PN1 Exam 2_ PN1 Exam 2 Latest Study Guide Rasmussen College.

1. Dietary adjustment for constipation Increase fiber/water, whole grains, fruit, veggies 2. Pt has an indwelling catheter, describe cares common for this apparatus. • Use routine hygiene to clean periurethral area; antiseptic cleaning solutions are NOT recommended. • Leave catheters in place only as long as needed. (strongest predictor of a CAUTI) • Assess need for urinary catheter daily and document patient needs or indications. • Maintain a closed system by ensuring that catheter tubing connections are sealed securely • If breaks in the system occur, replace the catheter and entire collecting system. • Maintain unobstructed urine flow: keep the catheter and collecting tube free from kinking. • Keep the urine collection bag below the level of the bladder and do not rest the bag on the floor • Empty the bag regularly, using a separate, clean container for each patient. • Ensure that the drainage spigot does not come into contact with nonsterile surfaces. • Secure the catheter to the patient's thigh (women) or lower abdomen (men); catheter movement can cause urethral friction and irritation. • Consider the use of antiseptic or antimicrobial catheters for patients requiring urinary catheters for more than 3 to 5 days. These catheters reduce bacterial colonization (i.e., biofilm) along the catheter. 3. What is functional urinary incontinence and what type of education would you do for the pt. Leakage of urine caused by factors other than disease of the lower urinary tract. Patient Education → maintain tissue integrity, establish voiding pattern, catheterization for control, empty bladder, kegel exercises, elastic waistbands *A long-term urinary catheter is appropriate for patients with disrupted TISSUE INTEGRITY who need a dry environment for healing, for those who are terminally ill and need COMFORT, and for those who are critically ill and require precise measurement of urine output*