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NSG 320 FINAL EXAM QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+, Exams of Nursing

NSG 320 FINAL EXAM QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 07/06/2025

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NSG 320 FINAL EXAM QUESTIONS & DETAILED
ANSWERS (WELL VERIFIED) ALREADY GRADED A+
total perenteral nutrition (TPN) - CORRECT ANSWER >>>entire nutrition is inside an IV bag
and goes right into the blood
what line is TPN given through - CORRECT ANSWER >>>given CENTRAL LINE! not
peripheral IV
when are is central line feeding usually given - CORRECT ANSWER >>>to a client who is NPO
(patients with pancreatitis and crohns)
How should TPN be administered and stopped? - CORRECT ANSWER >>>start and stop
SLOW and GRADUALLY
patients receiving TPN are at high risk for - CORRECT ANSWER >>>hyper or hypoglycemia
how often should TPN tubing be changed? - CORRECT ANSWER >>>every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not ready.. -
CORRECT ANSWER >>>Hang 10% dextrose water (to help avoid hypoglycemia)
nursing care for TPN - CORRECT ANSWER >>>-daily weights
-monitor electrolytes and I&Os
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Download NSG 320 FINAL EXAM QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

NSG 320 FINAL EXAM QUESTIONS & DETAILED

ANSWERS (WELL VERIFIED) ALREADY GRADED A+

total perenteral nutrition (TPN) - CORRECT ANSWER >>> entire nutrition is inside an IV bag

and goes right into the blood

what line is TPN given through - CORRECT ANSWER >>> given CENTRAL LINE! not

peripheral IV

when are is central line feeding usually given - CORRECT ANSWER >>> to a client who is NPO

(patients with pancreatitis and crohns)

How should TPN be administered and stopped? - CORRECT ANSWER >>> start and stop

SLOW and GRADUALLY

patients receiving TPN are at high risk for - CORRECT ANSWER >>> hyper or hypoglycemia

how often should TPN tubing be changed? - CORRECT ANSWER >>> every 24 hours

what should the nurse do if the TPN bag is almost empty, but the next bag is not ready.. -

CORRECT ANSWER >>> Hang 10% dextrose water (to help avoid hypoglycemia)

nursing care for TPN - CORRECT ANSWER >>> - daily weights

  • monitor electrolytes and I&Os
  • monitor GLUCOSE LEVELS

signs of hyperglycemia - CORRECT ANSWER >>> Polydipsia, polyuria, polyphagia, nausea,

HA, abdominal pain

enteral feeding - CORRECT ANSWER >>> Nutrients supplied to the gastrointestinal tract

orally or by feeding tube (NGT, PEG, G-Tube)

Complications of enteral feeding - CORRECT ANSWER >>> - tube displacement

  • clogged tubes
  • aspiration
  • abdominal distention

Refeeding syndrome - CORRECT ANSWER >>> happens within 24-48 hours of starting

enteral or parenteral nutrition; giving too much nutrition in a short amount of time

Refeeding Syndrome S/S - CORRECT ANSWER >>> 24 - 48hrs of therapy d/t fluid shifts:

bradypnea, lethargy, confusion, weakness

how to avoid refeeding syndrome - CORRECT ANSWER >>> give GRADUALLY

increase calories SLOWLY

gastritis - CORRECT ANSWER >>> inflammation/irritation of the lining of the stomach

  • H2 blockers
  • PPIs

antacid administration teaching - CORRECT ANSWER >>> always take 1 hour before or after

other medications, NEVER TOGETHER

when should H2 blockers and PPIs be taken? - CORRECT ANSWER >>> take 30 minutes

before meals

what diagnostic assessment is done to determine the function of the LES - CORRECT

ANSWER >>> upper GI endoscopy

if an ulcer is suspected, what diagnosis assessment is done -^ CORRECT ANSWER

>>> esophagogastroduodenoscopy

signs of peritonitis - CORRECT ANSWER >>> - fever >100.

