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NUR 195 week 10 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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NUR 195 week 10 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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NUR 195 week 10 Exam | Questions And Answers Latest {2024- 2025} A+Graded | 100% Verified
Clients with dry mouth are at greater risk for developing dental caries as the normal flow of saliva is a
natural tooth cleaning process - True
A hiatal hernia occurs when the upper part of the stomach is displaced upward into esophagus - True
Sialolithiasis (salivary stones) can be asymptomatic unless they become infected or obstruct the glands
duct - True
An appropriate nursing intervention for a client with xerostomia (dryness of mouth) is to provide the
client with sipping water and saliva substitute - True
A client with an esophageal diverticulum is at risk for aspiration - True
A client with a surgical repair of a perforated esophagus will require external or parenteral nutritional
supplementation for at least 7 days post operatively - True
The primary risk factors for the developing of laryngeal cancer are tobacco use combined with regular
alcohol consumption - True
Clinical manifestations of esophageal cancer include dysphagia, painful swallowing, halitosis and hiccups
- True
What can contribute to GI pain and nausea - Reflux
Back injury
Smoking
Drinking
Diet
Overweight
,Other meds
Stress
GI cocktail - liquid consumed by mouth to treat upset stomach (Common Medications & Treatments) -
viscose lidocaine, liquid antacids, antipolanergic helps dry up any increased secretion
Oder priority for emergency esophagogastroduodenoscopy - - O2 by nasal cannula, titration to maintain
SpO2 over 94%
- insert two large bore IV
- CBC stat
- type and cross match 2 units packed red blood cells
- pantoprazole (proton pump inhibitors) 4 mg IV push over 2 min
- pantoprazole IV 8mg/hr continuous drip
- imitate NS at 100ml/hr
- NPO
What is an EGD - Looks at esophagus, stomach, and upper portion of intestines
Allows for identification of any varices
What are nursing priorities for EGD - Vitals
Consent obtained before
Has been NPO 6 hr
Midazolam sedation or Propofol
- post - airway, vitals, LOC, return of gag reflex, no complications
What type of discharge orders do you anticipate regarding diet for erosive esophagitis, hiatal hernia,
ulcer - Advance diet as tolerated No Citric or acidic, no drinking or smoking
, What type of lifestyle modification education should be provided erosive gastritis, hiatal hernia, ulcer -
No alcohol or smoking, compliance with medical and stress reduction avoid NSADS and aspirin
What medication prescription do you anticipate for erosive hernia, erosive gastritis, ulcer - Proton pump
inhibitors
Sulfrocase
Purposes of gastrointestinal intubation - Decompress the stomach
Lavage the stomach
Diagnose GI disorders
Administer medications and feeding
To compress a bleeding site
To aspirate gastric contents for analysis
enteral nutrition - giving nutrients into the gastro-intestinal tract through a feeding tube
advantages of enteral nutrition - maintains gut function, fewer costs, fewer complications,
Enteral nutrition delivery - Nasal gastric tube- J tube- gastronomy tube -
Continuous infusion pump
Intermittent infusion by gravity
Intermittent bolus by syringe
Cyclic feedings by infusion pump
Process of enteral nutrition - Education
Preparation
Inserting of tube
Confirmation of placement
Functioning of tube
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