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Exam (elaborations)

Nu 311 Skills Exam 4 Questions And Verified Answers

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NU 311 SKILLS EXAM 4 QUESTIONS AND VERIFIED ANSWERS

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COPD


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-Require oxygen 24 hours a day; therefore care is taken to plan
administration around patient needs.

-Patients with decreased tissue oxygenation benefit from controlled
oxygen administration. Long-term oxygen treatment can improve survival
in it.

, · Humidity prevents drying of nasal and oral mucous membranes and
airway secretions. Flowmeters with smaller calibrations may be required
for patients requiring low-dose oxygen.




Mechanical or dental-soft


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Consists of all previous diets plus addition of lightly seasoned ground or
finely diced meats, flaked fish, cottage cheese, cheese, rice, potatoes,
pancakes, light breads, cooked vegetables, cooked or canned fruit,
bananas, and peanut butter; avoid tough meats, nuts, bacon, and fruits with
tough skins or membranes; ordered for patients who have chewing
problems or mild GI problems; used as a transition diet from liquids to
regular




Know how to check placement of a feeding tube before starting feedings


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· Check placement of tube by aspirating contents
· Check pH
· Chest X-Ray ****
· Insufflation of air into tube while auscultating abdomen is NOT a
reliable means to determine position of feeding tube tip




Full-liquid


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, Includes foods on clear-liquid diet plus addition of smooth-textured dairy
products (e.g., milk and ice cream), strained soups and custard, refined
cooked cereals, vegetable juice, and pureed vegetables; commonly
ordered before or after surgery for patients who are acutely ill from
infection or for patients who cannot chew or tolerate solid foods; must
verify that patients are able to tolerate lactose before providing dairy
products




Restricted fluids


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Required in severe heart failure or kidney failure




High-fiber


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Addition of fresh uncooked fruits, steamed vegetables, bran, oatmeal, and
dried fruits; includes sufficient amounts of indigestible carbohydrates to
relieve constipation, increase GI motility, and increase stool weight




Know best practice measures to prevent catheter related UTIs (Guidelines)


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, -Aseptic insertion.
-Limit the use of indwelling catheters to essential conditions and
removing them as soon as medically indicated.
-Use for acute urinary retention, accurate intake and output
measurement in critically ill patients, perioperative preparation for select
surgeries, healing of open sacral or perineal wounds in incontinent
patients, patients requiring prolonged bedrest, and comfort for end-of-
life care.
-Use the smallest catheter possible.
-Daily cleansing of the urethral meatus with soap and water or perineal
cleanser.
-Maintaining a closed urinary drainage system.
-Maintaining a free flow of urine through the catheter.
-Avoiding urethral trauma by securing a catheter.
-Antiseptics applied to the urinary meatus are NOT effective and should
not be applied.
-Antiseptic solutions placed in drainage bags and complex urinary
drainage systems have NOT been found to be effective.




Venturi mask


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-High-flow delivery device
-FiO2 delivered: 24%-50%
-Advantages:
Provides specific amount of O2 with humidity added
Administers low, constant O2
-Disadvantages:
Mask and humidity may irritate skin
Interferes with eating, drinking, and talking




Know how to remove an impaction digitally ****delegated??


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