100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Galen College Nur 283 comp 1 Comprehensive exam 1 Galen college of nursing review gray information on exam $11.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. CNA - Certified Nursing Assistant
  4.  
  5. CNA - Certified Nursing Assistant

Exam (elaborations)

Galen College Nur 283 comp 1 Comprehensive exam 1 Galen college of nursing review gray information on exam
 0 purchase
  • Course
  • CNA - Certified Nursing Assistant
  • Institution
  • CNA - Certified Nursing Assistant

Galen College Nur 283 comp 1 Comprehensive exam 1 Galen college of nursing review gray information on exam

Preview 2 out of 9  pages

Document information

  • February 14, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • galen college nur 283 comp 1 comprehensive exam 1

Written for

  • CNA - Certified Nursing Assistant
  • CNA - Certified Nursing Assistant

Seller

avatar-seller
LECTSTEPHAN

Reviews received

Content preview

283 - Transition to Registered Nurse Practice - Comp 1

1. Details on inserting NG tube for gastric decompression - pg. 1013
Saunders
-: & patient should be in high-fowlers position
& measure & tape tube to indicate length to be inserted
& lubricate tip before inserting in nasopharynx & advancing
& as tube enters back of throat - have pt swallow sip of water (unless
contraindicated)
- flex head toward chest while passing tube down throat into the stomach
& secure tube
& confirm placement w/ x-ray
& connect to suction
2. Patients experiencing a PE - heparin therapy is prescribed for at least 5
days - warfarin is also started on most patients on day 1 or 2 of heparin
therapy - the patient will receive both heparin & warfarin until the INR
reaches 2-3. Heparin is infused for 24 hours after the INR is greater than 2,
then the Heparin is discontinued. The overlap period of at least 5 days for
Warfarin & Heparin is necessary because the drug action of each is
different. Warfarin works in the liver to inhibit the synthesis of Vit K-
dependent clotting factors and takes 3-4 days before a therapeutic effect is
realized.:
3. As an entry level nurse, it is important that you understand monitoring
of lab values for patient prescribed anticoagulants such as Heparin and
Warfarin. What are normal values for PT/INR, PTT and aPTT for these
patients?: & PT - prothrombin time -
- normal is 11-12.5 seconds
- 1.5 to 2.5 times the normal control (*16-31) for patients receiving Warfarin
& INR - international normalized ratio -
normal is 0.9-1.2 seconds
- desirable therapeutic level is 2-3 times the normal for patients receiving Warfarin
- for patients w/ mechanical heart valve replacement an INR of 3-4 may be the goa
& PTT - partial thromboplastin time -
- 1.5-2.5 times the normal control (*30-75) for patients receiving Heparin
& aPTT - activated partial thromboplastin time -
normal is 30-40 seconds
- 5-2.5 times the normal control (*40-100) on Heparin

1/9

, 283 - Transition to Registered Nurse Practice - Comp 1

4. Post-op abdominal surgery patients often have an NG placed for
decompression of the stomach, it's important for entry level nurses to
understand care of patients w/ an NG tube. This includes post-op colorectal
cancer patients, who may also have a colostomy depending on procedure
performed.

You learned about cancers, include colon cancer in med surg. Colorectal
cancer (CRC) is cancer of the rectum or colon. Colorectal cancer is the 3rd
most common cause of cancer death in this country.

Most CRCs are adenocarcinoma, a tumor that arises from a gland in the
epithelial layer of the colon. Adenocarcinoma begins as a polyp and is
benign in the early stages. If left untreated, the polyp will grown and the risk
of malignancy increases.

CRC can metastasize (through blood or lymph) to the liver (most common
site), lungs, brain, or bones. Spreading can occur as a result of peritoneal
seeding (during surgical resection of tumor).

What are the risk factors for colon cancer and what screenings are
recommended?: & Major risk factors for colon cancer are:
& Over the age of 50
& Family Hx of cancer
& First degree relative w/ colon cancer increases risk 3-4x
& Crohn's disease & ulcerative colitis
& Pylori and HPV increase risk
& African Americans are at higher risk
& Smoking, obesity, high-fat diet, inactivity, and alcohol consumption
& Screening recommendations for those over the age of 50 without a family Hx:
- Fecal occult blood yearly AND one of the following:
** Colonoscopy every 10 years
** Sigmoidoscopy every 5 years
** Double-contrast barium enema every 5 years
- With increased risk factors screening may be indicated at an earlier age
- Teaching points for colon cancer prevention:



2/9

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTSTEPHAN. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64302 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(1)

ALABAMA REAL ESTATE FINAL EXAM STUDY GUIDE - 60 HOUR COURSE ACTUAL QUESTIONS AND ANSWERS 2024/2025 SOLVED 100%

Exam (elaborations) ·

(0)

NURS 1102 Passpoint-Postpartum {Revised} – Fairleigh Dickinson University | NURS1102 Passpoint - Postpartum {A Grade}

Summary ·

(0)

Samenvatting Experimenteel en Correlationeel onderzoek week 5 - Herhaling & Hiërarchische regressie-analyse

Exam (elaborations) ·

(0)

TEST BANK FOR HEALTH ASSESSMENT FOR NURSING PRACTICE 6TH EDITION BY WILSON Chapter 6: Pain Assessment

Exam (elaborations) ·

(1)

Exam 2 - NSG 122 Nursing Fundamental Concepts with Verified Answers | Latest 2024/2025 - Herzing University

Exam (elaborations) ·

(0)

BIOD 152/A & P 2 Lab 5 Exam (2023 / 2024) Portage Learning Questions and Answers Latest (Verified Answers)

Exam (elaborations) ·

(0)

Select Drugs From Top 150 list to know for the EXCPT exam Question and answers 2024 verified to pass

Exam (elaborations) ·

(0)

Sociological Theory in the Classical Era - 3rd Edition by Laura D. Edles Scott Appelrouth - Test Bank 20222023

Package deal ·

(0)

NURS 222 Mental Health Final Exam Review 2023 & NURS 222 Mental Health Final Exam Answers 2023 Score A+.
$11.99
  • (0)
Add to cart
Added