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NUR 211 Fundamentals – Final Exam Study Guide (Set-2), Verified And Correct Study Guide, Rasmussen college. Latest 2022 $15.49   Add to cart

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NUR 211 Fundamentals – Final Exam Study Guide (Set-2), Verified And Correct Study Guide, Rasmussen college. Latest 2022

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NUR 211 Fundamentals – Final Exam Study Guide (Set-2), Verified And Correct Study Guide, Rasmussen college. Latest 2022

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  • April 3, 2022
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Fundamentals – Final Exam Study Guide
For all systems/categories remember we  Cramping
utilize the nursing process.  Bloating
 Dehydration
Assessing – collecting, validating, and  Fever
communicating, patient data  Bloody stools
 Frequent urge to evacuate bowels
Diagnosing – analyzing patient data to
Teachings of how to keep regular bowel
identify the patients strength and patterns
problems
 Eat more fiber
Planning – specifying patient outcomes  Drink more
and related nursing interventions  Do not rely on laxatives
 Reduce stress
Implementing/intervention – carrying out  Do not ignore urge to go
the plan of care
Purpose for colonoscopy
Evaluating – measuring extent to which
patient achieved outcomes  Visual examination of the rectum,
colon, and distal small bowel using a
Head to toe Assessment long, flexible, fiber-optic-lighted scope
 Preparation – Informed consent is
signed, clear liquid diet (24-48hrs
Inspect, palpation, percuss, auscultation
before test), 2-day bowel prep using
strong cathartic and Dulcolax on day 1
Abdomen – and enema on day of the test or 1-day
bowel prep using ingestion of a gallon
Inspect-observe contour, any masses, scars, of bowel cleanser such as GoLytely,
distention sedation given before the test
 Aftercare – Patient may experience
Auscultation – listen for bowel sounds in all flatulence or gas pains because air was
quadrants used to distend the intestines for better
visibility, usual diet resumed once
Note frequency and character, patient recovers, check vital signs,
audible clicks, and flatus observe for signs of bowel perforation,
rectal bleeding, abdominal pain, and
Describe bowl sounds as hypoactive, distention, fever, malaise
hyperactive, absent or infrequent
Nurse diagnoses and teachings with
colostomies and GI complications
Percussion and palpitations-professional
 Keep patient as free of odors as
GI possible; empty appliance frequently
 Inspect the patients stoma regularly
Side effects of diarrhea/findings expected  Note the size, should stabilize within 7-
8 weeks
 Nausea  Measure patient fluid intake output
 Abdominal pain

, Fundamentals – Final Exam Study Guide
 If no bowel sounds movement after required), rather than the toilet, because the
surgery within a week and nauseated, water in the toilet bowl may affect the analysis
notify HCP and document results.
 Potential for disturbed body image
Do not place toilet tissue in the bedpan or
GI complications specimen container because contents in the
paper may influence laboratory results.
 Constipation
 Perforated bowel Notify the nurse when the specimen is
 Fecal impact available, so that it may be collected and
 Bowel obstruction transported to the laboratory as required
 Diarrhea
 Radiation enteritis If antibiotic or antifungal therapy has already
begun, identify the specific medication in the
Ways to decrease constipation laboratory request

 Exercise Foods that may cause a false-positive result
 Drink fluids include red meat, animal liver and kidneys,
 Include fruits, vegetable and fiber in salmon, tuna, mackerel and sardines, tomatoes,
diet cauliflower, horseradish, turnips, melon,
bananas, and soybeans.
Constipating factors/causes
Certain medications, such as a salicylate intake
 Not enough water or fiber of more than 325 mg daily, steroids, and iron
 Eating lots of dairy preparations, also may lead to false-positive
 Resisting urge to poop readings
 Not being active
 Stress The ingestion of vitamin C can produce false-
 Narcotics negative results even if bleeding is present.
 Antidepressants
 Iron pills  Occult blood test: color matters!
 Over use of laxatives
 Red- fresh blood= lower GI
Constipation is often a chronic problem,  Black – old blood= upper GI
diarrhea and fecal incontinence may result from
physiologic or lifestyle changes Respiratory
Stool specimen teaching s/s of hypoxia

Utilize disposable gloves and label correctly  Dyspnea
 Hypertension
Void first, because the laboratory study may be  Tachypnea
inaccurate if the stool contains urine  Pallor
 Cyanosis
Defecate into the required container, such as  Anxiety
clean or sterile bedpan or the bedside  Restlessness
commode (depending on the specimen  Confusion

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