NRSG 317 FINAL EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
NRSG 317
Institution
NRSG 317
NRSG 317 FINAL EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
· Components and rationale for Universal Protocol - ANSWER-· pre-procedure verification process- right procedure, right patient, right site
· mark the site- clear marking so there isn't a site error
· timeout before c...
NRSG 317 FINAL EXAM 2024/2025 WITH GUARANTEED ACCURATE
ANSWERS |VERIFIED
· Components and rationale for Universal Protocol - ANSWER-· pre-procedure verification process- right
procedure, right patient, right site
· mark the site- clear marking so there isn't a site error
· timeout before cutting- third check for right site, right procedure, and right patient and opportunity to
fix any missed pieces
.· Different types of enteral feeding tube options and when each may be indicated - ANSWER-Jevity 1.2
Cal:most common used enteral tube feeding option unless having kidney issues
Osmolite 1 Cal
Jevity 1 Cal
Dietician determines when each is used
.· Indications for central vs. peripheral line placement - ANSWER-Benefits of a central line include:
•Administration of large fluid volumes
Ability to obtain blood samples
Administration of TPN/Vasoactive medications/Chemotherapy
Management: oral care, lip care, change tape as needed tube should not be touching the skin around
the nares so pressure ulcers can be prevented, check pt every 4 hrs, assess bowel sounds every 4 hours,
irrigate tube as ordered, inspect drainage color, consistency, odor and amount, inspect equipment,
document I&O
.· Nasogastric tube removal steps - ANSWER-REMOVE SLOWLY AND GENTLY
Assess bowel sounds for peristalsis Ask if they are passing flatus (Gas)
, Assist to a Semi-Fowler position (30 degrees)
Apply non-sterile gloves
Check placement of tube
Flush with either 30 mL air or saline
Remove the tape
Clamp the tube
Have patient hold their breath - this is to close the epiglottis
Gently withdraw the tube
Cover the tube
Provide oral care
Remove the tape residue from the nose
Dispose of supplies
Discard gloves
Hand hygiene
Document - Record date and time, color consistency of drainage, unusual events, patient tolerance to
procedure
.· Postoperative care:
Expected assessment findings including lab values - ANSWER-· The surgical area may be sore, slightly
red, possibly slightly warm for a day after.
· No drainage, incision edges are approximated
· Normal labs:
· Partial pressure of oxygen (PaO2): 75 - 100 mmHg
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