  • rebound tenderness
  • rigid or board like abdomen
  • increase pain and tenderness
  • restlessness
  • increase HR and RR

after and endoscopy, what needs to be done? - CORRECT ANSWER >>> keep the client

NPO until the gag reflex returns, otherwise they are at risk for ASPIRATION

causes of PUD - CORRECT ANSWER >>> - H. pylori

  • NSAIDs (naproxen, indomethacin, ibuprofen)
  • stress

gastric ulcer s/s - CORRECT ANSWER >>> - increase pain WITH food (30-60 minutes after

meal)

  • weight loss
  • vomit blood (hematemesis)

duodenal ulcer s/s - CORRECT ANSWER >>> - DECREASE pain with food (2-3 hours after

meals)

  • worse at night
  • weight gain
  • blood in stool (melena)

antibiotics of H. Pylori - CORRECT ANSWER >>> amoxicillin, clarithromycin, tetracycline,

metronidazole, bismuth (pepto)

Mucosal protective agents and teaching - CORRECT ANSWER >>> Sucralfate

  • take on empty stomach
  • dont take wit other medications

education for PUD - CORRECT ANSWER >>> - decrease diet irritants

  • decrease stress
  • avoid NSAIDS
  • report black tarry stool

diet for diverticulosis - CORRECT ANSWER >>> - high fiber

  • AVOID popcorn, seeds, nuts

hepatitis - CORRECT ANSWER >>> Inflammation of the liver, usually caused by a viral

infection, alcohol or autoimmune

Hepatitis A transmission - CORRECT ANSWER >>> fecal-oral (contaminated food, improper

handwashing)

Hepatitis B transmission - CORRECT ANSWER >>> blood and body fluids

  • IV drug use, tattoos, piercings, sharing razor, unprotected sex

Hepatitis C transmission - CORRECT ANSWER >>> blood and body fluids

  • IV drug use, tattoos, piercings, sharing razor, unprotected sex, semen, vaginal secretions

S/S of viral hepatitis - CORRECT ANSWER >>> - flulike symptoms (HA, fever, fatigue, N/V)

  • elevated AST ALT, biliruben

S/S of Hepatitis - CORRECT ANSWER >>> - pruritus (from bile salts that build up under the

skin)

  • elevated bilirubin
  • jaundice
  • dark colored urine
  • clay color stools
  • elevated PT and aPTT (bruising)
  • low albumin (edema)

interventions for hepatitis itching (pruritus) - CORRECT ANSWER >>> - apply moisturizer

  • avoid the sun
  • apply COLD compress (not heat)

diagnostics for hepatitis - CORRECT ANSWER >>> - liver biopsy

client teaching after a liver biopsy - CORRECT ANSWER >>> lie on right side after procedure

to prevent bleeding

education for hepatitis - CORRECT ANSWER >>> - small frequent meals

  • low protein
  • low fat
  • frequent rest periods
  • protected sex
  • avoid alcohol and acetaminophen
  • avoid sharing razors and toothbrushes

what food needs to be decreased if ammonia levels are high -^ CORRECT ANSWER

>>> protein

cirrhosis - CORRECT ANSWER >>> scarring and dysfunction of the liver caused by chronic

liver disease

AIRWAY

  • turn patient to the side
  • no NG
  • no straining

what lab levels are high in cirrhosis - CORRECT ANSWER >>> - ammonia

- AST ALT

  • biliruben
  • PT, aPTT, INR

what lab levels are low in cirrhosis - CORRECT ANSWER >>> - albumin

  • calcium
  • platelets

intervention for ascites - CORRECT ANSWER >>> Paracentesis

before a paracentesis, the nurse should - CORRECT ANSWER >>> 1. tell client to empty

bladder

  1. VS
  2. measure abdominal circumference and weight
  3. HOB High fowlers

Diet for cirrhosis - CORRECT ANSWER >>> - low protein (for hepatic encepholopathy)

  • low sodium and fluid (for ascites
  • no alcohol
  • oral care before meal in patients with malnutrition

what medication is used for hepatic encephalopathy - CORRECT ANSWER >>> Lactulose

(lose ammonia via bowels)

  • cholecystectomy (removal of the gallbladder)

diet education for Cholecystitis - CORRECT ANSWER >>> avoid fatty fried foods lose

weight

causes for flare ups for IBD - CORRECT ANSWER >>> - stress

  • smoking
  • sepsis/infection

ulcerative colitis - CORRECT ANSWER >>> chronic inflammation of the colon with presence

of ulcers that bleed

s/s of UC - CORRECT ANSWER >>> - 15 - 20 BLOODY liquid stools per day

(can cause anemia and decreased Hgb and Hct)

  • rebound tenderness
  • abdominal pain

Crohn's disease - CORRECT ANSWER >>> inflammation of the entire GI tract, sporadic skip

lesions that do NOT bleed (cobblestoning appearance)

