the length of the catheter from meatus to tubing, anchor tubing, and reposition patient, dispose of supplies. 1. identify each type of catheter and list the indication for each: a. Straight single use catheter: relieve discomfort from retention, obtain sterile urine
sample, assess residual urine, management of spinal cord injuries, neuromuscular degeneration or incompetent bladders b. Coudé catheter: to prevent trauma, male patients with enlarged prostrate c. 2 way catheter: standard catheter type, use for long and short term d. 3 way catheter: continuous of intermittent irrigation used post prostatectomy 2. identify each type of device and list the indication for each: a. Bed pan: used for strict bed rest and immobility b. Fracture pan: used for immobility of fracture site c. 24 hour collection container: used to collect urine for diagnostic testing d. Strainer: used to collect stones from urine stream e. Collection hat: measuring device used to keep tract of urinary output Nurse-initiated interventions are determined by the state nurse practice act A clinical practice guideline or protocol is a systematically developed set of statements that assist nurses, physicians, and other health care providers in making decisions about appropriate health care for specific clinical situations. Instrumental ADL’s Include-Skills such as shopping, preparing meals, house cleaning, writing checks, and taking medications. A standing order is a preprinted document that contains orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems. Indirect care interventions are treatments performed away from the patient but on behalf of the patient or group of patients. Implementing Isolation Precautions is an example of providing indirect care by managing the patient's environment. Once goals are met for the care plan you can now discontinue the care plan. Nursing care plans help patients: resolve actual health problems, prevent potential problems, and maintain a healthy state. Because bulk-forming laxatives have high fiber content, patients may notice increased gas formation and flatus when they first start taking these laxatives. This condition will subside after 4 to 5 days. Wetting or emollient laxatives act by lowering the surface tension of feces. Osmotic laxatives increase bowel pressure and act as a stimulant for peristalsis. Stimulant cathartics act by causing local irritation to the intestinal mucosa. None of these three types of
laxatives cause flatus upon initiation of the regimen that subsides after 4 to 5 days. The three common sites for administering intramuscular (IM) injections are the deltoid, vastus lateralis, and ventrogluteal muscles. The deltoid site is easily accessible and is used for injecting small volumes. The vastus lateralis is a thick and well-developed muscle, located on the anterior lateral aspect of the thigh. The ventrogluteal muscle is the safest site for injection.
You've reached the end of your free preview.
Want to read all 22 pages?
- Fall '19