Exam (elaborations)
NUR 336 Final Exam
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Exam of 16 pages for the course NUR 336 at NUR 336 (NUR 336 Final Exam)
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NUR 336 Final ExamAirborne precautions Correct Answers -clean hands
-N95,gloves
-negative pressure airflow
-disposable equipment
-pt must wear a surgical mask outside the room
Closed drainage system Correct Answers -Use compression
and suction to remove drainage and collect it in a reservoir
-Closed drainage systems reduce the risk of infection and allow
more accurate measurement of the drainage
-Ex. would be a portable wound suction device used for marilee
-Another example is a JP drain.
Colostomy output: Ascending colon Correct Answers -right
abdomen
- the output is typically liquid to semi liquid and is very irritating
to surrounding skin
Colostomy output: Descending colon Correct Answers -left
upper abdomen
-the output is semi formed because more water is absorbed while
fecal material is in the ascending transverse colon.
Colostomy output: Sigmoid colon Correct Answers -left lower
abdomen
-this is the location of permanent colostomy, for cancer in the
rectum
-The output is formed
,Colostomy output: Transverse colon Correct Answers -mid
abdomen
-this location is used for temporary ostomy, with the stoma as a
constructed loop
-Output is pasty.
Contact precautions Correct Answers -clean hands
-gown, gloves
-use disposable equipment
-private room
Doffing PPE order Correct Answers Gloves, face shield or
goggles, gown, mask, wash hands
Donning PPE order Correct Answers Gown, mask, goggles or
face shield, gloves
Double barrel colostomy Correct Answers -Two separate
stomas are created
-Both ends of the bowel are brought through the abdomen to the
surface of the skin as two separate sections
-Typically the distal colon is not removed but bypassed
-The proximal stoma, which is functional, diverts feces to the
abdomen wall
-The distal stoma experts mucus
Droplet precautions Correct Answers -clean hands
-surgical mask, gloves
-private room
-disposable equipment
-visitors need to wear a mask
, End colostomy Correct Answers -The damaged section of the
bowel is removed and the working end is brought through the
abdomen to the skin surface
-When it is intended to be permanent, an end stoma is typically
created
-A temporary colostomy may be performed to allow bowel rest
and healing, such as a tumor resection
-A common temporary involves leaving the distal end of the
colon in place which is overseen for closure to create a
Hartmann's pouch
expected oral mucosa findings Correct Answers -pink
-moist
-intact
Face tent Correct Answers -soft aerosol mask that fits loosely
around the clients face and neck
-For clients who feel claustrophobic
-Provides humidification and oxygenation, but oxygen
concentration cannot be controlled
-Soft mask that fits under the client chin and loosely covers the
nose and mouth
-An adjustable elastic strap holds it in place
-Used after nasal or oral surgery
-Concentration of 24% to 100% with flow rates of at least 10L/
min
Foley catheter: infection prevention Correct Answers -Raise
bed
-Perform hand hygiene
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