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Nur 355 exam 5 questions and answers study guide with complete solution!!
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Nur 355 exam 5 questions and answers study guide with complete solution!!
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NUR 355 Exam 51. What is a specific intervention for the treatment of acute pancreatitis?:
NPO status to reduce GI activity and reduce pancreatic enzyme production
2. What is administered in order to prevent dehydration in a client with acute
pancreatitis?: IV fluids
3. When a client has acute pancreatitis with severe or persistent nausea and
vomiting, what action intervention is needed?: NGT to low-intermittent
suction (LIS)
4. How does an NGT help a client with acute pancreatitis?: -Decompresses
stomach
-Prevents abdominal distention
5. What class of drugs is indicated for the treatment of acute pancreatitis?: -
Opioid analgesics for pain
6. When are opioid analgesics administered for acute pancreatitits?: -Around
the clock
-PRN
7. How do you position a client with acute pancreatitis to assure comfort?:
Fetal position
8. What is the standard surgical procedure for patients with cholecystitis?: -
Laparoscopic cholecystectomy
9. What is a laparoscopic cholecystectomy?: -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
10. What is one role of a nurse when a client is preparing for a
laparoscopic cholecystectomy?: Assist with early ambulation to promote
absorption of carbon dioxide
11. What kind of diet should a client who is post-op laparoscopic
cholecystectomy follow?: Low-fat
12. When can a client who is post-op laparoscopic cholecystectomy
remove the dressing?: After 24 hours
13. When can a client who is post-op laparoscopic cholecystectomy
shower?: -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
, .
14. What discharge teaching should a nurse provide to a client who is post-
op laparoscopic cholecystectomy?: -Light lifting of less than 10 pounds -No
driving while taking narcotics
15 What color should a stoma be post-op?: Reddish pink
16. When should you contact the healthcare provider after assessing a
client's stoma?: If the stoma is pale, dark red, purplish, or black (dark)
17. What can you expect the stool consistency from an ascending
colostomy to be?: Liquid because only a little, large bowel is available to
reabsorb the liquid from the stool
18. Where can you refer a client for ostomy patient support?: Local chapter of
the UOAA has resources for patients and their families, including specially
trained visitors who provide support
19. What kinds of foods should a client with a colostomy avoid?: -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
20. When should a colostomy bag be emptied?: When there is gas or if it is
one-third to one-half full of stool
21. What foods can help reduce the risk of colon cancer?: -High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
22. What food increases the risk of colon cancer?: Red meat
23. When is colorectal cancer prevalent?: Rare before the age of 40, but its
incidence increases rapidly with advancing age
24. What should a client with irritable bowel syndrome (IBS) consume
daily?-
: High-fiber diet (30-40 g/day) with 8-10 cups of liquid
25. What is an example of a high-fiber content meal that a client with irritable
bowel syndrome (IBS) should eat?: Chicken, brown rice, broccoli, and apple
juice
26. What should a client with irritable bowel syndrome (IBS) avoid?: -Alcohol
-Caffeine
-Gastric irritants
27. What would be included in a home assessment for a client who has
inflammatory bowel disease (IBD)?: -Identifying adequacy and availability of
bathroom facilities
-Opportunities for rest and relaxation
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