NSG 123 Medical Surgical Nursing Exam 2 | Actual
With Complete Solution 2024/2025 Latest Update
Already Graded A+
Purpose of Adding Fat to Emulsion to TPN
● Fat emulsions (lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
● Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy
● Carbon dioxide is used during the procedure
● Explain to the patient that they might feel pain in the right shoulder or scapular area (from
migration of the carbon dioxide used to insufflate the abdominal cavity during the
procedure).
Laparoscopic Colecystectomy 3 Things to do After
● Recommend a heating pad for 15 to 20 minutes hourly or
● Encourage the client to ambulate frequently to reduce the bloating.
● Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy
● Priority assessment should focus on the client's respiratory status.
● If a traditional surgical approach is planned, the high abdominal incision required during
surgery may interfere with full respiratory excursion.
● The nurse notes a history of smoking, previous respiratory problems, shallow respirations,
a persistent or ineffective cough, and the presence of adventitious breath sounds.
● CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy
● After these surgical procedures, the client is observed for indications of infection, leakage
of bile into the peritoneal cavity, and obstruction of bile drainage.
● If bile is not draining properly, an obstruction is probably causing bile to be forced back
,into the liver and bloodstream. ● Because jaundice may result, the nurse should assess the
color of the sclerae. Yellowcolored sclerae or skin can indicate jaundice.
● Clay-colored stool should be reported as this indicates a complication
Discharge Teaching for Open Cholecystectomy
● Usually, only a small amount of serosanguineous fluid drains in the initial 24 hours after
surgery; afterward, the drain is removed.
● The drain is typically maintained if there is excess oozing or bile leakage.
● Empty the drainage bag attached at least every 8 hours and as needed, to prevent reflux
back into the bile duct.
● Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and frequenct
diarrhea?
● Crohn's disease
The disease characterized by blood stools and left lower quadrant pain
● Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy?
● Ulcerative Colitis
What testing would you expect to see from a patient receiving parenteral nutrition? What
is an intra-gastric balloon used for? ● Non-invasive weight loss
● Blood Glucose
What time of day should Famotidine (pepcid) be administered?
● Bed time
What is an intra-gastric balloon used for?
● Non-invasive weight loss
The nurse needs to check Mg++ before administration of what drug?
● Magnesium hydroxide/aluminum hydrate MAALOX
, Which weight loss drug requires a fat soluble vitamin supplement?
● Orlistat (XENICAL)
What do you give to treat travelers diarrhea?
● Bismuth Salts-pepto bismol
This condition is characterized by perianal vascular congestion from straining to have a
bowel movement?
● Hemorrhoids
How often should 30mL of water be flushed through an NG tube for assessment of
function
● Every 4 hours
A patient is experiencing diarrhea secondary to ulcerative colitis, do you treat it?
● No, their body is flushing out the infection
Bulk forming laxative
● Citrucel or Metamucil
A patient has a NG tube placed and running suction. What lab should the nurse monitor?
● BMP, fluid and electrolytes
What do you give a patient recieving a TPN to prevent hypoglycemia?
● D5W or D10W
What are most gallstones comprised of?
● Cholesterol
A patient needs to recieve enteric feeding, what type of tube should be placed?
● Dobhoff Tube
What condition will you administer the drug Chenodiol?
● Cholesterol Gallstones.
With Complete Solution 2024/2025 Latest Update
Already Graded A+
Purpose of Adding Fat to Emulsion to TPN
● Fat emulsions (lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
● Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy
● Carbon dioxide is used during the procedure
● Explain to the patient that they might feel pain in the right shoulder or scapular area (from
migration of the carbon dioxide used to insufflate the abdominal cavity during the
procedure).
Laparoscopic Colecystectomy 3 Things to do After
● Recommend a heating pad for 15 to 20 minutes hourly or
● Encourage the client to ambulate frequently to reduce the bloating.
● Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy
● Priority assessment should focus on the client's respiratory status.
● If a traditional surgical approach is planned, the high abdominal incision required during
surgery may interfere with full respiratory excursion.
● The nurse notes a history of smoking, previous respiratory problems, shallow respirations,
a persistent or ineffective cough, and the presence of adventitious breath sounds.
● CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy
● After these surgical procedures, the client is observed for indications of infection, leakage
of bile into the peritoneal cavity, and obstruction of bile drainage.
● If bile is not draining properly, an obstruction is probably causing bile to be forced back
,into the liver and bloodstream. ● Because jaundice may result, the nurse should assess the
color of the sclerae. Yellowcolored sclerae or skin can indicate jaundice.
● Clay-colored stool should be reported as this indicates a complication
Discharge Teaching for Open Cholecystectomy
● Usually, only a small amount of serosanguineous fluid drains in the initial 24 hours after
surgery; afterward, the drain is removed.
● The drain is typically maintained if there is excess oozing or bile leakage.
● Empty the drainage bag attached at least every 8 hours and as needed, to prevent reflux
back into the bile duct.
● Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and frequenct
diarrhea?
● Crohn's disease
The disease characterized by blood stools and left lower quadrant pain
● Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy?
● Ulcerative Colitis
What testing would you expect to see from a patient receiving parenteral nutrition? What
is an intra-gastric balloon used for? ● Non-invasive weight loss
● Blood Glucose
What time of day should Famotidine (pepcid) be administered?
● Bed time
What is an intra-gastric balloon used for?
● Non-invasive weight loss
The nurse needs to check Mg++ before administration of what drug?
● Magnesium hydroxide/aluminum hydrate MAALOX
, Which weight loss drug requires a fat soluble vitamin supplement?
● Orlistat (XENICAL)
What do you give to treat travelers diarrhea?
● Bismuth Salts-pepto bismol
This condition is characterized by perianal vascular congestion from straining to have a
bowel movement?
● Hemorrhoids
How often should 30mL of water be flushed through an NG tube for assessment of
function
● Every 4 hours
A patient is experiencing diarrhea secondary to ulcerative colitis, do you treat it?
● No, their body is flushing out the infection
Bulk forming laxative
● Citrucel or Metamucil
A patient has a NG tube placed and running suction. What lab should the nurse monitor?
● BMP, fluid and electrolytes
What do you give a patient recieving a TPN to prevent hypoglycemia?
● D5W or D10W
What are most gallstones comprised of?
● Cholesterol
A patient needs to recieve enteric feeding, what type of tube should be placed?
● Dobhoff Tube
What condition will you administer the drug Chenodiol?
● Cholesterol Gallstones.
