FINAL EXAMINATION — ORIGINAL
PRACTICE EXAMINATION 220 MULTIPLE-
CHOICE QUESTIONS WITH ANSWERS AND
RATIONALES| NEWEST UPDATED ()
COMPLETE APPROVED FULL REVISED NUR
2502 FINAL EXAM| CURRENTLY
EVALUATED.
Nursing Concepts 3: Acute Care -- Final Exam (Weeks
What are the risk factors for nausea and vomiting?
- children and older adults
- postoperative patients
- motion sickness
- medications
,- pregnancy migraine
- meningitis
- cancer
- nicotine
What are the manifestations of nausea and vomiting?
- gagging
- retching
- choking
- involuntary muscle reflexes
- mouth filling with saliva
- the need to more or bend over
- dizziness
- light headedness
- vasoconstriction
- sweating
- tachycardia
What is the care management for a patient experiencing nausea and
vomiting?
- assess for signs and symptoms of dehydration
- vital signs
- in and out
- skin turgor
- abdominal assessment
- when was last BM
,- lab values
- positioning
- distraction
- decrease stimuli
- privacy
- antimetics
- comfort
- NG suction if ordered
- NPO and IV
What are the implications of nausea and vomiting?
- NPO with IV solution fluid replacement
- 1st fluid: sips tepid H2O
- clear fluids: broth, gatorade, flat carbohydrated drinks, tea, toast, dry
crackers, plain gelatin
- fluids and solids seperately
What are the complications of nausea and vomiting?
- weight loss
- dehydration
- electrolyte imbalance (K, Cl, Na, Mg)
- metabolic alkalosis
- aspiration
- ICP
What are the assessments of emesis?
, - appearance, amount, frequency, color
- hematemesis
- coffee-ground
- yellow or greenish
- fecal matter
- projectile
Where is the vomiting center located?
- the medulla
Stimulated by...
- distention or irritation of the GI tract
- stimulation by other parts of the brain
- pain or stress
- vestibular apparatus of the inner ear
- ICP
- stimulation of chemoreceptors
What is the definition of diarrhea?
- refers to the passage of three or more loose or watery stools per day
- results from the rapid movement of fecal contents through the large
intestine
- rapid passage reduce the time available for the large intestine to
absorb H2O and electrolytes
- diarrhea is not present unless teh stool is unformed, excessively mushy