Problem
A. Calculate Mr. Smith's I&O record for the last 8 hours. He consumed 8 ounces of juice, 2 jello packs that are 3 ounces each, 2 cups of tomato soup, 1 cup of mashed potatoes, ½ portion of 8oz steak, 1 cup of green beans, 500mL of tea, 1 ½ cups of ice cream, His PIV is running at 50mL an hour of normal saline. His PIV was flushed with 10mL syringe of normal saline. His catheter was emptied 3x with the following measurements 750 mL, 325mL, 900mL. What is his total intake and total output?
B. Calculate Ms. Graham's I&O record for the last 8 hours. She consumed 2 cups of oatmeal, 10 ounces of milk, 1 banana, 9oz gelatin, 6oz popsicle, 300mL hot tea, 1 cup of chicken fried rice, 2 cups of clear soup, 16 ounces of bone broth, 750mL of water. Her PIV of normal saline ran for 5 hours at 125mL hour. Her PIV was flushed twice over the last 8 hours with 10mL of normal saline each time. Ms. Graham had 75mL in Nasogastric suction container. 1 Emesis bag with approximately 350mL of vomitus. Her foley catheter was emptied every 2 hours and had the following recordings: 275mL, 115mL, 750mL and 475mL. What is her total intake and total output?
C. What are the signs and symptoms of fluid deficit? What are the signs and symptoms of fluid overload?
D. What reasons/indications would you need to use a straight catheter? What is the difference between mid-stream catch and random catch?
E. Explain two ways the nurse can obtain a sterile urine specimen?
F. What is the difference between the 6 catheter types l? What are their defining features?
G. How do you kegel? Why would you teach a patient to kegel?