NSG 320 Exam 3 Questions 100% Solved
Correct Rated A+ Pass 2025 New Update
total perenteral nutrition (TPN) - Answer - ✔✔ entire nutrition is inside an IV bag and
goes right into the blood
what line is TPN given through - Answer - ✔✔ given CENTRAL LINE! not peripheral IV
when are is central line feeding usually given - Answer - ✔✔ to a client who is NPO
(patients with pancreatitis and crohns)
How should TPN be administered and stopped? - Answer - ✔✔ start and stop SLOW
and GRADUALLY
patients receiving TPN are at high risk for - Answer - ✔✔ hyper or hypoglycemia
how often should TPN tubing be changed? - Answer - ✔✔ every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not ready..
- Answer - ✔✔ Hang 10% dextrose water (to help avoid hypoglycemia)
nursing care for TPN - Answer - ✔✔ -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia - Answer - ✔✔ Polydipsia, polyuria, polyphagia, nausea, HA,
abdominal pain
enteral feeding - Answer - ✔✔ Nutrients supplied to the gastrointestinal tract orally or by
feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding - Answer - ✔✔ -tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome - 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 - Answer - ✔✔ 24-48hrs of therapy d/t fluid shifts: bradypnea,
lethargy, confusion, weakness
, how to avoid refeeding syndrome - Answer - ✔✔ give GRADUALLY
increase calories SLOWLY
gastritis - Answer - ✔✔ inflammation/irritation of the lining of the stomach
GERD - Answer - ✔✔ esophageal irritation by stomach acid that travels into the
esophagus
if GERD is not treated what can it lead to... - Answer - ✔✔ barretts esophagus
Peptic Ulcer Disease - Answer - ✔✔ open sores/ulcers in the lining of stomach or small
intestine
gastric vs duodenal ulcers - Answer - ✔✔ Gastric = ulcer in the stomach; Duodenal =
ulcer in the small intestine
S/S of GERD - Answer - ✔✔ -dyspepsia "heartburn"
diet considerationf for GERD and PUD - Answer - ✔✔ -avoid eating fried and fatty
foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD - Answer - ✔✔ -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD - Answer - ✔✔ -antacids
-H2 blockers
-PPIs
antacid administration teaching - Answer - ✔✔ always take 1 hour before or after other
medications, NEVER TOGETHER
when should H2 blockers and PPIs be taken? - Answer - ✔✔ take 30 minutes before
meals
what diagnostic assessment is done to determine the function of the LES - Answer - ✔✔
upper GI endoscopy
Correct Rated A+ Pass 2025 New Update
total perenteral nutrition (TPN) - Answer - ✔✔ entire nutrition is inside an IV bag and
goes right into the blood
what line is TPN given through - Answer - ✔✔ given CENTRAL LINE! not peripheral IV
when are is central line feeding usually given - Answer - ✔✔ to a client who is NPO
(patients with pancreatitis and crohns)
How should TPN be administered and stopped? - Answer - ✔✔ start and stop SLOW
and GRADUALLY
patients receiving TPN are at high risk for - Answer - ✔✔ hyper or hypoglycemia
how often should TPN tubing be changed? - Answer - ✔✔ every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not ready..
- Answer - ✔✔ Hang 10% dextrose water (to help avoid hypoglycemia)
nursing care for TPN - Answer - ✔✔ -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia - Answer - ✔✔ Polydipsia, polyuria, polyphagia, nausea, HA,
abdominal pain
enteral feeding - Answer - ✔✔ Nutrients supplied to the gastrointestinal tract orally or by
feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding - Answer - ✔✔ -tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome - 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 - Answer - ✔✔ 24-48hrs of therapy d/t fluid shifts: bradypnea,
lethargy, confusion, weakness
, how to avoid refeeding syndrome - Answer - ✔✔ give GRADUALLY
increase calories SLOWLY
gastritis - Answer - ✔✔ inflammation/irritation of the lining of the stomach
GERD - Answer - ✔✔ esophageal irritation by stomach acid that travels into the
esophagus
if GERD is not treated what can it lead to... - Answer - ✔✔ barretts esophagus
Peptic Ulcer Disease - Answer - ✔✔ open sores/ulcers in the lining of stomach or small
intestine
gastric vs duodenal ulcers - Answer - ✔✔ Gastric = ulcer in the stomach; Duodenal =
ulcer in the small intestine
S/S of GERD - Answer - ✔✔ -dyspepsia "heartburn"
diet considerationf for GERD and PUD - Answer - ✔✔ -avoid eating fried and fatty
foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD - Answer - ✔✔ -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD - Answer - ✔✔ -antacids
-H2 blockers
-PPIs
antacid administration teaching - Answer - ✔✔ always take 1 hour before or after other
medications, NEVER TOGETHER
when should H2 blockers and PPIs be taken? - Answer - ✔✔ take 30 minutes before
meals
what diagnostic assessment is done to determine the function of the LES - Answer - ✔✔
upper GI endoscopy
