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NSG 4100 / NSG4100 EXAM 1: (NEW 2025/ 2026
UPDATE) NURSING PRACTICE - ADULT HEALTH III GUIDE|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- GALEN
What education should a patient receive if they are being discharged home with an indwelling
catheter? - ANS ✓Need to learn the adequacy of urine output, need to use asepsis technique
while cleaning and never irrigate regularly, only change when there is leakage, blockage or
encrustation, clean with soap and water, the tube needs to be anchor to minimize
manipulation, wash the perineal area twice a day
Explain the surgical procedure of a kidney trANSplant. - ANS ✓For the individual receiving
the kidney the old ones are not removed. The new kidney is placed on patient iliac fossa
anterior to the iliac crest because it allows easier blood flow. The renal artery of the donated
kidney is sutured to the iliac artery and the renal vein to the iliac vein. The ureter of the
donated kidney is sutured to the bladder and once the blood supply as been established in the
OR urine should flow showing a success.
What should the nursing assessment focus on post-kidney trANSplants? - ANS ✓Rejection-
oliguria (production of small amount o urine), edema, fever, increase BP, weight gain.
Infection-fever, high HR, high WBC
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What topics should be included in post-op kidney trANSplant teaching? - ANS ✓Rejection
S/S, Infection S/S, and being medication compliance (needing to be on Immunosupressants
for the rest of their life).
What is the focus of care for a brain-dead patient that is an organ donor? - ANS ✓To
maintain good perfusion (good BP meANS good perfusion), decrease risk for infection, and
maintaining hemodynamic stability.
Risk factors for bladder cancer - ANS ✓Smoking occupational exposure (especially to
rubber), genetic mutations
Risk factors for renal cancer - ANS ✓Smoking, occupational exposure especially asbestos
What are the dietary recommendations for bariatric surgery patient? - ANS ✓Small frequent
meals, need to eat slowly and chew thoroughly, do not drink with meals, walk at least 30
minutes a day, take dietary supplements, only drink low calorie drinks
What is dumping syndrome? - ANS ✓Rapid trANSit of food bolus from stomach to small
intestine.
What are signs and symptoms of dumping syndrome after bariatric surgery? - ANS
✓Elevated heart rate, dizziness, sweating, N/V, bloating, abdominal pain, diarrhea
Risk factors for oral and esophageal cancer - ANS ✓Smoking, excessive alcohol, previous
head and neck cancer, HPV infections
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