Nutrition 68-103

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Questions and Answers

Which type of fluid is used to expand blood volume and maintain fluid balance?

Isotonic (correct)

D5W

Hypotonic

Hypertonic

What type of fluid draws fluid out of cells and is used to reduce cerebral edema?

D10W

Hypertonic (correct)

Isotonic

1⁄2 NS

Which type of fluid has the same concentration as plasma and does not cause redistribution of body fluid?

D5W

Isotonic (correct)

Hypotonic

What is the main indication for using hypotonic fluids?

Rehydrate when fluid deficits Signup and view all the answers

Which fluid is used to administer nutrition parenterally (TPN)?

Hypertonic Signup and view all the answers

Which type of fluid has less solute than plasma, causing fluid to go into cells?

Hypotonic Signup and view all the answers

What is the purpose of using hypertonic fluids?

Reduce cerebral edema Signup and view all the answers

Which fluid is used to expand circulatory volume rapidly?

Hypertonic Signup and view all the answers

What type of fluid is used when there is inability to eat or drink for fluid replacement?

Isotonic Signup and view all the answers

Which fluid has the same concentration as plasma and is used to maintain fluid balance?

Isotonic Signup and view all the answers

What can urinalysis detect abnormalities such as?

Glycosuria, proteinuria, hematuria, pyuria, and ketonuria Signup and view all the answers

What can abnormalities in stool indicate?

Bleeding, bile duct obstruction, and malabsorption disorders Signup and view all the answers

What can fecal impaction lead to if not relieved?

Bowel obstruction or perforation Signup and view all the answers

What may result in constipation?

Hypoactive bowel Signup and view all the answers

What can bowel sounds indicate?

Normal function, constipation, hunger, or bowel obstruction Signup and view all the answers

What may abdominal distention indicate?

Excessive gas, fluid, or stool in the GI tract Signup and view all the answers

What can result in fecal incontinence?

Illness, injury, or neurogenic dysfunction Signup and view all the answers

For what purposes can enemas be used?

Cleansing, softening stool, or administering medications Signup and view all the answers

What should nurses monitor for during enema administration?

Signs of vagus nerve stimulation Signup and view all the answers

What are bowel ostomies used for?

Diverting intestinal contents, resulting in an external stoma Signup and view all the answers

What are the functions of the urinary system?

Filtering blood, removing waste products, regulating electrolytes, and assisting in acid-base balance Signup and view all the answers

What is the normal urinary output range per 24 hours?

1 to 3 L Signup and view all the answers

What are the symptoms of IV fluid infiltration into tissues instead of the vein?

Coolness, pallor, and edema Signup and view all the answers

What are the alterations in urinary output?

Oliguria, polyuria, anuria, dysuria, nocturia, and incontinence Signup and view all the answers

What are the characteristics of urine that provide indications of the body's hydration and health status?

Color, clarity, odor, specific gravity, and pH Signup and view all the answers

What is the acceptable minimal hourly urinary output?

30 ml Signup and view all the answers

What are the challenges for skin care related to incontinence with urinary diversions?

Preventing skin issues Signup and view all the answers

What is involved in urinary diversion?

Surgically redirecting urine flow Signup and view all the answers

What is the purpose of collecting different types of urine specimens?

Different diagnostic purposes Signup and view all the answers

What is the frequency of routine dressing changes for venipuncture site care?

Every 24 to 72 hours Signup and view all the answers

Which type of fluid is used to reduce cerebral (brain) edema and expand circulatory volume rapidly?

Hypertonic solution Signup and view all the answers

What is the main purpose of using hypotonic fluids?

To rehydrate when there are fluid deficits Signup and view all the answers

Which of the following fluids has the same concentration as plasma and does not cause redistribution of body fluid?

Hypertonic solution Signup and view all the answers

When would a nurse use isotonic solutions for fluid replacement?

To maintain fluid balance especially when there is inability to eat or drink Signup and view all the answers

What is the effect of hypotonic solutions on body cells?

Cause fluid to go into cells Signup and view all the answers

Which fluid is used to administer nutrition parenterally (TPN)?

Total Parenteral Nutrition (TPN) Signup and view all the answers

What is the characteristic of hypertonic solutions?

They draw fluid out of cells Signup and view all the answers

What is the purpose of using isotonic solutions for fluid replacement?

