Faculty of Social and Health Sciences Bachelor of Nursing HEAL 5026 Introduction to Nursing Practice Summative Assessment One: Worksheet four: 1% (Refs: Crisp, Taylor, Douglas & Rebeiro (2013) pp ) Elimination 1. Name the parts of the gastrointestinal system from the diagram 2. Explain: - the function of the large intestine (p.1154) - peristalsis -why chyme moves slowly through the small intestine 3. Outline the characteristics of normal faeces (p.1128) Table 37-4 4. Mr Jones is 75 and has had a right CVA (cerebrovascular accident) with left sided weakness. He has reduced mobility and has not passed a bowel motion for 4 days. Write 5 questions that the nurse would ask Mr Jones for an assessment of elimination patterns. He tells you he has pain and discomfort and that he is constipated. Write a nursing care plan addressing this problem. Problem Goal Interventions (x3) Rationale (x3 to match the interventions) Evaluation 5. Refer to table 37-5 (in your text p.1136) Common types of laxatives and cathartics used to prevent or treat constipation and complete the following. Use alternative resources including the New Zealand formulary / Medsafe if you do not have a Crisp & Taylor. Agent Action / onset Indications Precautions / side effects Lactulose Macrogol (movical sachets) Sennosides (Senakot) Glycerine suppositories Microlax enema The Urinary System Please refer to your text or the Nursing education in video collection on the library website 6. Outline the main functions of the urinary system. 7. Identify the components of the urinary system. 8. Mrs Jones has passed urine in a bed pan. The nurse needs to assess the urine and take a specimen from it. Explain the characteristics of urine needing to be assessed. 9. Outline your responsibilities in taking a urine specimen. 10. It is thought that Mrs Jones may have a UTI. Explain what is meant by a UTI 11. Write the classic signs and symptoms of a UTI 12. Explain the terms below dysuria oliguria eneuresis haematuria stress incontenence 13. From your experience at the SIM lab sitting on a bed pan write three important aspects to be aware of when caring for future patients who need to use a bedpan.