S/S of Crohn's disease - CORRECT ANSWER >>> - 5 loose stools /day

  • steatorrhea
  • Abdominal pain, weight loss

nursing care for IBD - CORRECT ANSWER >>> - fluid and electrolyte replacement

  • diet
  • pain: administer analgesics
  • avoid alcohol
  • reduce caffeine
  • reduce stress

fluid and electrolyte replacement for IBD - CORRECT ANSWER >>> - strict I&O

  • 2L of water/day and increased with more diarrhea
  • watch for hypokalemia

diet for IBD - CORRECT ANSWER >>> - high protein and calorie

  • low fiber
  • small frequent meals
  • keep food journal

s/s of UTI - CORRECT ANSWER >>> dysuria, urgency, frequency, and cloudy foul smelling

urine

diagnostics for UTI - CORRECT ANSWER >>> - urinalysis

what may indicate UTI in the urine - CORRECT ANSWER >>> cloudy and smelly

presence of WBCs presence of nitrites

s/s of pyelonephritis - CORRECT ANSWER >>> - same at UTI

  • costovertebral tenderness

common cause of glomerulonephritis - CORRECT ANSWER >>> strep infection

s/s of glomerulonephritis - CORRECT ANSWER >>> - increased proteinuria

  • decreased albumin
  • increase blood clot
  • fever
  • increase WBCs
  • increase BUN and creatinine
  • low UO
  • fluid retention (increase BP, edema, JVD, crackles)

treatment for glomerulonephritis - CORRECT ANSWER >>> - Get rid of strep

  • limit protein
  • rest kidney by decrease BP

what is the number one cause of bladder cancer -^ CORRECT ANSWER

>>> smoking/tobacco use

s/s of bladder cancer - CORRECT ANSWER >>> painless hematuria

diagnostics for bladder cancer - CORRECT ANSWER >>> cystoscopy

Chronic Kidney Disease (CKD) - CORRECT ANSWER >>> progressive, irreversible loss of

kidney function

causes of CKD - CORRECT ANSWER >>> diabetes and hypertension

what elevated lab value indicates a bad kidney - CORRECT ANSWER >>> creatinine

creatinine clearance test - CORRECT ANSWER >>> test done to measure the total amount of

creatinine excreted in the urine, usually in a 24-hour period, to assess kidney function

what needs to be done to urine after urine collection - CORRECT ANSWER >>> put it on

ice and keep it cold discard the first specimen

s/s of CKD - CORRECT ANSWER >>> - oliguria

  • Elevated serum creatinine levels
  • Anemia due to decreased erythropoietin production in kidneys
  • Metabolic acidosis
  • Abnormalities in calcium & phosphorus
  • Fluid retention(crackles, JVD, bounding pulses)
  • uremic frost
  • pruritis

what is the number one complication with CKD - CORRECT ANSWER >>> HTN crisis

what can be given for hyperkalemia in CKD - CORRECT ANSWER >>> - IV calcium gluconate

  • IV 50% dextrose and regular insulin

Before dialysis - CORRECT ANSWER >>> - assess fluid status

  • assess fistula (shunt)
  • hold meds

fistula (shunt) assessment - CORRECT ANSWER >>> feel a thrill hear a

bruit

what is added to dialysis to prevent clots - CORRECT ANSWER >>> IV heparin

disequilibrium syndrome - CORRECT ANSWER >>> rapid change of extracellular fluid

composition during dialysis resulting in cerebral edema; RESTLESSNESS AND DISORIENTED

what is the intervention for disequilibrium syndrome - CORRECT ANSWER >>> stop/slow the

infusion and report to HCP

care for fistula (AV shunt) - CORRECT ANSWER >>> - squeeze/grip a rubber ball a few times a

day

  • pitting edema is normal
  • check for thrill and bruit
  • no restrictive clothing
  • no BP on affected arm
  • no sleeping on affected arm
  • can use cream and lotion
  • no lifting over 5 lbs (no purse)

what should be done before peritoneal dialysis - CORRECT ANSWER >>> take weight and

warm solution

benign prostatic hyperplasia (BPH) - CORRECT ANSWER >>> prostate enlargement, which

compresses urethra and surrounding bladder, most common in men >

s/s of BPH - CORRECT ANSWER >>> - weak/intermittent stream (dribbling)

  • Urinary retention
  • sensation on incomplete emptying
  • urgency and frequency
  • Straining to void
  • Recurrent UTI
  • Hematuria
  • Fatigue
  • Anorexia

treatment for BPH - CORRECT ANSWER >>> - bladder training

  • FInasteride (Proscar)
  • TURP
  • prostatectomy

Finasteride (Proscar) - CORRECT ANSWER >>> shrinks prostate, takes 6 months to work