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Exam (elaborations)

Nur 301 Final Exam Questions And Answers

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  • Ppn 301
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  • Ppn 301

Nur 301 Final Exam Questions And Answers

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  • October 19, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ppn 301
  • Ppn 301
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Schoolflix
Solution 2024/2025
Pepper

Nur 301 Final Exam Questions And Answers

CT Scan ANS✔✔ More detailed information than an x-ray, cross-sectional images/slices used to detect abnormalities in
the body (tumors, abscesses, abnormal blood vessels)

Ex. bowel obstructions



Barium Swallow ANS✔✔ X-ray imaging test used to visualize the structures of the esophagus. Used to diagnose
anatomical abnormalities such as esophageal perforation and hiatal hernia.



Abdominal Ultrasound ANS✔✔ Used to look at organs in the abdomen, including the liver, gallbladder, spleen, pancreas
and kidneys and is used to detect abnormalities.



ERCP ANS✔✔ Specialized technique used to study the bile ducts, pancreatic duct and gallbladder. Used to diagnose and
treat certain problems of the biliary or pancreatic ductal systems



GERD ANS✔✔ May occur because of an incompetent lower esophageal sphincter, pyloric stenosis or a motility disorder



Symptoms of GERD ANS✔✔ Pyrosis (burning sensation), indigestion, regurgitation, dysphagia



Management of GERD ANS✔✔ Lifestyle modifications (diet, positioning), no food for 2 hours before bed

Gastric Emptying - proton pump inhibitors and prokinetic agents (drugs that accelerate gastric emptying)



Esophageal Perforation ANS✔✔ May be caused by trauma or inadvertently during a surgical procedure or dilation

Diagnosed with x-ray and barium swallow



Symptoms of Esophageal Perforation ANS✔✔ Pain, dysphagia, fever, high WBC (symptoms of infection), hypotension



Treatment of Esophageal Perforation ANS✔✔ Broad-spectrum antibiotics, NPO, surgery may be necessary

, Solution 2024/2025
Pepper
May have a G or J tube feeding, could also have TPN (central line)



Hiatal Hernia ANS✔✔ Opening in the diaphragm where the esophagus passes becomes enlarged - part of the stomach
moves up into the lower portion of the thorax

Diagnosed with X-ray and barium swallow



Sliding Hiatal Hernia ANS✔✔ Heartburn, regurgitation, dysphagia or asymptommatic

The most common type



Paraesophageal Hiatal Hernia ANS✔✔ Sense of fullness or chest pain after eating or asymptomatic



Treatment of Hiatal Hernias ANS✔✔ Do not eat 2 hours before bed, tx like GERD, avoid trigger foods (caffeine), smaller
meals, HOB 30-35 degrees



G tube ANS✔✔ A surgical procedure in which an opening is created into the stomach for the purpose of administering
foods and fluids via a feeding tube

Less risk for regurgitation and aspiration



NG tube and G tube ANS✔✔ Used to decompress stomach fluid or air (rest bowels), lavage the stomach and remove
toxins with NS, administer medications and nutrition



Nursing Implications of NG/G tubes ANS✔✔ HOB 30-35 degrees to prevent aspiration, residual assessment (<200
absorbing tube feeds, >200 call physician), preventing dumping syndrome (r/t formula), flush before removal



Where is the only place you can check residual? ANS✔✔ Stomach



Complications of NG/G tube ANS✔✔ Reflux, aspiration pneumonia, premature removal, infection, drainage around site

, Solution 2024/2025
Pepper
Parenteral Nutrition ANS✔✔ A method to provide nutrients to the body by an IV route. A complex mixture containing
proteins, carbohydrates, fats, electrolytes, vitamins, trace minerals and sterile water is administered in a single
container.



Indications of Parenteral Nutrition ANS✔✔ Protein calorie malnutrition, insufficient intake, ability to ingest food orally or
by tube is impaired, unwilling to ingest adequate intake



Administration of Parenteral Nutrition ANS✔✔ Peripherally (PPN), Centrally (TPN



Complications of Parenteral Nutrition ANS✔✔ Infection to central line due to increased bacteria on catheter because of
increased sugars

Importance of aseptic technique of catheter port



Peptic Ulcers ANS✔✔ Erosion of a mucous membrane forms an excavation in the stomach, pylorus, duodenum or
esophagus



Duodenal Ulcers ANS✔✔ 80% of peptic ulcers

Symptoms - hypersecretion of stomach acid, pain occurs 2-3 hours after a meal, ingestion of food relieves pain, vomiting
uncommon, hemorrhage less likely



Risk factors for duodenal ulcers ANS✔✔ H. pylori, alcohol, smoking



Gastric Ulcers ANS✔✔ 15% of peptic ulcers

Symptoms - normal or hyposecretion of stomach acid, pain 30 min to 1 hour after meal, relieved by vomiting, ingestion
of food does not help, vomiting is common, hemorrhage is more common



Risk factors for gastric ulcers ANS✔✔ H. Pylori, gastritis, alcohol, smoking, use of NSAIDS - will cause gastric ulcers not
duodenal



Pharmalogical Treatment for Peptic Ulcers ANS✔✔ Proton pump inhibitors, antibiotics, H2 receptor antagonists

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