NUR 2392 MULTIDIMENSIONAL CARE 2 FINAL EXAM 2023-2024 /MDC2 FINAL ACTUAL EXAM 75
QUESTIONS AND CORRECT DETAILED ANSWERS
What is a Mechanical Obstruction of the bowels?
Ex: - (answer) The bowel is blocked with problems outside the intestine
ex: adhesions, Crohn's disease or tumor
What is a non-mechanical obstruction?
aka? - (answer) Slowing of movement in bowels or back flow due to decreased or absent peristalsis
aka: paralytic ileus
Explain the NG tube placement procedure (pg 1124 chart 56-2) - (answer) confirming position
placement by x-ray before use. After appropriate placement established, aspirate the contents and
irrigate the tube with 30mL of normal saline every 4 hours or as prescribed.
Proper maintenance of NG tube - (answer) at least every 4 hours assess patients with NGT for proper
placement of tube, tube patency, and output.
Monitor nasal skin around tube for irritation
Auscultate bowel sounds with suction disconnected
What are polyps? - (answer) small growth covered with mucosa and attached to surface of intestine
Patient teaching for polyps - (answer) 1. S/S to report to the health care provider
2. Need for regular, routine monitoring or screening
3. The nature of the polyp
How many stages are there for colorectal cancer? - (answer) 5
Stage I- Tumor invades up to muscle layer
Stage II - Tumor invades up to other organs or perforates peritoneum
Stage III - Any level of tumor invasion, up to 4 regional lymph nodes
Stage IV - Any level of tumor invasion; many lymph nodes affected with distant metastasis
, NUR 2392 MULTIDIMENSIONAL CARE 2 FINAL EXAM 2023-2024 /MDC2 FINAL ACTUAL EXAM 75
QUESTIONS AND CORRECT DETAILED ANSWERS
When is a transverse colostomy placed? - (answer) In emergency situations. 2 stomas created,
proximal to the small intestines drains feces and distal stoma drains mucus
Different colostomies done (4) - (answer) 1. Ascending colostomy: right sided tumor
2. Descending colostomy: left sided tumor
3. Sigmoid colostomy: rectal tumor
4. Transverse colostomy: emergency situations
What are should the nurse look out for with colostomy care - (answer) -Normal appearance of stoma
-Signs and symptoms of complications
-Measurement of stoma
-Choice, use, care, application of appropriate appliance to cover stoma
-Measures to protect skin
-Dietary measures to control gas and odor
-Resumption of normal activities
Nursing assessment for stoma care - (answer) -Stoma assessment and care
-Strict attention to skin care/peristomal skin assessment
-Monitor amount and type of effluent
-Be attentive to client's psychosocial needs
-Be professional; show acceptance
-Attend to odor control
-Address client participation in ostomy care
What is a hemorrhoid? - (answer) Unnaturally swollen or distended veins in anorectal region
Where are internal hemorrhoids located? - (answer) can't be seen on inspection of the perineal area,
lie above the anal sphincter.
QUESTIONS AND CORRECT DETAILED ANSWERS
What is a Mechanical Obstruction of the bowels?
Ex: - (answer) The bowel is blocked with problems outside the intestine
ex: adhesions, Crohn's disease or tumor
What is a non-mechanical obstruction?
aka? - (answer) Slowing of movement in bowels or back flow due to decreased or absent peristalsis
aka: paralytic ileus
Explain the NG tube placement procedure (pg 1124 chart 56-2) - (answer) confirming position
placement by x-ray before use. After appropriate placement established, aspirate the contents and
irrigate the tube with 30mL of normal saline every 4 hours or as prescribed.
Proper maintenance of NG tube - (answer) at least every 4 hours assess patients with NGT for proper
placement of tube, tube patency, and output.
Monitor nasal skin around tube for irritation
Auscultate bowel sounds with suction disconnected
What are polyps? - (answer) small growth covered with mucosa and attached to surface of intestine
Patient teaching for polyps - (answer) 1. S/S to report to the health care provider
2. Need for regular, routine monitoring or screening
3. The nature of the polyp
How many stages are there for colorectal cancer? - (answer) 5
Stage I- Tumor invades up to muscle layer
Stage II - Tumor invades up to other organs or perforates peritoneum
Stage III - Any level of tumor invasion, up to 4 regional lymph nodes
Stage IV - Any level of tumor invasion; many lymph nodes affected with distant metastasis
, NUR 2392 MULTIDIMENSIONAL CARE 2 FINAL EXAM 2023-2024 /MDC2 FINAL ACTUAL EXAM 75
QUESTIONS AND CORRECT DETAILED ANSWERS
When is a transverse colostomy placed? - (answer) In emergency situations. 2 stomas created,
proximal to the small intestines drains feces and distal stoma drains mucus
Different colostomies done (4) - (answer) 1. Ascending colostomy: right sided tumor
2. Descending colostomy: left sided tumor
3. Sigmoid colostomy: rectal tumor
4. Transverse colostomy: emergency situations
What are should the nurse look out for with colostomy care - (answer) -Normal appearance of stoma
-Signs and symptoms of complications
-Measurement of stoma
-Choice, use, care, application of appropriate appliance to cover stoma
-Measures to protect skin
-Dietary measures to control gas and odor
-Resumption of normal activities
Nursing assessment for stoma care - (answer) -Stoma assessment and care
-Strict attention to skin care/peristomal skin assessment
-Monitor amount and type of effluent
-Be attentive to client's psychosocial needs
-Be professional; show acceptance
-Attend to odor control
-Address client participation in ostomy care
What is a hemorrhoid? - (answer) Unnaturally swollen or distended veins in anorectal region
Where are internal hemorrhoids located? - (answer) can't be seen on inspection of the perineal area,
lie above the anal sphincter.
