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Nur 301 Final Exam Questions And Answers
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Nur 301 Final Exam Questions And Answers
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Solution 2024/2025Pepper
Nur 301 Final Exam Questions And Answers
CT Scan ANS✔✔ More detailed information than an x-ray, cross-sectional images/slices used to detect abnormalities in
the body (tumors, abscesses, abnormal blood vessels)
Ex. bowel obstructions
Barium Swallow ANS✔✔ X-ray imaging test used to visualize the structures of the esophagus. Used to diagnose
anatomical abnormalities such as esophageal perforation and hiatal hernia.
Abdominal Ultrasound ANS✔✔ Used to look at organs in the abdomen, including the liver, gallbladder, spleen, pancreas
and kidneys and is used to detect abnormalities.
ERCP ANS✔✔ Specialized technique used to study the bile ducts, pancreatic duct and gallbladder. Used to diagnose and
treat certain problems of the biliary or pancreatic ductal systems
GERD ANS✔✔ May occur because of an incompetent lower esophageal sphincter, pyloric stenosis or a motility disorder
Symptoms of GERD ANS✔✔ Pyrosis (burning sensation), indigestion, regurgitation, dysphagia
Management of GERD ANS✔✔ Lifestyle modifications (diet, positioning), no food for 2 hours before bed
Gastric Emptying - proton pump inhibitors and prokinetic agents (drugs that accelerate gastric emptying)
Esophageal Perforation ANS✔✔ May be caused by trauma or inadvertently during a surgical procedure or dilation
Diagnosed with x-ray and barium swallow
Symptoms of Esophageal Perforation ANS✔✔ Pain, dysphagia, fever, high WBC (symptoms of infection), hypotension
Treatment of Esophageal Perforation ANS✔✔ Broad-spectrum antibiotics, NPO, surgery may be necessary
, Solution 2024/2025
Pepper
May have a G or J tube feeding, could also have TPN (central line)
Hiatal Hernia ANS✔✔ Opening in the diaphragm where the esophagus passes becomes enlarged - part of the stomach
moves up into the lower portion of the thorax
Diagnosed with X-ray and barium swallow
Sliding Hiatal Hernia ANS✔✔ Heartburn, regurgitation, dysphagia or asymptommatic
The most common type
Paraesophageal Hiatal Hernia ANS✔✔ Sense of fullness or chest pain after eating or asymptomatic
Treatment of Hiatal Hernias ANS✔✔ Do not eat 2 hours before bed, tx like GERD, avoid trigger foods (caffeine), smaller
meals, HOB 30-35 degrees
G tube ANS✔✔ A surgical procedure in which an opening is created into the stomach for the purpose of administering
foods and fluids via a feeding tube
Less risk for regurgitation and aspiration
NG tube and G tube ANS✔✔ Used to decompress stomach fluid or air (rest bowels), lavage the stomach and remove
toxins with NS, administer medications and nutrition
Nursing Implications of NG/G tubes ANS✔✔ HOB 30-35 degrees to prevent aspiration, residual assessment (<200
absorbing tube feeds, >200 call physician), preventing dumping syndrome (r/t formula), flush before removal
Where is the only place you can check residual? ANS✔✔ Stomach
Complications of NG/G tube ANS✔✔ Reflux, aspiration pneumonia, premature removal, infection, drainage around site
, Solution 2024/2025
Pepper
Parenteral Nutrition ANS✔✔ A method to provide nutrients to the body by an IV route. A complex mixture containing
proteins, carbohydrates, fats, electrolytes, vitamins, trace minerals and sterile water is administered in a single
container.
Indications of Parenteral Nutrition ANS✔✔ Protein calorie malnutrition, insufficient intake, ability to ingest food orally or
by tube is impaired, unwilling to ingest adequate intake
Administration of Parenteral Nutrition ANS✔✔ Peripherally (PPN), Centrally (TPN
Complications of Parenteral Nutrition ANS✔✔ Infection to central line due to increased bacteria on catheter because of
increased sugars
Importance of aseptic technique of catheter port
Peptic Ulcers ANS✔✔ Erosion of a mucous membrane forms an excavation in the stomach, pylorus, duodenum or
esophagus
Duodenal Ulcers ANS✔✔ 80% of peptic ulcers
Symptoms - hypersecretion of stomach acid, pain occurs 2-3 hours after a meal, ingestion of food relieves pain, vomiting
uncommon, hemorrhage less likely
Risk factors for duodenal ulcers ANS✔✔ H. pylori, alcohol, smoking
Gastric Ulcers ANS✔✔ 15% of peptic ulcers
Symptoms - normal or hyposecretion of stomach acid, pain 30 min to 1 hour after meal, relieved by vomiting, ingestion
of food does not help, vomiting is common, hemorrhage is more common
Risk factors for gastric ulcers ANS✔✔ H. Pylori, gastritis, alcohol, smoking, use of NSAIDS - will cause gastric ulcers not
duodenal
Pharmalogical Treatment for Peptic Ulcers ANS✔✔ Proton pump inhibitors, antibiotics, H2 receptor antagonists
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