Hondros Nursing Nur 150: Exam 2| Questions and Answers(A+ Solution guide)

Hondros Nursing Nur 150: Exam 2| Questions and Answers(A+ Solution guide) Three ways to confirm proper NG placement - ANSWER -Chest x-ray, PH test gastric contents, air bolus. With tube feeding what must be monitored daily - ANSWER -I/O, daily weight, daily labs Fatal risk of dysphagia - ANSWER -Aspiration pneumonia Nectar thickened - ANSWER -A little slower of the spoon than water Honey thickened - ANSWER -Very much slower off the spoon than water Spoon thickened - ANSWER -Will not drop off spoon Puréed - ANSWER -Pudding consistency such as mashed potatoes, vegetables, pasta in pudding consistency Mechanical soft - ANSWER -All foods except hard, crunchy, or sticky Dysphagia advanced - ANSWER -Includes moist and soft foods such as cooked cereal, canned fruit, noodles in sauce. Cold therapy NC - ANSWER -Recommended for first 24-48 hours after injury. Do not apply to red or blue areas. Check condition of skin every 5 minutes when using electrical cooling device. What color should the contents be when aspirating an NG tube - ANSWER Green, brown, or tan Caution with digital impaction removal - ANSWER -Cardiac patients How many enemas should you do in a row - ANSWER -Until everything comes out clear, no more than 3 HILDA - ANSWER -Pain assessment: how does pain feel? Intensity? Location? Duration? Aggregating or alleviating factors? The fifth vital sign - ANSWER -Pain Organ that inacativates and metabolizes drugs - ANSWER -Liver Organ that eliminates the metabolites of the drug from the body - ANSWER Kidneys AC - ANSWER -Before meals PC - ANSWER -After meals Stage 1 pressure ulcer - ANSWER -Intact skin with nonblanchable redness Stage 2 pressure ulcer - ANSWER -Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or bruising. Stage 3 pressure ulcer - ANSWER -Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. Stage 4 pressure ulcer - ANSWER -Full thickness tissue loss with exposed bone, tendon,or muscle. Slough or eschar may be present as well as undermining and tunneling.