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Exam (elaborations)

comp 283 final 2024 Exam Questions with Complete Answers

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  • Course
  • COMP Galen College
  • Institution
  • COMP Galen College

comp 283 final 2024 Exam Questions with Complete Answers

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  • November 9, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMP Galen College
  • COMP Galen College
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comp 283 final 2024 Exam
Questions with Complete
Answers

Denning [Date] [Course title]

,Deligation to UAP - Correct Answers: Transfer a duty.

they can get V/S, after RN has gotten initial set.

ambulate as long as pt has been cleared for weight bearing status.

re-ENFORCE education that RN has taught

assist with ADL's

CPR

document I&O's

glucose check, finger stick, per facility protocol

12 lead EKG, per facility protocol

turn & reposition



Delegation to LPN - Correct Answers: med administration, enteral feedings, urinary Cath insertion,
suctioning, tracheostomy care, reinforcement of pt education



RN job duties remember neumonic - Correct Answers: ADPIE

A-assessment

D-diagnosis

P-planning

I-implementation

E-evaluation



NG tube placement - Correct Answers: pH paper.

xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and amt), monitor
nasal skin around tube, monitor tubing for kinks & "plugs", continue to assess BS's and abdominal girth,
pain, **aspirate contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp



NG assessment - Correct Answers: 1st turn OFF suction

verify placement

can irrigate with sterile saline

SCD's on (high risk for clots and pneumonia)

,turn & reposition



Peptic Ulcer Disease - Correct Answers: A break or ulceration in the protective mucosal lining of the
lower esophagus, stomach, or duodenum

coffee ground emesis (old blood)

NPO, NG tube

triple therapy 2 antibiotics and 1 PPI

could have an active bleed

H. pylori



early stage cirrhosis - Correct Answers: enlarged liver

jaundice

GI disturbances

weight loss

increase protein



late stage cirrhosis - Correct Answers: liver becomes smaller and nodular

splenomegaly

ascites, distended abdominal veins, increased pressure in portal system

bleeding tendancies, decreased vitamin K and prothrombin, anemia

esophageal varices, internal hemorrhoids

dyspenia (from ascites and anemia)

pruritis from dry skin

clay colored stools; no bile in stool

tea colored urine; bile in urine



End stage cirrhosis - Correct Answers: hepatic encephalopathy/coma

, portal hypertension - Correct Answers: A potential complication of chronic alcoholism resulting in liver
damage and obstruction of venous blood flow through the liver. The rising blood pressure in the veins
between the gastrointestinal tract and liver causes engorgement of veins around the umbilicus (navel).
The characteristic radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa was
the "snake-haired lady" in Greek mythology.

end-stage cirrhosis



self breast exam - Correct Answers: Monitor for any change in size, contour, dimpling. Perform exam
every month, 7 days after your period. Use finger pads of the three middle fingers.; lay down arm up, or
stand in front of mirror

postmenopausal (or MEN) - pick same day every month



self testicular exam - Correct Answers: Looking for lumps that may be the first sign of cancer common in
men ages 15-35

perform in shower, roll 'ball' between fingers



Addison's disease - Correct Answers: A rare, chronic endocrine disorder in which the adrenal glands do
not produce sufficient steroid hormones.

s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)

need life long cortisol replacement

Monitor for addisonian crisis



Addisonian crisis - Correct Answers: N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, EXTREME decreased BP

triggered by stress or infection

MEDICAL EMERGENCY



Cushing's syndrome - Correct Answers: caused by prolonged exposure to high levels of cortisol

Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle weakness,
depression/anxiety, hypertension, hypernatremia (polydipsia), hypokalemia, hyperglycemia



Nutritional needs for infant - Correct Answers: breast or bottle MAIN source of nutrition for first year

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