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NUR 355 EXAM 5 V1&2 QUESTIONS AND ANSWERS STUDY GUIDE WITH COMPLETE SOLUTION!!.
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NUR 355 EXAM 5 V1&2 QUESTIONS AND ANSWERS STUDY GUIDE WITH COMPLETE SOLUTION!!.
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NUR 355 EXAM 5 V1&2 QUESTIONS AND ANSWERSSTUDY GUIDE WITH COMPLETE SOLUTION!!
VERSION 1
What is a specific intervention for the treatment of acute pancreatitis? - (correct answer) -NPO status to
reduce GI activity and reduce pancreatic enzyme production
What is administered in order to prevent dehydration in a client with acute pancreatitis? - (correct
answer) -IV fluids
When a client has acute pancreatitis with severe or persistent nausea and vomiting, what action
intervention is needed? - (correct answer) -NGT to low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis? - (correct answer) --Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis? - (correct answer) -Opioid
analgesics for pain
When are opioid analgesics administered for acute pancreatitits? - (correct answer) --Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort? - (correct answer) -Fetal position
What is the standard surgical procedure for patients with cholecystitis? - (correct answer) -Laparoscopic
cholecystectomy
What is a laparoscopic cholecystectomy? - (correct answer) --Uses several small incisions (up to 1/2 in.
long) in the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the surgical instruments and a
laparoscope (a small thin telescope, camera, and surgical equipment) are placed through the incisions to
remove the gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic cholecystectomy? - (correct
answer) -Assist with early ambulation to promote absorption of carbon dioxide
,What kind of diet should a client who is post-op laparoscopic cholecystectomy follow? - (correct answer)
-Low-fat
When can a client who is post-op laparoscopic cholecystectomy remove the dressing? - (correct answer)
-After 24 hours
When can a client who is post-op laparoscopic cholecystectomy shower? - (correct answer) --After the
first 48 hours
-It is okay to get the incision a little wet in the shower, but patients should not let the water pressure
flow directly on the incision, which can increase chances of infection at the incision site
What discharge teaching should a nurse provide to a client who is post-op laparoscopic
cholecystectomy? - (correct answer) --Light lifting of less than 10 pounds
-No driving while taking narcotics
What color should a stoma be post-op? - (correct answer) -Reddish pink
When should you contact the healthcare provider after assessing a client's stoma? - (correct answer) -If
the stoma is pale, dark red, purplish, or black (dark)
What can you expect the stool consistency from an ascending colostomy to be? - (correct answer) -
Liquid because only a little, large bowel is available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support? - (correct answer) -Local chapter of the UOAA
has resources for patients and their families, including specially trained visitors who provide support
What kinds of foods should a client with a colostomy avoid? - (correct answer) --Foods that can cause
gas such as dark green leafy vegetables, beer, carbonated beverages, dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied? - (correct answer) -When there is gas or if it is one-third to
one-half full of stool
What foods can help reduce the risk of colon cancer? - (correct answer) --High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
What food increases the risk of colon cancer? - (correct answer) -Red meat
When is colorectal cancer prevalent? - (correct answer) -Rare before the age of 40, but its incidence
increases rapidly with advancing age
What should a client with irritable bowel syndrome (IBS) consume daily? - (correct answer) -High-fiber
diet (30-40 g/day) with 8-10 cups of liquid
, What is an example of a high-fiber content meal that a client with irritable bowel syndrome (IBS) should
eat? - (correct answer) -Chicken, brown rice, broccoli, and apple juice
What should a client with irritable bowel syndrome (IBS) avoid? - (correct answer) --Alcohol
-Caffeine
-Gastric irritants
What would be included in a home assessment for a client who has inflammatory bowel disease (IBD)? -
(correct answer) --Identifying adequacy and availability of bathroom facilities
-Opportunities for rest and relaxation
-Patient's knowledge of dietary therapy
-When to contact the provider
How often should the nurse check tube placement and provide oral care for a client with an NG tube? -
(correct answer) -Every 4-8 hours
What is the nurse's role for a client with an NG tube? - (correct answer) -Monitor and document
drainage
What is an endoscopic retrograde cholangiopancreatograph (ERCP)? - (correct answer) -A technique that
combines endoscopy and fluoroscopy to visualize the biliary system to diagnose and treat causes of
obstruction in the biliary tree
What are potential complications of an endoscopic retrograde cholangiopancreatograph (ERCP)? -
(correct answer) --Systemic inflammatory response (SIRS)
-Perforation
-Hemorrhage
What is an esophagogastroduodenoscopy (EGD)? - (correct answer) -A minimally invasive procedure
that uses an endoscope to visualize the GI tract from the esophagus to the duodenum to evaluate for
esophageal varices or bleeding
What must be assessed before giving PO fluids or food one hour post EGD? - (correct answer) -Gag
reflex
What is the route of transmission for hepatitis B? - (correct answer) --Percutaneous or mucosal blood
-Body fluids
-Needles or sharp instruments
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