NURS-552 Exam
3 domains of learning - ANS -1. cognitive
2. psychomotor
3. affective
\5 types of nursing assessment - ANS -1. comprehensive- admission, establishes complete
database
2. focused- gather information about a problem already identified
3. emergency- assessment of a life-threatening problem
4. time-lapsed- re-assessment by shift
5. assessment of communities and special populations
\Care of NG tube - ANS --order chest x-ray for placement check
-check for aspirate
-check for residual
-250ml+ (withhold feed)
\Clear liquid - ANS -does not meet caloric need, temporary after surgery, minimize stimulation of
GI tract
\Diet for dysphagia - ANS -thin liquid, nectar-like, honey-like, spoon-thick
\Effects of exercise and mobility - ANS --increased cardiac efficiency, decreased heart rate and
BP, increased blood flow to all body parts, increased circulating fibrinolysis, breaks up clots
-enhances respiratory function
-increased muscle efficiency, coordination, efficiency of nerve impulses, and decreases the
effects of aging
-increased efficiency of system and temperature control
-increased appetite and intestinal tone
-increases circulation with better flow to kidneys, better elimination of body wastes
-increased sleep, energy, appearance, self-concept, and positive self-behaviors
\Enteral feedings - ANS --Sitting in semi-fowlers to high fowlers position to prevent aspiration.
(30-90 degrees)
-Used to achieve nutrition through the GI tract when upper GI tract is dysfunctional
-Nasogastric tube, Nasointestinal tube, Gastrostomy or jejunostomy
-Ordered continuous or intermittent by provider
-Complications: infection, aspiration, diarrhea
\Fat soluble vitamins - ANS -Vitamins A, D, E, K
\Food/drug interactions - ANS -Grapefruit can interact with certain drugs: vitamin K with
anti-coagulants
\Formulation of nursing diagnoses - ANS -1. problem (related to)
2. etiology (as evidenced by AEB)
3. defining characteristics (subjective + objective data)
\Full liquid - ANS -anything that turns liquid at room temp. Not recommended long term but used
for GI disturbance
\Goal evaluation - ANS -Were the goals that were set met?
3 domains of learning - ANS -1. cognitive
2. psychomotor
3. affective
\5 types of nursing assessment - ANS -1. comprehensive- admission, establishes complete
database
2. focused- gather information about a problem already identified
3. emergency- assessment of a life-threatening problem
4. time-lapsed- re-assessment by shift
5. assessment of communities and special populations
\Care of NG tube - ANS --order chest x-ray for placement check
-check for aspirate
-check for residual
-250ml+ (withhold feed)
\Clear liquid - ANS -does not meet caloric need, temporary after surgery, minimize stimulation of
GI tract
\Diet for dysphagia - ANS -thin liquid, nectar-like, honey-like, spoon-thick
\Effects of exercise and mobility - ANS --increased cardiac efficiency, decreased heart rate and
BP, increased blood flow to all body parts, increased circulating fibrinolysis, breaks up clots
-enhances respiratory function
-increased muscle efficiency, coordination, efficiency of nerve impulses, and decreases the
effects of aging
-increased efficiency of system and temperature control
-increased appetite and intestinal tone
-increases circulation with better flow to kidneys, better elimination of body wastes
-increased sleep, energy, appearance, self-concept, and positive self-behaviors
\Enteral feedings - ANS --Sitting in semi-fowlers to high fowlers position to prevent aspiration.
(30-90 degrees)
-Used to achieve nutrition through the GI tract when upper GI tract is dysfunctional
-Nasogastric tube, Nasointestinal tube, Gastrostomy or jejunostomy
-Ordered continuous or intermittent by provider
-Complications: infection, aspiration, diarrhea
\Fat soluble vitamins - ANS -Vitamins A, D, E, K
\Food/drug interactions - ANS -Grapefruit can interact with certain drugs: vitamin K with
anti-coagulants
\Formulation of nursing diagnoses - ANS -1. problem (related to)
2. etiology (as evidenced by AEB)
3. defining characteristics (subjective + objective data)
\Full liquid - ANS -anything that turns liquid at room temp. Not recommended long term but used
for GI disturbance
\Goal evaluation - ANS -Were the goals that were set met?
