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VNSG-1423
Alison Miles - Unit 3 exam con't
| Question | Answer |
|---|---|
| swallow evaluation | performed by a speech language pathologist (SLP); indicates inadequate clearance of food and liquid from the vocal folds and aspirations of thickened liquids |
| aspiration precautions | report to charge nurse any onset of coughing, gagging, or pocketing of food; have patient sit upright; add thickener to liquids for consistency; suction airway as needed |
| providing enteral nutrition (EN) | tube placed nasally, laparoscopically, or surgically into stomach or small intestine |
| how to verify feeding tube placement | seeing residual stomach contents |
| types of incontinence | total, functional, stress, urge, reflex |
| total incontinence | uncontrollable and continuous loss of urine; nocturia; lack of awareness of bladder filling or incontinence |
| functional incontinence | strong urge to void with loss of urine before reaching appropriate receptacle |
| stress incontinence | urinating while coughing, laughing, vomiting, or lifting with a full bladder |
| urge incontinence | involuntary passage of urine after strong sense of urgency to void; abnormal frequency (more than every 2 hours) |
| reflex incontinence | involuntary loss of urine occurring at somewhat predictable intervals when patient reaches specific bladder volume |
| types of urinary diversions | continent and incontinent |
| continent diversions | creates an internal pouch to store urine; patient does not need to wear an external ostomy pouch over the urinary stoma |
| incontinent diversion | surgical procedure that creates stomas on outer abdominal wall for continuous urine drainage |
| different types of urine collections | clean-catch specimen, catheter specimen, 24 hr urine, routine urinalysis |