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A series of questions and answers related to wound care and urinary catheterization, covering topics such as wound healing, dressing changes, irrigation, and catheter insertion and maintenance. It is a valuable resource for students and professionals in the healthcare field who are seeking to enhance their knowledge and understanding of these essential procedures.
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4 scenarios- which one has the least likely to have wound healing - ANSWER- healing time is 8 weeks or over What is expected 4th day post op? - ANSWER- swelling and redness, no discharge Eviscerated abdomen, what do u do - ANSWER- take gauze soaked in saline and cover it Old dressing abnormal findings - ANSWER- fully saturated, discolouration, foul odour, warm to touch Full thickness wound with lots of exudate - ANSWER- best thing to do is have well balanced die w high protein HCAs are able to tell u if a dressing is saturated - ANSWER- yes can look at it and let you know Before you do anything to a dressing what do you do - ANSWER- Assesment What if you are looking at a wound and notice undermining or tunnelling, what do you do - ANSWER- call RN but maintain sterility When you are irrigating a wound that has a wide opening, what equipment do you need to use - ANSWER- 35 ml Wound irrigation on a child, what can u do to alleviate fear b/c they r squirmy - ANSWER- Distract them Fast running iv, which assessment should one do? - ANSWER- Respiratory assessment for pulmonary edema Prevent iv dislodging- what can u do? - ANSWER- Educate the pt not to move it White crystals in iv tubing - ANSWER- 1.Stop iv
Primary nurse does blood iv- after 4 hrs blood doesn't go in- - ANSWER- the blood is no longer good cuz its been out for 4 hrs When you prepare to administer blood- 3 things that are top priority - ANSWER- 1)blood type- 2)crossmatch 3)what product are then getting If you have a pt with IV for meds- what u do? - ANSWER- Flush iv with normal saline When priming blood what solution do you use on the other side? - ANSWER- Saline Why do we put in a urinary catheter before surgery? - ANSWER- Monitor how much they're voiding during surgery Pt unable to void- u put in a Foley catheter- what do u expect to find? - ANSWER- More than 30ml/hr of urine When putting in a catheter for a male pt, what position - ANSWER- Supine Position When cleaning a female for urinary catheter insertion, how do u clean- - ANSWER- non dominant on pt, clean with dominant When u are inserting a Foley catheter into a male - ANSWER- put them at 90 degrees or right angle Patient has a follow catheter for a while and has only voided 200ml in the last 6 hours - ANSWER- Not meeting requirements, Call Dr Do u think u should call dr is urine is cloudy and malodorous - ANSWER- YES Purulent at tip of penis - ANSWER- Let Dr. know !! what do you do if the pt is feeling mild discomfort due to catheter - ANSWER- -Its mild, give them ice You find out that a pt has not been being voiding and is at 30ml/hr - ANSWER- first thing you do is check that the catheter is working correctly Inserting catheter for male pt - ANSWER- hold catheter against sphincter Best thing you can to prevent a common complication of an indwelling catheter - ANSWER- Catheter Care If you take a catheter out and after 8 hrs they still cant pee- what do u do? - ANSWER- ask if they have had difficulty peeing previously