NUR 2349 Exam 2 PN 1 NUR 2349 Exam 2 PN 1 - Professional Nursing 1

NUR 2349 Exam 2 PN 1 NUR 2349 Exam 2 PN 1 - Professional Nursing 1NUR 2349 Exam 2 PN 1 NUR 2349 Exam 2 PN 1 - Professional Nursing 1 PN1 -Exam2 Abdominal/GI Assessment Inspect, Auscultate, Palpate, Percuss Cullen’s sign is a faint blue color around the belly button, McBurney’s point is severe pain in the Listen for up to 5 minutes to hear bowel sounds Barium studies – allows to see graphically. Glows in X-ray, with CT scan with contrast ask about allergies to shellfish and iodine GI assessment – ask about eating habits, bowel habits, food intolerances, appetite Constipation – Increase fiber & water, whole grains, fruits & vegetables Diarrhea – Is a major problem watch for fluid & electrolyte imbalances Glomerulonephritis Acute- damages capillaries which leak blood into urine (hematuria), oliguria, hypertension (has direct effect on kidneys). Recent strep infection increases risk. Can follow viral infections (measles, mumps, chickenpox). Symptoms – Cola colored urine, oliguria, HTN, edema, restrict fluid and salt. Chronic – Diabetes, HTN, long standing Pyelonephritis - kidney infection, affects one or both kidneys. Acute – caused by bacteria, quick onset. Symptoms – chills, high fever, bladder irritation, flank pain, nausea, vomiting, headache Chronic – slower onset, severe scarring, severe HTN, polyuria and nocturia. Results from repeated/continued urinary tract infection. Ulcerative Colitis vs. Chron’s Disease Both are inflammatory bowel disorders, both are chronic, both involve the GI tract, Chron’s Disease – 5-6 loose stools a day, Cobblestones throughout, inflammatory. Can affect the GI system. Diet changes help control this disease. Ulcerative Colitis – No diet changes will help, surgery for ileostomy. Effect colon & rectum. 10-20 liquid bloody stools a day. Keep NPO for possible surgery. If ileostomy then because of the stoma you will need to wear a pouch all the time. Diverticulitis Inflammation of diverticula, incidence increases with age this is why older people get routine colonoscopy. Diet 100% of prevention, decrease fiber and high processed foods. Symptoms -Left lower quadrant bloating, pain, nausea and vomiting. Treatment – oral broad spectrum antibiotics, rest bowel, NO NSAID’s/corticosteroids (GI Bleed), opioids – yes for pain Colonoscopy: clear liquid diet (no red drinks) for 24 hours before procedure. Teach that they will get cramps, have loose stools, keep drinking water so you don’t dehydrate. Urinary Incontinence Stress: urine leaks out (loss of muscle) when cough, sneeze