To expand blood volume Signup and view all the answers

What is the effect of hypertonic solutions on body cells?

Draw fluid out of cells Signup and view all the answers

When would a nurse use hypotonic solutions for fluid replacement?

To rehydrate when there are fluid deficits Signup and view all the answers

What can fecal impaction lead to if not relieved?

Bowel obstruction or perforation Signup and view all the answers

What can abnormalities in stool indicate?

Bleeding, bile duct obstruction, and malabsorption disorders Signup and view all the answers

What do bowel sounds indicate?

Normal function, constipation, hunger, or bowel obstruction Signup and view all the answers

What is the purpose of using hypertonic fluids?

To draw fluid out of cells and reduce cerebral edema Signup and view all the answers

What is the main indication for using hypotonic fluids?

To shift fluid out of cells and into the bloodstream Signup and view all the answers

What is the purpose of collecting different types of urine specimens?

To detect abnormalities such as glycosuria and proteinuria Signup and view all the answers

What can result in fecal incontinence?

Illness, injury, or neurogenic dysfunction Signup and view all the answers

What are bowel ostomies used for?

Diverting intestinal contents and creating an external stoma Signup and view all the answers

What should nurses monitor for during enema administration?

Signs of vagus nerve stimulation Signup and view all the answers

What can urinary analysis detect abnormalities such as?

Glycosuria, proteinuria, hematuria, pyuria, and ketonuria Signup and view all the answers

What are the symptoms of IV fluid infiltration into tissues instead of the vein?

Coolness, pallor, and edema Signup and view all the answers

What is the normal urinary output range per 24 hours?

1 to 3 L Signup and view all the answers

What are the functions of the urinary system?

Filtering blood, removing waste products, regulating electrolytes, and assisting in acid-base balance Signup and view all the answers

What is oliguria in terms of urinary output?

Decreased urinary output Signup and view all the answers

What is the purpose of urinary diversion?

Redirecting urine flow due to medical conditions Signup and view all the answers

What are the characteristics of urine that provide indications of the body's hydration and health status?

Color, clarity, odor, specific gravity, and pH Signup and view all the answers

What is dysuria in terms of urinary output?

Painful urinary output Signup and view all the answers

What is the purpose of collecting 24-hour urine specimens?

To measure substances excreted over a 24-hour period Signup and view all the answers

What is the purpose of using bedpans and urinals for urinary elimination?

To accommodate different patient needs and conditions Signup and view all the answers

What are the challenges for skin care related to incontinence with urinary diversions?

Preventing skin issues Signup and view all the answers

Which type of fluid is used to rehydrate when there are fluid deficits such as dehydration or vomiting?

Hypotonic solutions Signup and view all the answers

What is the main purpose of using hypertonic fluids?

To reduce cerebral edema Signup and view all the answers

When would a nurse use isotonic solutions for fluid replacement?

To maintain fluid balance Signup and view all the answers

What is the effect of hypotonic solutions on body cells?

Causes fluid to go into cells Signup and view all the answers

What type of fluid is used when there is a need to expand circulatory volume rapidly or administer nutrition parenterally (TPN)?

Hypertonic solutions Signup and view all the answers

What can fecal impaction lead to if not relieved?

Bowel obstruction Signup and view all the answers

What may abdominal distention indicate?

Excessive gas in the GI tract Signup and view all the answers

What can urinary analysis detect abnormalities such as?

Glycosuria and hematuria Signup and view all the answers

What can abnormalities in stool indicate?

Bleeding and malabsorption disorders Signup and view all the answers

What are rectal tubes used for?

Expel gas or prevent skin breakdown in diarrhea Signup and view all the answers

Which symptom may indicate infiltration of IV fluids into tissues instead of the vein?

Coolness, pallor, and edema Signup and view all the answers

What is the normal urinary output range per 24 hours?

1 to 3 L Signup and view all the answers

What are the functions of the urinary system?

Filtering blood, removing waste products, and regulating electrolytes Signup and view all the answers

What is the purpose of urinary diversion?

To surgically redirect urine flow Signup and view all the answers

What do characteristics of urine, such as color, clarity, odor, specific gravity, and pH, provide indications of?

