Exam (elaborations)
NUR 2571 ( LATEST 2024 / 2025 ) RASMUSSEN FINAL (GI,GU) | QUESTIONS AND ANSWERS INCLUDED
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NUR 2571 ( LATEST 2024 / 2025 ) RASMUSSEN FINAL (GI,GU) | QUESTIONS AND ANSWERS INCLUDED
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NUR 2571 Rasmussen Final (GI,GU)1. Dysphagia (Assessment)
Answer
Difficulty swallowing liquids or solids. Recurrent pulmonary infections. (Related to aspiration)
Coughing after eating or drinking.
2. Dysphagia (Diagnostics)
Answer
Barium swallow test or an endoscopic evaluation. Swallow studies are preformed by
occupational therapy, NOT the nurse.
The nurse can do a swallow screening and request a consult with OT for further evaluation.
3. Dysphagia (Nursing Interventions)
Answer
Provide the patient with thickened fluids and foods.
- Do not provide a patient on thickened fluids with a straw!
Keep the patients head of bed at 30-45 degrees to prevent aspiration.
4. Appendicitis (S/S)
Answer
Generalized abdominal pain that progressively worsens. Nausea and vomiting
, Localized RLQ pain (McBurney's Point)** Rebound tenderness.
5. A patient admitted with appendicitis is scheduled for an appendectomy tomorrow. As the
nurse you are evaluating the patients pain, the patient states their pain suddenly went away. What
does this indicate?
Answer
Sudden relief of pain indicates that the appendix has ruptured.
This is a medical emergency that will require the patient to go in for emergency surgery.
A ruptured appendix places the patient at a high risk for developing septicemia.
6. The nurse is admitting a child with a diagnosis of "Rule out appendicitis" The nurse assesses
this client for which manifestations? (SATA)
a. Generalized abdominal pain
b. Pain localizing in the right lower quadrant
c. Fatty stools
d. Elevated white blood cell count
Answer
A, B, D; Pain related to appendicitis begins as generalized abdominal pain, however as it
progresses it intensifies and becomes more localized in the right lower quadrant. Fatty stools are
not a clinical manifestation of appendicitis. During appendicitis, WBCs can elevated to 15,000 -
20,000.
7. Appendicitis (Patho)
Answer
Infection of the appendix causes inflammation and block- age, possibly leading to rupture.
8. Appendicitis (Treatment & Interventions)
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