NSG 320 Exam 3 questions with answers

NSG 320: Exam 3 questions with
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answers


total perenteral nutrition (TPN) - CORRECT ANSWERS ✔✔entire
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nutrition is inside an IV bag and goes right into the blood
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what line is TPN given through - CORRECT ANSWERS ✔✔given
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CENTRAL LINE! not peripheral IV |\ |\ |\ |\




when are is central line feeding usually given - CORRECT
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ANSWERS ✔✔to a client who is NPO (patients with pancreatitis
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and crohns)
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How should TPN be administered and stopped? - CORRECT
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ANSWERS ✔✔start and stop SLOW and GRADUALLY |\ |\ |\ |\ |\ |\




patients receiving TPN are at high risk for - CORRECT ANSWERS
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✔✔hyper or hypoglycemia |\ |\




how often should TPN tubing be changed? - CORRECT ANSWERS
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✔✔every 24 hours |\ |\




what should the nurse do if the TPN bag is almost empty, but the
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next bag is not ready.. - CORRECT ANSWERS ✔✔Hang 10%
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dextrose water (to help avoid hypoglycemia)
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,nursing care for TPN - CORRECT ANSWERS ✔✔-daily weights
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-monitor electrolytes and I&Os |\ |\ |\




-monitor GLUCOSE LEVELS |\ |\




signs of hyperglycemia - CORRECT ANSWERS ✔✔Polydipsia,
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polyuria, polyphagia, nausea, HA, abdominal pain
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enteral feeding - CORRECT ANSWERS ✔✔Nutrients supplied to
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the gastrointestinal tract orally or by feeding tube (NGT, PEG, G-
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Tube)


Complications of enteral feeding - CORRECT ANSWERS ✔✔-tube |\ |\ |\ |\ |\ |\ |\ |\


displacement
-clogged tubes |\




-aspiration |\




-abdominal distention |\




Refeeding syndrome - CORRECT ANSWERS ✔✔happens within 24-
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48 hours of starting enteral or parenteral nutrition; giving too
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much nutrition in a short amount of time
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Refeeding Syndrome S/S - CORRECT ANSWERS ✔✔24-48hrs of
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therapy d/t fluid shifts: bradypnea, lethargy, confusion, weakness
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how to avoid refeeding syndrome - CORRECT ANSWERS ✔✔give
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GRADUALLY
increase calories SLOWLY |\ |\

, gastritis - CORRECT ANSWERS ✔✔inflammation/irritation of the
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lining of the stomach |\ |\ |\




GERD - CORRECT ANSWERS ✔✔esophageal irritation by stomach
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acid that travels into the esophagus
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if GERD is not treated what can it lead to... - CORRECT ANSWERS
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✔✔barretts esophagus |\




Peptic Ulcer Disease - CORRECT ANSWERS ✔✔open sores/ulcers
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in the lining of stomach or small intestine
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gastric vs duodenal ulcers - CORRECT ANSWERS ✔✔Gastric =
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ulcer in the stomach; Duodenal = ulcer in the small intestine
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S/S of GERD - CORRECT ANSWERS ✔✔-dyspepsia "heartburn"
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diet considerationf for GERD and PUD - CORRECT ANSWERS ✔✔-
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avoid eating fried and fatty foods, citrus, dairy, chocolate,
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peppermint/spearmint, caffeine (coffee) |\ |\




-avoid spicy food |\ |\




-no alcohol|\




-no caffeine
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-no cigarettes
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