©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
NU455 Exam 2 Study Guide.
Possible causes of acute abdomen - answer✔GI infection
Cholecystitis
Pancreatitis
Intestinal obstruction
Hepatitis
Appendicitis
hallmark assessment finding of appendicitis - answer✔rebound tenderness
most common causes of pancreatitis - answer✔excessive alcohol intake
gallstones (cholilethiasis)
elevated labs indicative of pancreatitis - answer✔amylase and lipase
amylase will be elevated for 48-72 hours in blood, lipas will be elevated a little longer than
amylase, urine can be tested for late detection of pancreatitis
plan of care for pancreatitis - answer✔fluid replacement
I/O monitoring
Pain control- PCA
monitor glucose levels
electrolyte monitoring
daily weights
NGT
enteral/parenteral feeding
assess for complications
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
enteral feeding: nursing assessment - answer✔inspect the nares
check residual, prevent aspiration from delayed gastric emptying
nasogastric tube timing - answer✔temporary, 4 weeks maximum
insertion of NG tube - answer✔at least two people; measure from the tip of the nose to the ear
to the xiphoid process
complications of enteral feeding - answer✔trauma to the nares
constipation/diarrhea
gastric bloating
aspiration
tube displacement
tube obstruction
hydration
hyperglycemia
checking NG tube placement - answer✔aspirate fluid and check pH
initial check should be via x-ray
*NOT EPB to auscultate for injected air
types of lines which can be used for parenteral nutrition - answer✔non-tunneled central lines
PICCs
tunneled catheters
ports
key indication for parenteral nutrition - answer✔inability to digest/process enteral nutrition
risks of parenteral nutrition - answer✔pneumothorax
embolism
infection- sepsis
2|Page
11/16/2024 10:16 AM
NU455 Exam 2 Study Guide.
Possible causes of acute abdomen - answer✔GI infection
Cholecystitis
Pancreatitis
Intestinal obstruction
Hepatitis
Appendicitis
hallmark assessment finding of appendicitis - answer✔rebound tenderness
most common causes of pancreatitis - answer✔excessive alcohol intake
gallstones (cholilethiasis)
elevated labs indicative of pancreatitis - answer✔amylase and lipase
amylase will be elevated for 48-72 hours in blood, lipas will be elevated a little longer than
amylase, urine can be tested for late detection of pancreatitis
plan of care for pancreatitis - answer✔fluid replacement
I/O monitoring
Pain control- PCA
monitor glucose levels
electrolyte monitoring
daily weights
NGT
enteral/parenteral feeding
assess for complications
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
enteral feeding: nursing assessment - answer✔inspect the nares
check residual, prevent aspiration from delayed gastric emptying
nasogastric tube timing - answer✔temporary, 4 weeks maximum
insertion of NG tube - answer✔at least two people; measure from the tip of the nose to the ear
to the xiphoid process
complications of enteral feeding - answer✔trauma to the nares
constipation/diarrhea
gastric bloating
aspiration
tube displacement
tube obstruction
hydration
hyperglycemia
checking NG tube placement - answer✔aspirate fluid and check pH
initial check should be via x-ray
*NOT EPB to auscultate for injected air
types of lines which can be used for parenteral nutrition - answer✔non-tunneled central lines
PICCs
tunneled catheters
ports
key indication for parenteral nutrition - answer✔inability to digest/process enteral nutrition
risks of parenteral nutrition - answer✔pneumothorax
embolism
infection- sepsis
2|Page
