NUR 257 EXAM 3 KEY CONCEPTS
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT!!!
Question: What is the purpose of an NG tube?
Answer: ✔✔ Used for feeding and gastric decompression (to relieve abdominal
distention via the enteral route/GUT).
Question: What essential step must be taken prior to listening to bowel sounds in a
patient with an NG tube?
Answer: ✔✔ Turn off suction (low wall suction intermittent) before listening
to bowel sounds.
Question: What is the action required for a high gastric residual volume during NG
tube feedings?
Answer: ✔✔ If residual is 100-200 mL (or per facility threshold), hold the
feeding and contact the provider.
Question: How can you check the placement of an NG tube?
Answer: ✔✔ Abdominal/Chest X-ray (gold standard confirmation).
Question: What is a key skill and technique to know when inserting and measuring
an NG tube?
Answer: ✔✔ Measure from the tip of the nose to the earlobe, then extend to
the xiphoid process (the lower end of the sternum). Have the patient sip and
swallow water during insertion to facilitate passage.
GERD
No NSAIDS
avoid smoking, alcohol, stress
,What is a symptom of an upper GI bleed that involves vomiting?
Hematemesis
-Ibuprofen
-Aleve
-celecoxib
-toradol
What is the term for black, tarry stools associated with lower GI bleeding?
Melena
What are the normal ranges for hematocrit in adults?
36-52
What are the normal ranges for hemoglobin in adults?
12-16
What does a low hemoglobin indicate?
Anemia
,What test can be done if blood is not visible in stool to check for occult blood?
Guaic test
Tap Water Enemas
- Slow it down if cramping
- Left lateral positioning
-body temp
EGD (esophagogastroduodenoscopy)
Need consent, sedation, HOB elevated and left side, check for gag reflex after and
before fluids
What is peristalsis?
Peristalsis is the wave-like muscle contractions that move food through the
digestive tract.
How long should you listen for bowel sounds in each quadrant?
You should listen for 1 full minute in each quadrant.
, What should you do if no bowel sounds are heard after 1 minute?
If no sounds are heard, check for 5 full minutes.
What should you do with suction when listening for bowel sounds?
If you have suction, turn it off to listen.
Ulcerative Colitis
- Methotrexate, steroids, antidiarrheals, fluids, sulfasalazine
- LL pain
- Bloody stools
- Limited to rectum and cecum
What is a common symptom of cholecystitis?
Gallbladder
RUQ pain that radiates to the right shoulder
risk factors FFF
-female
-fat
-40
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT!!!
Question: What is the purpose of an NG tube?
Answer: ✔✔ Used for feeding and gastric decompression (to relieve abdominal
distention via the enteral route/GUT).
Question: What essential step must be taken prior to listening to bowel sounds in a
patient with an NG tube?
Answer: ✔✔ Turn off suction (low wall suction intermittent) before listening
to bowel sounds.
Question: What is the action required for a high gastric residual volume during NG
tube feedings?
Answer: ✔✔ If residual is 100-200 mL (or per facility threshold), hold the
feeding and contact the provider.
Question: How can you check the placement of an NG tube?
Answer: ✔✔ Abdominal/Chest X-ray (gold standard confirmation).
Question: What is a key skill and technique to know when inserting and measuring
an NG tube?
Answer: ✔✔ Measure from the tip of the nose to the earlobe, then extend to
the xiphoid process (the lower end of the sternum). Have the patient sip and
swallow water during insertion to facilitate passage.
GERD
No NSAIDS
avoid smoking, alcohol, stress
,What is a symptom of an upper GI bleed that involves vomiting?
Hematemesis
-Ibuprofen
-Aleve
-celecoxib
-toradol
What is the term for black, tarry stools associated with lower GI bleeding?
Melena
What are the normal ranges for hematocrit in adults?
36-52
What are the normal ranges for hemoglobin in adults?
12-16
What does a low hemoglobin indicate?
Anemia
,What test can be done if blood is not visible in stool to check for occult blood?
Guaic test
Tap Water Enemas
- Slow it down if cramping
- Left lateral positioning
-body temp
EGD (esophagogastroduodenoscopy)
Need consent, sedation, HOB elevated and left side, check for gag reflex after and
before fluids
What is peristalsis?
Peristalsis is the wave-like muscle contractions that move food through the
digestive tract.
How long should you listen for bowel sounds in each quadrant?
You should listen for 1 full minute in each quadrant.
, What should you do if no bowel sounds are heard after 1 minute?
If no sounds are heard, check for 5 full minutes.
What should you do with suction when listening for bowel sounds?
If you have suction, turn it off to listen.
Ulcerative Colitis
- Methotrexate, steroids, antidiarrheals, fluids, sulfasalazine
- LL pain
- Bloody stools
- Limited to rectum and cecum
What is a common symptom of cholecystitis?
Gallbladder
RUQ pain that radiates to the right shoulder
risk factors FFF
-female
-fat
-40
