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NR 224 Fundamentals Final Review 2023/ 239 Questions With Complete Solutions (A+)
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NR 224 Fundamentals Final Review 2023/ 239Questions With Complete Solutions (A+)
Quiz :What is the most effective method to prevent the transfer of clostridium
difficile (C. Difficile) ? - √Answer :HAND HYGIENE with soap and water is
effective to physically remove C. difficile spores from the hands. (Potter 1092)
Quiz :What is the term for the [abnormal] method used to assist in stool
passage by exerting pressure to expel fecal matter through voluntary
contraction of the abdominal muscles while maintaining a forced expiration
against a closed airway? - √Answer :Valsalva Manuever
*Normal passage of bowels should be painless, passing soft formed stool*
Quiz :Which patients are at greatest risk for cardiac dysrhythmia and high
blood pressure with the Valsalva manuever and MUST avoid straining to pass
stool? - √Answer :Patients with cardiovascular disease, glaucoma, increased
intracranial pressure, or a new surgical wound
(Potter 1089)
, Quiz :What is the term for a collection of hardened feces in the rectum that
cannot be expelled due to unrelieved constipation? - √Answer :Fecal
Impaction
Quiz :Where does fecal impaction occur in the colon? - √Answer :Rectum
Quiz :Least formed stool is present in which portion of the digestive tract? -
√Answer :Ascending Colon
Quiz :Most formed stool is present in which portion of the digestive tract? -
√Answer :Descending Colon
Quiz :Which position should the patient be in while administering an enema? -
√Answer :Left Side-Lying or Sim's Position
Quiz :Which factors would contribute to stopping enema administration? -
√Answer :If bleeding occurs, abdomen becomes rigid and distended, pain
occurs, or resistance is felt
Quiz :Which enema solution is the safest for administration because it does
NOT create a danger for excess fluid absorption? - √Answer :Normal Saline
[Isotonic Solution]
Quiz :Which enema solution is contraindicated in patients who are dehydrated
or young infants because of risk for fluid imbalance? - √Answer :Hypertonic
Solution
Quiz :Which enema solution is considered to be hypotonic and should NOT be
repeated because of the risk of water toxicity or circulatory overload if and
because the body absorbs excessive amounts of water? - √Answer :Tap Water
[Hypotonic Solution]
Quiz :Which enema solution lubricates the rectum and allows the feces to
absorb the oil making them soft and easier to pass? - √Answer :Oil Retention
Quiz :Which enema solution creates intestinal irritation to stimulate peristalsis
by using castile soap? - √Answer :Soapsuds
,Quiz :Which enema solution should used in caution in pregnant women and
elderly because it may cause an electrolyte imbalance or damage to intestinal
mucosa? - √Answer :Soapsuds
Quiz :Which laboratory test is used to measure microscopic amounts of blood
in the feces (blood that cannot be seen) - √Answer :Guaiac Fecal Occult Blood
Test
Repeat the test at least three times while the patient refrains from ingesting
foods (e.g., some raw vegetables, red meat, poultry, fish) and medications
(e.g., vitamin C, aspirin, non steroidal anti-inflammatory drugs) that cause
false-positive results
(Potter 1100)
Quiz :When analyzing a fecal specimens for ova and parasites, what is required
of the stool? - √Answer :The stool MUST be warm.
If the stool specimen remains at room temperature, bacteriological changes
can alter the test results
Quiz :Which cathartic form is most effective because of its stimulant effect on
the rectal mucosa
(Example: Dulcolax)? - √Answer :Cathartic Suppositories
Quiz :Which foods induce a constipating effect? - √Answer :cheese, lean
meats, eggs, and pasta
Quiz :Which food induce a laxative effect? - √Answer :fruits, vegetables, bran,
chocolate, alcohol, and coffee
Quiz :What are the assessment findings of a normal stoma? - √Answer :bright
pink or brick red
Notify HCP of stoma is blue, purple, brown, or black which indicates circulation
problem to the stoma
Quiz :How does the nurse measure the length of the NG tube for insertion? -
√Answer :Tip of the nose --> earlobe --> xiphoid process
, Quiz :What is the most reliable method of verification for placement of the NG
tube? - √Answer :X-ray
Other methods include: pH test (aspirate and inspect color)
Quiz :What are the ranges for body mass index? - √Answer :Normal = 19-24
Overweight = 25-29
Obese = 30-39
Extremely Obese = > 40
Quiz :When energy requirements are completely met or EQUALS kcal intake in
food what occurs? - √Answer :Weight does not change
Quiz :When kcal intake in food is LESS THAN energy requirements what
occurs? - √Answer :Loose weight
Quiz :When kcal intake in food is GREATER THAN energy requirements what
occurs? - √Answer :Gain weight
Quiz :Nutrients are absorbed in what portion of the digestive tract? -
√Answer :Small intestine [duodenum]
Quiz :Proteins are necessary for _________ balance - √Answer :Positive
protein and nitrogen balance for healing, growth, and tissue repair
Quiz :1 gram of carbohydrates = ____ kcal - √Answer :4 kcal
Quiz :1 gram of fat = ____ kcal - √Answer :9 kcal
Most calorie dense
Quiz :< ___ % of fat intake of daily nutrition is considered a nutritional
deficiency - √Answer :< 10%
Quiz :1 gram of protein = ___ kcal - √Answer :4 kcal
Quiz :Which amino acids are NOT manufactured by the body and MUST be
obtained through diet or external source are known as? -
√Answer :Indispensable amino acids
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