NUR 206 Exam 1 Study Guide (This is everything she gave us to start with)
1. What finding before a colonoscopy would cause you to inform the doctor? PG 849
Before a colonoscopy, bowel preparation prior varies depending on HCP
Pt's follow either a low- residue or full liquid diet the day before until bowel cleansing
begins
Bowel cleansing follows a split- dose regimen
The evening before the procedure the pt drinks 2 L of oral polyethylene glycol (PEG)
lavage solution
The second 2 L dose begins 4-6 hr before the procedure.
(this is all I could really find on it, so maybe something like the PT didn’t comply with the diet
before the procedure and had eaten??)
2. What BMI you expect to find with certain Albumin levels?
Underweight (malnourished) BMI 13 – 18
3. What teaching would you give the patient with Albumin and Protein levels associated with
their BMI? Pg 862-863
Since albumin is related to malnutrition, teach the PT and caregiver the importance of
good nutrition
Daily weights for the Pt, and recording input and output
Teach the patient and family the importance of high caloric and high – protein foods.
4. Tube Feedings and Diarrhea? Pg 867. Table 39-12
Problem and Causes: Feeding too fast
, o Management: Dilute or decrease rate of feeding, change to continuous drip
feeding, discontinue excess water boluses.
Problem and causes: Infection
o Management: obtain stool culture for fecal leukocyte determination C. Diff , and
or toxin assay
Problem and Causes: Medication
o Management: Check for drugs that may cause diarrhea (sorbitol in liquid
medication, antibiotics)
Problems and Causes: Low- Fiber formula
o Management: change to formula with more fiber
Problems and Causes: Tube moving distally
o Management: Properly secure tube before beginning feeding, check placement
before each feeding or at least every 24 hr if continuous feeding.
Problems and Causes: Contaminated formula
o Management: Refrigerate unused formula and record date opened, discard
outdated formula, discard formula left standing for longer than manufacturer's
guidelines, 8 hr for ready-to-feed formulas (cans), 4 hr for reconstituted formula,
24-48 hr for closed-system enteral formulas, use closed system to prevent
contamination.
5. Which patient will you see first? (She said she won’t give us any more than that) (ABC'S)
Which patient should the nurse assess first after receiving change-of-shift report?
a. A patient with nausea who has a dose of metoclopramide (Reglan) due
b. A patient who is crying after receiving a diagnosis of esophageal cancer
c. A patient with esophageal varices who has a blood pressure of 92/58 mm Hg
d. A patient admitted yesterday with gastrointestinal (GI) bleeding who has melena
ANS: C
The patient's history and blood pressure indicate possible hemodynamic instability
caused by GI bleeding. The data about the other patients do not indicate acutely life-
threatening complications.
1. What finding before a colonoscopy would cause you to inform the doctor? PG 849
Before a colonoscopy, bowel preparation prior varies depending on HCP
Pt's follow either a low- residue or full liquid diet the day before until bowel cleansing
begins
Bowel cleansing follows a split- dose regimen
The evening before the procedure the pt drinks 2 L of oral polyethylene glycol (PEG)
lavage solution
The second 2 L dose begins 4-6 hr before the procedure.
(this is all I could really find on it, so maybe something like the PT didn’t comply with the diet
before the procedure and had eaten??)
2. What BMI you expect to find with certain Albumin levels?
Underweight (malnourished) BMI 13 – 18
3. What teaching would you give the patient with Albumin and Protein levels associated with
their BMI? Pg 862-863
Since albumin is related to malnutrition, teach the PT and caregiver the importance of
good nutrition
Daily weights for the Pt, and recording input and output
Teach the patient and family the importance of high caloric and high – protein foods.
4. Tube Feedings and Diarrhea? Pg 867. Table 39-12
Problem and Causes: Feeding too fast
, o Management: Dilute or decrease rate of feeding, change to continuous drip
feeding, discontinue excess water boluses.
Problem and causes: Infection
o Management: obtain stool culture for fecal leukocyte determination C. Diff , and
or toxin assay
Problem and Causes: Medication
o Management: Check for drugs that may cause diarrhea (sorbitol in liquid
medication, antibiotics)
Problems and Causes: Low- Fiber formula
o Management: change to formula with more fiber
Problems and Causes: Tube moving distally
o Management: Properly secure tube before beginning feeding, check placement
before each feeding or at least every 24 hr if continuous feeding.
Problems and Causes: Contaminated formula
o Management: Refrigerate unused formula and record date opened, discard
outdated formula, discard formula left standing for longer than manufacturer's
guidelines, 8 hr for ready-to-feed formulas (cans), 4 hr for reconstituted formula,
24-48 hr for closed-system enteral formulas, use closed system to prevent
contamination.
5. Which patient will you see first? (She said she won’t give us any more than that) (ABC'S)
Which patient should the nurse assess first after receiving change-of-shift report?
a. A patient with nausea who has a dose of metoclopramide (Reglan) due
b. A patient who is crying after receiving a diagnosis of esophageal cancer
c. A patient with esophageal varices who has a blood pressure of 92/58 mm Hg
d. A patient admitted yesterday with gastrointestinal (GI) bleeding who has melena
ANS: C
The patient's history and blood pressure indicate possible hemodynamic instability
caused by GI bleeding. The data about the other patients do not indicate acutely life-
threatening complications.
