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NUR 195 Week 10 - Questions & Correct Answers (A+)
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NUR 195 Week 10 - Questions & Correct Answers (A+)
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NUR 195 Week 10 - Questions & Correct Answers (A+)Clients with dry mouth are at greater risk for developing dental caries as the normal flow of saliva is a natural tooth cleaning process Right Ans - True
A hiatal hernia occurs when the upper part of the stomach is displaced upward into esophagus Right Ans - True
Sialolithiasis (salivary stones) can be asymptomatic unless they become infected or obstruct the glands duct Right Ans - True
An appropriate nursing intervention for a client with xerostomia (dryness of mouth) is to provide the client with sipping water and saliva substitute Right Ans - True
A client with an esophageal diverticulum is at risk for aspiration Right Ans - True
A client with a surgical repair of a perforated esophagus will require external or parenteral nutritional supplementation for at least 7 days post operatively Right Ans - True
The primary risk factors for the developing of laryngeal cancer are tobacco use combined with regular alcohol consumption Right Ans - True
Clinical manifestations of esophageal cancer include dysphagia, painful swallowing, halitosis and hiccups Right Ans - True
What can contribute to GI pain and nausea Right Ans - Reflux Back injury Smoking
Drinking Diet
Overweight Other meds
Stress GI cocktail Right Ans - liquid consumed by mouth to treat upset stomach (Common Medications & Treatments) - viscose lidocaine, liquid antacids, antipolanergic helps dry up any increased secretion
Oder priority for emergency esophagogastroduodenoscopy Right Ans - - O2 by nasal cannula, titration to maintain SpO2 over 94% - insert two large bore IV - CBC stat - type and cross match 2 units packed red blood cells - pantoprazole (proton pump inhibitors) 4 mg IV push over 2 min
- pantoprazole IV 8mg/hr continuous drip - imitate NS at 100ml/hr - NPO
What is an EGD Right Ans - Looks at esophagus, stomach, and upper portion of intestines
Allows for identification of any varices
What are nursing priorities for EGD Right Ans - Vitals
Consent obtained before Has been NPO 6 hr
Midazolam sedation or Propofol - post - airway, vitals, LOC, return of gag reflex, no complications
What type of discharge orders do you anticipate regarding diet for erosive esophagitis, hiatal hernia, ulcer Right Ans - Advance diet as tolerated No Citric or acidic, no drinking or smoking
What type of lifestyle modification education should be provided erosive gastritis, hiatal hernia, ulcer Right Ans - No alcohol or smoking, compliance with medical and stress reduction avoid NSADS and aspirin
What medication prescription do you anticipate for erosive hernia, erosive gastritis, ulcer Right Ans - Proton pump inhibitors Sulfrocase
Purposes of gastrointestinal intubation Right Ans - Decompress the stomach Lavage the stomach
Diagnose GI disorders
Administer medications and feeding
To compress a bleeding site
To aspirate gastric contents for analysis
Enteral nutrition Right Ans - giving nutrients into the gastro-intestinal tract through a feeding tube
Advantages of enteral nutrition Right Ans - maintains gut function, fewer costs, fewer complications,
Enteral nutrition delivery Right Ans - Nasal gastric tube- J tube- gastronomy tube - Continuous infusion pump
Intermittent infusion by gravity
Intermittent bolus by syringe
Cyclic feedings by infusion pump
Process of enteral nutrition Right Ans - Education Preparation Inserting of tube Confirmation of placement Functioning of tube
Enteral nutrition nursing priorities Right Ans - Monitor for nausea, diarrhea, distended abdomen, prevent and manage complications, can remove
if needed, HOB elevated, correct formula At correct rate with correct free water, I and O, gastric residual
The nurse is preparing to administer medication using a client's nasogastric tube. Which actions should the nurse take before administering the medication Right Ans - Check the residual volume.
Aspirate the stomach contents.
Turn off the suction to the nasogastric tube.
Test the stomach contents for a pH indicating acidity
Complications of enteral feeding Right Ans - Aspiration, diarrhea, emesis, GI bleed, mechanical obstruction, hypernatremia, and dehydration
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