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NU455 Exam 2 With Correct Answers
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NU455 Exam 2 With Correct Answers...
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NU455 Exam 2 WithCorrect Answers
Possible causes of acute abdomen - ANSWER GI infection
Cholecystitis
Pancreatitis
Intestinal obstruction
Hepatitis
Appendicitis
hallmark assessment finding of appendicitis - ANSWER rebound tenderness
most common causes of pancreatitis - ANSWER excessive alcohol intake
gallstones (cholilethiasis)
elevated labs indicative of pancreatitis - ANSWER amylase and lipase
amylase will be elevated for 48-72 hours in blood, lipas will be elevated a
little longer than amylase, urine can be tested for late detection of
pancreatitis
, plan of care for pancreatitis - ANSWER fluid replacement
I/O monitoring
Pain control- PCA
monitor glucose levels
electrolyte monitoring
daily weights
NGT
enteral/parenteral feeding
assess for complications
enteral feeding: nursing assessment - ANSWER inspect the nares
check residual, prevent aspiration from delayed gastric emptying
nasogastric tube timing - ANSWER temporary, 4 weeks maximum
insertion of NG tube - ANSWER at least two people; measure from the tip of
the nose to the ear to the xiphoid process
complications of enteral feeding - ANSWER trauma to the nares
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