NURS 202 FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔Continuous Feeding - ✔✔-Allows gradual introduction of the formula, promoting max
absorption
-Requires use of enteral feeding pump, which limits mobility and increases cost
-Aspiration and reflux risk
-All feedings directly to intestines must be continuous
✔✔Intermittent Feeding - ✔✔-Preferred
-Delivered at regular intervals, in equal portions
-Can be introduced by gravity or pump
-Resembles a more normal pattern of intake and allow patient freedom of movement
(Ex: 240ml Insure Q4H)
✔✔Clear Liquid Diet - ✔✔-Only clear fluid or food that becomes liquid at body
temperature
-Allows minimal digestion and residue
-Initial post-op diet, progression to more nutritious alternatives is recommended as soon
as possible
(Broth, coffee, tea, fruit juice, gelatin, popsicles)
✔✔Pureed Diet - ✔✔-Can consist of any food that has been pureed with a blender
-Usually after oral or facial surgery
✔✔Mechanically Altered Diet - ✔✔-Regular diet w/ modification for texture. Excludes
most raw fruits/veggies and foods w/ seeds, nuts, and dried fruits
-Chop, grind, mash, or soften food
-Usually after head, neck, or mouth surgery, for chewing and swallowing difficulties
-Adequate in calories and nutrients, can be used long term
✔✔Full Liquid Diet - ✔✔-Poured at room temp
-High calorie, high protein supplements recommended if more than 3 days
(clear liquid diet plus milk, pudding, custard, eggs, veggie juices)
✔✔UTI - ✔✔-Leading cause of morbidity and healthcare expenditures in persons of all
ages
-Women: Especially vulnerable b/c female urethra is shorter and closer to vagina and
rectum
-E. Coli most common causal organism
✔✔UTI Risk Factors - ✔✔-Sexually active women
-Women using diaphragms for contraception
-Postmenopausal women
-indwelling urinary catheter
, -Diabetes
-Older adults
✔✔UTI Symptoms - ✔✔-Positive culture and sensitivity test
-Dysuria
-Urinary frequency or urgency
-Cloudy urine with foul odor
-Red blood cells or nitrates in urine
✔✔Urine Output - ✔✔-Concerning if falls below 30ml/hr
-Check for obstruction if cath in place first
-Then check vitals
-Normal is 1500ml/day
✔✔Room Air - ✔✔21% O2
✔✔Nasal Cannula - ✔✔-Each L/min = 3-4& Increase
-Up to 6 L/min
-Use humidification for 4+
✔✔Face Masks/Tents - ✔✔-6-8 L/min (40-60%)
-Use humidification
✔✔Partial Rebreather Mask - ✔✔-8-11 L/min (50-75%)
✔✔Nonrebreather Mask - ✔✔-12 L/min (80-100%)
-Do NOT use humidification
✔✔Contact Precautions - ✔✔-Place pt in a private rm, if available
-Wear PPE whenever you enter the rm for all interactions that may involve contact w/
the pt and potentially contaminated areas in the pt environment.
-Change gloves after having contact w/ infected material.
-Remove PPE before leaving pt environment, and wash hands w/ an anti microbial or
waterless antiseptic agent
-Limit movement of the pt out of the room
-Avoid sharing pt care equipment
✔✔Droplet Precautions - ✔✔-Use private rm, if available.
-Door may remain open
-Wear PPE upon entry into the rm for all interaction that may involve contact w/ the pt
and potentially contaminated areas in the pt environment
-Transport pt out of rm only when necessary and place a surgical mask on pt if possible
-Keep visitors 3 ft from infected person
✔✔Incubation - ✔✔Disease gets in and the body is trying to fight it (3 days)
ANSWERS GRADED A+
✔✔Continuous Feeding - ✔✔-Allows gradual introduction of the formula, promoting max
absorption
-Requires use of enteral feeding pump, which limits mobility and increases cost
-Aspiration and reflux risk
-All feedings directly to intestines must be continuous
✔✔Intermittent Feeding - ✔✔-Preferred
-Delivered at regular intervals, in equal portions
-Can be introduced by gravity or pump
-Resembles a more normal pattern of intake and allow patient freedom of movement
(Ex: 240ml Insure Q4H)
✔✔Clear Liquid Diet - ✔✔-Only clear fluid or food that becomes liquid at body
temperature
-Allows minimal digestion and residue
-Initial post-op diet, progression to more nutritious alternatives is recommended as soon
as possible
(Broth, coffee, tea, fruit juice, gelatin, popsicles)
✔✔Pureed Diet - ✔✔-Can consist of any food that has been pureed with a blender
-Usually after oral or facial surgery
✔✔Mechanically Altered Diet - ✔✔-Regular diet w/ modification for texture. Excludes
most raw fruits/veggies and foods w/ seeds, nuts, and dried fruits
-Chop, grind, mash, or soften food
-Usually after head, neck, or mouth surgery, for chewing and swallowing difficulties
-Adequate in calories and nutrients, can be used long term
✔✔Full Liquid Diet - ✔✔-Poured at room temp
-High calorie, high protein supplements recommended if more than 3 days
(clear liquid diet plus milk, pudding, custard, eggs, veggie juices)
✔✔UTI - ✔✔-Leading cause of morbidity and healthcare expenditures in persons of all
ages
-Women: Especially vulnerable b/c female urethra is shorter and closer to vagina and
rectum
-E. Coli most common causal organism
✔✔UTI Risk Factors - ✔✔-Sexually active women
-Women using diaphragms for contraception
-Postmenopausal women
-indwelling urinary catheter
, -Diabetes
-Older adults
✔✔UTI Symptoms - ✔✔-Positive culture and sensitivity test
-Dysuria
-Urinary frequency or urgency
-Cloudy urine with foul odor
-Red blood cells or nitrates in urine
✔✔Urine Output - ✔✔-Concerning if falls below 30ml/hr
-Check for obstruction if cath in place first
-Then check vitals
-Normal is 1500ml/day
✔✔Room Air - ✔✔21% O2
✔✔Nasal Cannula - ✔✔-Each L/min = 3-4& Increase
-Up to 6 L/min
-Use humidification for 4+
✔✔Face Masks/Tents - ✔✔-6-8 L/min (40-60%)
-Use humidification
✔✔Partial Rebreather Mask - ✔✔-8-11 L/min (50-75%)
✔✔Nonrebreather Mask - ✔✔-12 L/min (80-100%)
-Do NOT use humidification
✔✔Contact Precautions - ✔✔-Place pt in a private rm, if available
-Wear PPE whenever you enter the rm for all interactions that may involve contact w/
the pt and potentially contaminated areas in the pt environment.
-Change gloves after having contact w/ infected material.
-Remove PPE before leaving pt environment, and wash hands w/ an anti microbial or
waterless antiseptic agent
-Limit movement of the pt out of the room
-Avoid sharing pt care equipment
✔✔Droplet Precautions - ✔✔-Use private rm, if available.
-Door may remain open
-Wear PPE upon entry into the rm for all interaction that may involve contact w/ the pt
and potentially contaminated areas in the pt environment
-Transport pt out of rm only when necessary and place a surgical mask on pt if possible
-Keep visitors 3 ft from infected person
✔✔Incubation - ✔✔Disease gets in and the body is trying to fight it (3 days)
