Nursing 400 Final Exam combined study guides Questions With 100%Verified Answers A+GRADED Already Passed!!!
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Course
NURS 400
Institution
NURS 400
Nursing 400 Final Exam combined study guides Questions With 100%Verified Answers A+GRADED Already Passed!!!
Dysphagia - correct answer...inability to swallow or difficulty in swallowing
2 key points about Dysphagia - correct answer...1. 30 mins prior to meal time, the pt needs to be sitting a...
Nursing 400 Final Exam combined study
guides Questions With 100%Verified
Answers A+GRADED Already Passed!!!
Dysphagia - correct answer...✔✔inability to swallow or difficulty in swallowing
2 key points about Dysphagia - correct answer...✔✔1. 30 mins prior to meal time, the
pt needs to be sitting at 90 degree unless its contraindicated
2. Monitor for possibility of aspiration
-s/s of aspiration
-Coughing
-Wheezing
-Redness of face
-Decrease O2 sat
2 key points about Nasogastric Tube - correct answer...✔✔Used for pt who suffers
from dysphagia (difficulty swallowing)
Residual volume must always be checked q4h d/t risk for aspiration *** if there is a large
amount of residual volume, that means pt is not digesting the food - inform MD**
NGT insertion - correct answer...✔✔1. Measure the tube from the nose to the back of
the ear and down a little pass the bottom of the xiphoid process
2. Mark the tube (sharpie)
3. Have the patient swallow while inserting the tube (with or without ice chips)
NGT placement - correct answer...✔✔1. Once the NGT is inserted, aspirate 30 mL of
air
2. Place the stethoscope over the stomach and listen to the "wooooosh" sound as you
inject the air
AGRADESOLUTIONS
,3. If necessary, get an order for x ray for proper placement.
NGT medication administration - correct answer...✔✔1. Check if pt is on any fluid
restrictions
2. Check gastric residual and put it back after.
3. Make sure to kink the tube so that air won't go in the tube (air causes bloating)
4. Crush medication and mix with water until diluted and poured in the syringe. [except
enteric coated or with granules (Protonix)]
5. Flush 5-10 mL in between medications
6. Flush 30 mL after all medication has been administered
NGT removal - correct answer...✔✔1. Needs a doctor's order
2. Flush with 10 mL water/NS or 30-50 mL of air
3. Have pt take a deep breath while removing the tube quickly
7 Rules about Body mechanics - correct answer...✔✔-Always bend the knee and have
a wide base for support
-Always point your toes to the direction you're going
-When transferring a patient to a chair or wheelchair, have them hold on to your
shoulders and have your dominant foot in between their legs.
-Always count (1-2-3) out loud and tell them how to position or move
themselves.
a. If the patient is weaker on one side, have them put their weight on the stronger side
before standing up.
b. Turn your entire body rather than pivoting to avoid hurting your back
-When re positioning the patient, you has always make sure to avoid hurting your wrists
-Make sure the bed is at your hip level.
-If the patient is too heavy, ask for help.
How do we measure syringe gauge sizes? - correct answer...✔✔THE SMALLER THE
NUMBER, THE BIGGER THE DIAMETER (GAUGE) OF NEEDLE
AGRADESOLUTIONS
,IV site inspection - correct answer...✔✔look atthe IV catheter insertion site for redness,
swelling, or bruising. Redness can indicate irritation, inflammation, infection, or
thrombus formation. ... Assess the condition of the transparent catheter dressing. The
dressing should be clean, dry, and adhere securely to the skin around the IV catheter
insertion site
Intravenous sites - correct answer...✔✔-Common sites:
Dorsal area of the hands
Forearm
-Antecubital Fossa
Uncommon sites
Dorsal area of feet (needs an order)
Cephalic (infants)
Intravenous syringe length - correct answer...✔✔Neonate and Infants:
19 mm (<1 inch)
Child and Older Adult:
1 inch
Adults:
1-1 ¼ inches
Intravenous guages - correct answer...✔✔Neonate and Infants:
24-26 G
Child and Older Adults:
22 G
Adults:
18, 20, and 22 G
Intravenous angle - correct answer...✔✔*** Angle depends upon where the IV insertion
site is.
(8) Rights of administration - correct answer...✔✔1. Right Patient
2. Right Medication
3. Right Dose
4. Right Route
5. Right Time
6. Right Reason
7. Right Response
8. Right Documentation
(Parenteral routes of medication administration)
AGRADESOLUTIONS
, Intradermal - correct answer...✔✔1. Medication is injected in the dermis (just below the
epidermis)
2. Must form a "wheal"
3. Longest absorption time for parenteral routes
4. Dosage is usually less than 0.5mL
(Parenteral routes of medication administration)
Subcutaneuos - correct answer...✔✔1. Injected in the adipose tissue
2. Absorption is slow to the capillaries
3. Dosage is usually no more than 1mL
4. Inject slowly so medication can disperse (10 sec/ 1 mL)
(Parenteral routes of medication administration)
Intramuscular - correct answer...✔✔Injected in the muscle
Faster onset than intradermal and subQ
(Parenteral routes of medication administration)
Intravenous - correct answer...✔✔Injected in the vein
Fastest absorption which also means fastest reaction to medication
(Parenteral routes of medication administration) (7)
Transdermal - correct answer...✔✔1. Applied topically on the skin using a patch that
contains medication
2. Remove old patch and wipe of remnants of medication
3. Clean and dry the area
4. Apply patch on different location (sites must be rotated to avoid skin irritation)
5. If the pt is hairy, trim the hair
6. Label the patch with date, time, and you initials
7. Most common patch used: Nitroglycerin - a vasodilator used to prevent angina (chest
pain) for pts with CAD (Coronary Artery Disease)
Urinary catheterization preparation - correct answer...✔✔Doctor's order is needed for
all catheterizations
Ask for latex and iodine allergies
Gather appropriate PPE supplies
Clean the genital area prior to the procedure
Assess the genitalia for any lesions, swelling, and skin breakdown
AGRADESOLUTIONS
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