Nur 355 Exam 5 Questions And Answers Study Guide With Complete Solution!!

NUR 355 EXAM 5 QUESTIONS AND ANSWERS STUDY GUIDE WITH COMPLETE SOLUTION!! what can be used to assess for dehydration? Answers: - labs: urine specific gravity - expected range is 1.005 -1.030 - vitals: hypotension, tachycardia, tachypnea, fever - physical assessment: poor skin turgor How do you assess for dysphagia? Answers: -Assess ability to swallow before feeding (facial droop, drooling, weak voice, gag reflex, cough reflex, watery eyes) -Swallow study with different textures -SPEECH THERAPY should be consulted before feeding...consult EARLY - Lungs are clear upon auscultation after eating Nursing considerations for an NG tube include? Answers: - check placement with KUB x -ray - aspirate stomach contents and check pH - hold feedings if residual is g reater than 250mL (may differ depending on facility) - Assess for skin breakdown around nares What types of patients are candidates for NG tubes? Answers: oral/facial trauma or surgery, esophageal abnormality, high aspiration risk, malnutrition What is a laparoscopy? Answers: MIS (minimally invasive surgery) technique using gas to insufflate the peritoneum and instrument manipulated through ports with video camera guidance What is the expected ammonia range? Answers: 10 -80 mcg/dL What are some nurs ing considerations surrounding laparoscopic surgery? Answers: patient will experience gas pains which may be primarily around shoulders: ensure the patient is ambulating if possible to help with discomfort Where is McBurney's point? significance? Answers: 1/3 the distance from anterior superior iliac spine to umbilicus; RLQ point that hurts in appendicitis What are assessment findings for acute pancreatitis? Answers: - LUQ epigastric pain that intensifies while consuming fatty foods - abdominal fullness: gas and bloating - hiccups - fever, tachycardia, hypotension Nursing interventions for pancreatitis? Answers: - NPO status and IV fluids - ICU level care if other organs are involved - treat the cause What are some risk factors for pancreatit is?