NSG 320 EXAM 3 MEDSURG EXAM
(ACTUAL EXAM) WITH CORRECT 180+
QUESTIONS WITH WELL ANSWERED
ANSWERS WITH GOOD GRADE
GUARANTEED LATEST 2024 – 2025
ALREADY GRADED A+
causes for flare ups for IBD - ANSWERS--stress
-smoking
-sepsis/infection
ulcerative colitis - ANSWERS-chronic inflammation of the colon with presence of
ulcers that bleed
,s/s of UC - ANSWERS--15-20 BLOODY liquid stools per day
(can cause anemia and decreased Hgb and Hct)
-rebound tenderness
-abdominal pain
How should TPN be administered and stopped? - ANSWERS-start and stop SLOW
and GRADUALLY
patients receiving TPN are at high risk for - ANSWERS-hyper or hypoglycemia
how often should TPN tubing be changed? - ANSWERS-every 24 hours
total perenteral nutrition (TPN) - ANSWERS-entire nutrition is inside an IV bag and
goes right into the blood
what line is TPN given through - ANSWERS-given CENTRAL LINE! not peripheral IV
when are is central line feeding usually given - ANSWERS-to a client who is NPO
(patients with pancreatitis and crohns)
what should the nurse do if the TPN bag is almost empty, but the next bag is not
ready.. - ANSWERS-Hang 10% dextrose water (to help avoid hypoglycemia)
,nursing care for TPN - ANSWERS--daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia - ANSWERS-Polydipsia, polyuria, polyphagia, nausea, HA,
abdominal pain
enteral feeding - ANSWERS-Nutrients supplied to the gastrointestinal tract orally
or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding - ANSWERS--tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome - ANSWERS-happens within 24-48 hours of starting enteral
or parenteral nutrition; giving too much nutrition in a short amount of time
how to avoid refeeding syndrome - ANSWERS-give GRADUALLY
, increase calories SLOWLY
gastritis - ANSWERS-inflammation/irritation of the lining of the stomach
GERD - ANSWERS-esophageal irritation by stomach acid that travels into the
esophagus
if GERD is not treated what can it lead to... - ANSWERS-barretts esophagus
Peptic Ulcer Disease - ANSWERS-open sores/ulcers in the lining of stomach or
small intestine
gastric vs duodenal ulcers - ANSWERS-Gastric = ulcer in the stomach; Duodenal =
ulcer in the small intestine
S/S of GERD - ANSWERS--dyspepsia "heartburn"
diet considerationf for GERD and PUD - ANSWERS--avoid eating fried and fatty
foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
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