NR324 Exam Questions and Answers Latest Update Graded A+
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Course
NR324
Institution
NR324
NR324 Exam Questions and Answers Latest Update Graded A+
Considerations for the eldery in relation to GI changes - Answers -increased periodontal disease → loss of teeth, xerostomia (decreased salivation) --- associated w/dysphagia
-smooth muscle weakness = delayed gastric emptying and incompe...
NR324 Exam Questions and Answers Latest Update Graded A+
Considerations for the eldery in relation to GI changes - Answers -increased periodontal disease → loss
of teeth, xerostomia (decreased salivation) --- associated w/dysphagia
-decreased # of parietal cells = decrease in intrinsic factor secreted
What affect does gastric surgery have on the client - Answers decreases intrinsic factor= pernicious (b12)
anemia, b12 deficiencies
Teaching points for a client undergoing a colonoscopy...what is it? Why do we do them? What are we
looking for? What is the preparation required? - Answers Scope the intestines; procedure to see
polyps/cancer/inflammation on intestinal walls; bowel prep is required → clear liquids for 1-2 days
before OR GoLYTELY. Explain procedure to pt. Pt may experience discomfort (gas) after procedure when
peristalsis starts again.
What is an Upper Endoscopy? What are the dangers associated with this? What must we assess for
following an upper GI? - Answers direct visualization (by lighted fiberoptic camera) of upper GI
structures; dangers → perforation; assess for bleeds and keep pt NPO until gag reflex returns
What is a PEG tube? How do we use it for feeding? - Answers percutaneous endoscopic gastrostomy
tube (it is a method for placing the tube without actual surgery); feeds directly into stomach; check for
hyperglycemia of elderly; keep HOB 30*-45*; flush tube before and after feeding
What are nursing considerations for clients requiring PN feeding? - Answers check vitals every 4-8 hrs;
get daily weight (edema due to less protein); lung sounds; do not stop PN feeding abruptly; change
tubing every 24 hours; monitor for hyperglycemia; monitor for "re-feeding syndrome" (fluid retention,
electrolyte imbalances)
What effect does anorexia nervosa/laxative abuse have on the client systemically? - Answers decreased
nutrients → deficiencies
hypokalemia → put them on a heart monitor
Nursing considerations/care of a client following gastric surgery - Answers pain meds, turn, cough, deep
breath, mouth/nose care (NG tube), ROM, check wound site, keep NG tube patent, watch for vomiting,
skin care, increase protein in diet for first 2 weeks
Diet for advancement following period of N/V - Answers ice chips, clear liquids (jello included?), full
liquids, bland food
Teaching points for a client with GERD - Answers client should stop smoking; keep HOB 30* and pt
shouldn't lay down 2-3 hours after eating
avoid chocolate, peppermint, tomatoes, coffee, and tea (increase gastric acid)
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