NURS 221 Lecture Notes - Lecture 8: Catheter, Perineum, Loperamide

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blushfish800

4 May 2023

School

University of Alberta

Department

Nursing

Course

NURS 221

Professor

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Document Summary

Washing of the genital area completed during a complete bed bath or when a patient is incontinent. Documentation: procedures performed, amount of assistance provided, patient"s reaction, extent of patient"s participation, patient teaching. General nursing considerations: patient"s hygiene practices and preferences, sociocultural practices, patient"s physical condition/mobility: lack dexterity, pain, etc, developmental considerations (pediatric, geriatric, cognitive status, prioritize privacy, safety, warmth. *always clean from least to most contaminated to limit the spread of microorganisms from gi to urinary system, use gloves when needed, and always wash hands before and after* Parkinson"s, etc. that impair nerve function or mobility: medications: diuretics that increase voiding amount; meds that affect bladder contractility; meds that affect ability to recognize urge to void. Hx of indwelling catheter? (increases risk for uti) Nursing considerations for older adults: often experience nocturia; safety consideration=falls and mobility aids/assistance. Incontinence is not a normal part of aging: hydration status, encourage fluid intake unless contraindicated, asymptomatic bacteriuria: no treatment.

Related Questions

The ABC Clinic wants to make sure patients are more prepared for medical procedures by getting them involved in patient education. One of the patient education sessions involves a tour of an operating room suite and they encourage the patients to be involved and ask questions. Benefits of this type of patient engagement include:

A. Focus on the individual

B. Improved patient satisfaction

C. Telehealth

D. Social media

StewartRenee

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

goldworm200

What procedure(s) will you need to code? (Check all that apply.)

Documentation:

PREOPERATIVE DIAGNOSIS: Mass of lung

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung

OPERATION PERFORMED: Bronchoscopy and right upper lobectomy

The patient was brought into the operating room, and after the

administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus position. A thoracotomy incision was made. This exposed the chest muscles, which were incised and retracted. The fourth and fifth ribs were visualized and transected to allow entrance to the chest. A tumor mass was noted. This mass measured 7.0 cm in diameter, involving the right lung pper lobe. The mass was excised in its entirety, and a biopsy of the mass vas taken and sent for frozen section. The frozen section revealed quamous cell carcinoma. Nodes were then dissected around the pulmonary artery and the trachea. The nodes were sent for frozen section. The nodes were identified as negative per pathology. Saline was irrigated into the chest. It was noted that the liver and diaphragm appeared to be normal with

no lesions seen. After verification that the sponge count was correct, chest tubes were placed for drainage. The surgical wound was closed in layers with chromic catgut and nylon. The patient tolerated this portion of the procedure well The patient was then placed in the supine position for the bronchoscopy.

The patient was still under anesthesia. A flexible fiberoptic bronchoscope was inserted. Patient bronchi were noted bilaterally. The scope was withdrawn. The patient was awakened and sent to the recovery area in stable condition.

a. Bronchoscopy

b. Lobectomy

c. Excision

d. Biopsy

StewartRenee

NURS 221 Lecture Notes - Lecture 8: Catheter, Perineum, Loperamide

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