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Description:
Comprehensive study guide for NSG 320 Exam 3. Includes detailed explanations of key nursing
concepts, patient care procedures, pharmacology principles, and clinical scenarios. Organized
with clear notes, summaries, and example questions to help students review efficiently and
prepare confidently for the exam. Ideal for mastering material and improving performance.
Tags: NSG 320, Exam 3, Nursing, Study Guide, Practice Questions, Clinical Concepts,
Pharmacology, College Notes, 2026
NSG 320: Exam 3
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
GERD - CORRECT ANSWER ✔✔✔✔✔ esophageal irritation by
stomach acid that travels into the esophagus
if GERD is not treated what can it lead to... - CORRECT ANSWER
✔✔✔✔✔ barretts esophagus
, Peptic Ulcer Disease - CORRECT ANSWER ✔✔✔✔✔ open
sores/ulcers in the lining of stomach or small intestine
gastric vs duodenal ulcers - CORRECT ANSWER ✔✔✔✔✔ Gastric
= ulcer in the stomach; Duodenal = ulcer in the small intestine
S/S of GERD - CORRECT ANSWER ✔✔✔✔✔ -dyspepsia
"heartburn"
diet considerationf for GERD and PUD - CORRECT 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 - CORRECT 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 - CORRECT ANSWER ✔✔✔✔✔ -
antacids
-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