Podcast
Questions and Answers
What should be done to direct the solution towards the bladder during bladder irrigation?
What should be done to direct the solution towards the bladder during bladder irrigation?
- Uncap the drainage tubing
- Measure the amount of urine in the drainage bag
- Discard the sterile connector cap
- Clamp the drainage tubing distal to the catheter connection (correct)
What is the purpose of separating the catheter and tubing during irrigation?
What is the purpose of separating the catheter and tubing during irrigation?
- To ensure proper flow of solution (correct)
- To prevent leakage of urine
- To avoid contamination of the solution
- To facilitate suctioning of the bladder
How should the sterile tube cap be placed during bladder irrigation?
How should the sterile tube cap be placed during bladder irrigation?
- At least one inch from the junction of catheter and tubing (correct)
- On the sterile connector cap
- Directly on the catheter
- At the end of the syringe
Why is it necessary to swab the connection with an antiseptic swab after irrigation?
Why is it necessary to swab the connection with an antiseptic swab after irrigation?
What is a common consequence of a clogged catheter during irrigation?
What is a common consequence of a clogged catheter during irrigation?
What should be done after discarding supplies and equipment following irrigation?
What should be done after discarding supplies and equipment following irrigation?
What is a contraindication for oral feeding?
What is a contraindication for oral feeding?
What is the purpose of gastric gavage?
What is the purpose of gastric gavage?
How can correct placement of the nasogastric (NG) tube be verified?
How can correct placement of the nasogastric (NG) tube be verified?
Why should the patient be placed in Semi-Fowler's position during tube feeding?
Why should the patient be placed in Semi-Fowler's position during tube feeding?
What should be done when connecting the irrigation syringe to the NG tube?
What should be done when connecting the irrigation syringe to the NG tube?
What is a key instruction when pouring feeding solution into the funnel connected to the NG tube?
What is a key instruction when pouring feeding solution into the funnel connected to the NG tube?
What type of patients might be prescribed a Protein Restricted diet?
What type of patients might be prescribed a Protein Restricted diet?
Which condition might necessitate a Mineral Restricted diet?
Which condition might necessitate a Mineral Restricted diet?
What is the primary purpose of a Calorie Restricted diet?
What is the primary purpose of a Calorie Restricted diet?
Which mineral is commonly found in almost all food and water?
Which mineral is commonly found in almost all food and water?
What is restricted in a Gluten Free diet?
What is restricted in a Gluten Free diet?
What level of sodium restriction might be present in a Low Sodium diet?
What level of sodium restriction might be present in a Low Sodium diet?
What should be done to ensure the solution enters the bowel while administering an enema?
What should be done to ensure the solution enters the bowel while administering an enema?
How long should the oil or solution for a retention enema be retained in the patient?
How long should the oil or solution for a retention enema be retained in the patient?
What is the purpose of documenting input and output, color, size, and any abnormalities during patient care?
What is the purpose of documenting input and output, color, size, and any abnormalities during patient care?
Why is continuous irrigation performed after prostate or bladder surgery?
Why is continuous irrigation performed after prostate or bladder surgery?
What is a key step in assisting a patient with bladder irrigations post-surgery?
What is a key step in assisting a patient with bladder irrigations post-surgery?
How should the patient be positioned after assisting with a bladder irrigation procedure?
How should the patient be positioned after assisting with a bladder irrigation procedure?
What should be done after allowing food to cool before serving it to the patient?
What should be done after allowing food to cool before serving it to the patient?
What is a key consideration when assisting a patient with unilateral weakness during feeding?
What is a key consideration when assisting a patient with unilateral weakness during feeding?
What should you do if you are serving a blind patient?
What should you do if you are serving a blind patient?
What is recommended while offering food to a patient with unilateral weakness?
What is recommended while offering food to a patient with unilateral weakness?
Why is it important to place items on the right side for right-handed patients?
Why is it important to place items on the right side for right-handed patients?
What should be recorded after a patient has finished their meal?
What should be recorded after a patient has finished their meal?
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Study Notes
Bladder Irrigation
- Direct the solution towards the bladder wall during irrigation to ensure even distribution and prevent backflow.
- Separate the catheter and tubing to maintain sterility and prevent contamination.
- Place the sterile tube cap securely to prevent contamination after irrigation.
- Swab the connection with an antiseptic swab after irrigation to maintain sterility and prevent infection.
- A clogged catheter during irrigation can lead to interrupted flow and potential bladder trauma.
- After discarding supplies and equipment, wash hands thoroughly to maintain hygiene.
Nasogastric (NG) Tube Feeding & Dietary Restrictions
- Oral feeding is contraindicated in patients with dysphagia, vomiting, or altered level of consciousness.
- Gastric gavage provides nutrients directly into the stomach via an NG tube.
- Verify NG tube placement via X-ray confirmation or aspirating stomach contents.
- Position the patient in Semi-Fowler's position during tube feeding to prevent aspiration.
- When connecting the irrigation syringe, ensure a secure, airtight connection.
- Pour feeding solution slowly into the funnel to avoid rapid introduction and aspiration.
- Protein-restricted diets are prescribed for patients with kidney disease or liver failure.
- Mineral-restricted diets are used to manage conditions like kidney stones or heart failure.
- Calorie-restricted diets are primarily aimed at weight loss or managing specific metabolic disorders.
- Sodium (Na) is a mineral commonly found in almost all food and water sources.
- Gluten-free diets exclude gluten-containing grains like wheat, barley, and rye.
- Low sodium diets restrict sodium intake to varying levels, as indicated by physician's orders.
Enemas
- To ensure solution entry into the bowel, position the patient appropriately and lubricate the tip of the enema tube.
- Retain oil-based or solution enemas for the duration recommended by their specific instructions.
- Document input and output, color, size, and abnormalities to monitor patient status and response to treatment.
Post-Surgery Care
- Continuous irrigation is performed post-prostate or bladder surgery to prevent clot formation and ensure proper drainage.
- Assist patients with bladder irrigations by ensuring proper positioning and maintaining sterility.
- Position the patient comfortably after the irrigation, typically supine or semi-Fowler's.
Patient Feeding Assistance
- Allow food to cool to a safe temperature before serving.
- For patients with unilateral weakness, offer assistance on their stronger side to maximize their independence.
- For a blind patient, verbally describe the food being offered.
- While offering food to a patient with unilateral weakness, place items within easy reach of their stronger side.
- Place items on the right side for right-handed patients to promote ease of access.
- Record food intake and any remaining portions following a meal.
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