The body's hydration and health status Signup and view all the answers

Study Notes

Urinary Elimination and Care Summary

Venipuncture site care involves routine inspection and documentation of appearance, with dressing changes every 24 to 72 hours.
Infiltration of IV fluids into tissues instead of the vein can lead to symptoms such as coolness, pallor, and edema.
Functions of the urinary system include filtering blood, removing waste products, regulating electrolytes, and assisting in acid-base balance.
Normal urinary output ranges from 1 to 3 L per 24 hours, with an acceptable minimal hourly output of 30 ml.
Alterations in urinary output include oliguria, polyuria, anuria, dysuria, nocturia, and incontinence.
Characteristics of urine, such as color, clarity, odor, specific gravity, and pH, provide indications of the body's hydration and health status.
Bedpans and urinals are used for urinary elimination, with specific care instructions for different patient needs and conditions.
Urinary catheters come in various types, and their insertion, care, and removal are sterile procedures that require close monitoring.
Urinary diversion involves surgically redirecting urine flow, often necessary when the bladder is removed or bypassed due to medical conditions.
Collecting urine specimens involves different types, including simple, clean-catch midstream, from indwelling catheters, 24-hour specimens, and strained specimens.
Incontinence with urinary diversions poses challenges for skin care, requiring careful attention to prevent skin issues.
Various types of urine specimens, such as simple, clean-catch, from indwelling catheters, 24-hour, and strained, serve different diagnostic purposes and require specific collection methods.

Urinary Elimination and Care Summary

Venipuncture site care involves routine inspection and documentation of appearance, with dressing changes every 24 to 72 hours.
Infiltration of IV fluids into tissues instead of the vein can lead to symptoms such as coolness, pallor, and edema.
Functions of the urinary system include filtering blood, removing waste products, regulating electrolytes, and assisting in acid-base balance.
Normal urinary output ranges from 1 to 3 L per 24 hours, with an acceptable minimal hourly output of 30 ml.
Alterations in urinary output include oliguria, polyuria, anuria, dysuria, nocturia, and incontinence.
Characteristics of urine, such as color, clarity, odor, specific gravity, and pH, provide indications of the body's hydration and health status.
Bedpans and urinals are used for urinary elimination, with specific care instructions for different patient needs and conditions.
Urinary catheters come in various types, and their insertion, care, and removal are sterile procedures that require close monitoring.
Urinary diversion involves surgically redirecting urine flow, often necessary when the bladder is removed or bypassed due to medical conditions.
Collecting urine specimens involves different types, including simple, clean-catch midstream, from indwelling catheters, 24-hour specimens, and strained specimens.
Incontinence with urinary diversions poses challenges for skin care, requiring careful attention to prevent skin issues.
Various types of urine specimens, such as simple, clean-catch, from indwelling catheters, 24-hour, and strained, serve different diagnostic purposes and require specific collection methods.

Urinary Elimination and Care Summary

Venipuncture site care involves routine inspection and documentation of appearance, with dressing changes every 24 to 72 hours.
Infiltration of IV fluids into tissues instead of the vein can lead to symptoms such as coolness, pallor, and edema.
Functions of the urinary system include filtering blood, removing waste products, regulating electrolytes, and assisting in acid-base balance.
Normal urinary output ranges from 1 to 3 L per 24 hours, with an acceptable minimal hourly output of 30 ml.
Alterations in urinary output include oliguria, polyuria, anuria, dysuria, nocturia, and incontinence.
Characteristics of urine, such as color, clarity, odor, specific gravity, and pH, provide indications of the body's hydration and health status.
Bedpans and urinals are used for urinary elimination, with specific care instructions for different patient needs and conditions.
Urinary catheters come in various types, and their insertion, care, and removal are sterile procedures that require close monitoring.
Urinary diversion involves surgically redirecting urine flow, often necessary when the bladder is removed or bypassed due to medical conditions.
Collecting urine specimens involves different types, including simple, clean-catch midstream, from indwelling catheters, 24-hour specimens, and strained specimens.
Incontinence with urinary diversions poses challenges for skin care, requiring careful attention to prevent skin issues.
Various types of urine specimens, such as simple, clean-catch, from indwelling catheters, 24-hour, and strained, serve different diagnostic purposes and require specific collection methods.

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Description

Test your knowledge of urinary elimination and care with this summary quiz. Explore topics such as urinary output, characteristics of urine, urinary catheter care, urinary diversions, and urine specimen collection methods.