for 15 to 20 minutes after administering a suppository?

    <p>It allows time for the suppository to melt and release the medication.</p> Signup and view all the answers

    What is the primary reason for wearing gloves and considering a face shield while administering an enema?

    <p>To prevent the spread of microorganisms and protect the nurse.</p> Signup and view all the answers

    What should be checked before administering a latex-containing enema?

    <p>If the client has a latex allergy.</p> Signup and view all the answers

    How should enema solutions be stored to ensure safety and efficacy?

    <p>At room temperature, away from direct sunlight.</p> Signup and view all the answers

    Why is it crucial to review the provider's order before administering an enema?

    <p>To check the correct amount of solution or size of enema to use.</p> Signup and view all the answers

    After administering an enema, when should the nurse check on the client?

    <p>In 20 to 30 minutes.</p> Signup and view all the answers

    What is the rationale for asking the client to lie on their left side during enema administration?

    <p>It is a standard position for most enemas.</p> Signup and view all the answers

    What could be a consequence of administering an incorrect type of enema solution?

    <p>The client could be injured.</p> Signup and view all the answers

    What position should a female client assume for optimal catheterization?

    <p>Left lateral with knees drawn up</p> Signup and view all the answers

    What equipment should be checked frequently in a client with a retention catheter?

    <p>The catheter equipment and function</p> Signup and view all the answers

    How should the catheter tubing be positioned when a client is in bed?

    <p>Over the client's leg</p> Signup and view all the answers

    What should be done to secure the catheter for a male client?

    <p>Taped to the abdomen with some slack</p> Signup and view all the answers

    What potential anatomical challenge is associated with male catheterization?

    <p>Enlarged prostate</p> Signup and view all the answers

    How should the collection bag be positioned in relation to the bladder?

    <p>Below the level of the bladder</p> Signup and view all the answers

    What is necessary when changing the catheter?

    <p>An entire new setup is required</p> Signup and view all the answers

    What should be monitored to ensure proper function of the catheter?

    <p>Amount of urine in the collecting bag</p> Signup and view all the answers

    What is a key characteristic of cutaneous urinary diversions?

    <p>They involve draining urine through a stoma.</p> Signup and view all the answers

    Which of the following is a nursing intervention for urinary retention?

    <p>Perform bladder scanning.</p> Signup and view all the answers

    What is an aspect of nursing considerations for clients with urinary diversions?

    <p>Engage with a wound care ostomy nurse.</p> Signup and view all the answers

    Continence diversions differ from cutaneous diversions by:

    <p>Providing voluntary control of urinary flow.</p> Signup and view all the answers

    What potential impact can a urinary diversion have on a client?

    <p>It may lead to permanent sexual dysfunction.</p> Signup and view all the answers

    Which type of urinary incontinence involves a person retaining urine?

    <p>Urinary retention.</p> Signup and view all the answers

    What should nurses prioritize when caring for clients with urinary diversions?

    <p>Listen to the client's emotional concerns.</p> Signup and view all the answers

    Which statement best describes a client’s need following a urinary diversion?

    <p>Ongoing support for emotional adjustment is necessary.</p> Signup and view all the answers

    Study Notes

    Dietary Recommendations

    • Initiate treatment with a clear liquid diet, gradually reintroducing fluids and solid foods.
    • Teach clients and families how to prevent food contamination from S.aureus and Salmonella to avoid diarrhea.

    Nausea and Vomiting Management

    • Nausea is an unpleasant sensation, often leading to vomiting (emesis), which is involuntary.
    • Use cool, damp washcloths on the client's forehead to soothe and promote relaxation, potentially reducing vomiting.
    • Encourage slow, deep nasal breaths; this technique helps relax the client and reduces the sensation of nausea through increased oxygen flow.

    Vomitus Assessment

    • Examine vomitus for particles, color, odor, and consistency; bright red blood indicates gastric/esophageal bleeding, while coffee-ground material suggests lower digestive tract bleeding.
    • Document the nature of vomiting (violent or projectile) and gather the client’s description of the episode for thorough assessment.
    • Consider vomitus as part of the client's intake and output (I&O) monitoring. All observations should be documented, and gloves must be worn during assistance due to body fluid exposure.

    Enema Administration Guidelines

    • Perform hand hygiene and always wear gloves; consider a face shield if there's splash risk.
    • Verify client has no latex allergy before administering a latex-containing enema.
    • Use correct enema type and amount based on healthcare provider’s order, especially for children.
    • Instruct the client to lie on their left side for optimal enema administration.

    Stoma Care

    • Regularly check the condition of the stoma, especially if newly established, as size and condition changes may require intervention.
    • Ensure cleanliness by changing soiled items promptly; this helps in preventing infections.
    • During ileostomy appliance changes, check for undissolved medication, which could indicate improper digestive function.
    • Use soap and water for cleaning around the stoma while avoiding alcohol products that may cause skin dryness.

    Skin Care and Complications

    • Consult healthcare providers for any redness or yeast-related growth around the stoma; antifungal treatments may be necessary.
    • Use protective products such as Stomahesive paste to guard the skin around stomas from drainage.

    Catheter Care

    • Regularly check catheter functionality, ensuring it remains secure and that tubing is not kinked.
    • The collecting bag should always be below the bladder to facilitate proper drainage.
    • Routinely measure and record the urine volume in the bag, ensuring timely emptying.

    Urinary Incontinence and Retention

    • Urinary incontinence results in involuntarily leaking urine; urinary retention is defined as the inability to empty the bladder.
    • Nursing interventions for urinary retention may include bladder scanning and straight catheterization for effective management.

    Urinary Diversions

    • Cutaneous diversions involve surgical stomas for urine drainage; clients wear an appliance for continuous collection.
    • Continent diversions create a urinary reservoir using intestinal segments, allowing for potential voluntary control.
    • Surgical preparation should involve consultations with wound and ostomy nurses for long-term physical and emotional adaptations.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz covers dietary recommendations and management techniques for nausea and vomiting. It addresses the assessment of vomitus, treatment initiation, and prevention of food contamination. Enhance your understanding of effective approaches to client care in these situations.

    More Quizzes Like This

    Nausea
    39 questions

    Nausea

    MindBlowingJade avatar
    MindBlowingJade
    Nausea, Vomit and Motion Sickness Pharmacology Quiz
    50 questions

    Nausea, Vomit and Motion Sickness Pharmacology Quiz

    KidFriendlyAquamarine avatar
    KidFriendlyAquamarine
    Nausea and Vomiting
    12 questions

    Nausea and Vomiting

    FragrantCosine avatar
    FragrantCosine
    Nausea and Vomiting: Gastrointestinal Tract Alterations
    30 questions

    Nausea and Vomiting: Gastrointestinal Tract Alterations

    CompliantSet avatar
    CompliantSet
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser