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usually found rectally
98.7-100.5 degrees Fahrenheit
what should you teach your pt about a 24 hr urinalysis.
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post signs on the pts bathroom door
initiate at a specific time by asking pt to empty bladder
discard first void; collect the rest for the 24 hrs
at end of 24 hrs, ask pt to void
**depending on hospital protocol, voids will remain in individually labeled
specimen containers (with date and time on outside), or they will all be
added into the same specimen container; all voids (individual, or together)
will be sent to lab.
what causes back injury in nurses?
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-uncoordinated lifts
-manual lifting; transferring of pt without assistive devices
-lifting when fatigued or after back injury
-repetitive movements such as lifting, transferring, and repositioning pts
-standing for long periods of time without breaks
-transferring pts
-repetitive tasks
-transferring/repositioning uncooperative pts
diuretic are known as ___.
common diuretics are...
what should your pre-administration assessment include when administrating
diuretics?
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, fluid pills
furosemide (lasix; a loop diuretic), hydrochlorthiazide (hctz),
spironolactone (potassium sparing), bumetanide (potent loop diuretic),
mannitol
**will depend on reason for admin but could include: vitals, K+ levels,
urinary output, lung sounds, and edema
how do you document pain?
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O - onset
L - location
D - duration
C - characteristics
A - alleviating
R - radiating
T - treatment
S - severity
steps to enema administration
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, -hand hygiene and put on ppe
-id the pt in two ways
-explain procedure
-assessable equipment on over-bed table or within reach
-provide pt privacy
-warm the enema solution & check temp (baby bottle test)
-adjust bed to comfortable working height
-place pt in left sims
-put on gloves
-lubricate end of rectal tube 2-3 in
-lift buttocks to expose anus, ask pt to take deep breaths, remain calm;
insert 3-4 in for adult (angle toward umbilical, not bladder)
-if resistance, permit small amount of solution, withdraw, then insert; do not
force
-insert solution slowly over 5 to 10 min; assess for dizziness, presyncope,
nausea, diaphoresis, & clammy skin during admin
-clamp tubing or lower container if pt has urge to defecate or cramping
occurs
-return pt to comfortable position, encourage pt to hold in solution as long
as possible (5 to 15 min), make sure linens are dry, remove gloves and
ensure pt is covered
-raise side rails, lower bed, adjust hob.
what are some reasons a pt may be having problems having a BM in the hospital?
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