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Athabasca University, Nursing 400 Final Exam combined study guides questions with Complete Solutions.
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  • NURS 400

Athabasca University, Nursing 400 Final Exam combined study guides questions with Complete Solutions.

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  • August 21, 2024
  • 106
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • athabasca university nursing 400 final exam combi

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  • NURS 400
  • NURS 400

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Athabasca University, Nursing 400 Final
Exam combined study guides questions
with Complete Solutions




Dysphagia .- .correct .answers .✔✔ .-inability .to .swallow .or .difficulty .in .swallowing

2 .key .points .about .Dysphagia .- .correct .answers .✔✔ .-
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 .answers .✔✔ .-
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 .digesti
ng .the .food .- .inform .MD**

Nasogastric .Tube .Supplies .- .correct .answers .✔✔ .-Nasogastric .tube

,Irrigation .tray .- .60 .ml .syringe



A .bottle .of .sterile .water



lubricant

NGT .insertion .- .correct .answers .✔✔ .-
1. .Measure .the .tube .from .the .nose .to .the .back .of .the .ear .and .down .a .little .pass .the .bottom .of .t
he .xiphoid .process



2. .Mark .the .tube .(sharpie)



3. .Have .the .patient .swallow .while .inserting .the .tube .(with .or .without .ice .chips)

NGT .placement .- .correct .answers .✔✔ .-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 .a
ir



3. .If .necessary, .get .an .order .for .x .ray .for .proper .placement.

NGT .medication .administration .- .correct .answers .✔✔ .-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 .answers .✔✔ .-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 .answers .✔✔ .--
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 .ha
ve .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 .st
anding .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 .answers .✔✔ .-
THE .SMALLER .THE .NUMBER, .THE .BIGGER .THE .DIAMETER .(GAUGE) .OF .NEEDLE

IV .site .inspection .- .correct .answers .✔✔ .-
look .atthe .IV .catheter .insertion .site .for .redness, .swelling, .or .bruising. .Redness .can .indicate .irritatio
n, .inflammation, .infection, .or .thrombus .formation. .... .Assess .the .condition .of .the .transparent .cathe
ter .dressing. .The .dressing .should .be .clean, .dry, .and .adhere .securely .to .the .skin .around .the .IV .cath
eter .insertion .site

Intravenous .sites .- .correct .answers .✔✔ .--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 .answers .✔✔ .-Neonate .and .Infants:

19 .mm .(<1 .inch)



Child .and .Older .Adult:

1 .inch



Adults:

1-1 .¼ .inches

Intravenous .guages .- .correct .answers .✔✔ .-Neonate .and .Infants:

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