NSG 122 FUNDAMENTAL CONCEPTS HESI
FINAL EXAM WITH AND ANSWERS 100%
VERIFIED
Colostomy Gas - correct answer_ A colostomy permits formed feces in
the colon to exit through the stoma (the opening of the ostomy
attached to the skin)
If you have a colostomy or ileostomy, you may have noticed gas in your
pouch, which happens as your bowel begins to function after surgery.
The amount of gas varies. However, if you've always had excessive gas,
you'll probably still have it after your surgery, but in your pouch. Gas
can be caused by the foods you eat.
Constipation Interventions - correct answer_ Listen to bowel sounds,
Laxatives
A combination of high-fiber foods (20 to 35 g of fiber), 60 to 80 oz (1.8
to 2.4 L) of fluid daily, and exercise has been shown to be effective in
controlling constipation in patients with deficiencies in dietary intake of
fiber and/or fluid and reduced amounts of exercise
Assessment of Feces - correct answer_ Assess volume, color, odor,
consistency, shape, and any constituents
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PEG Feedings - correct answer_ Placement of a tube into the stomach
can be accomplished by a surgeon or gastroenterologist via a
percutaneous endoscopic gastrostomy (PEG) or a surgically (open or
laparoscopically) placed gastrostomy tube. PEG tube insertion is often
used because, unlike a traditional, surgically placed gastrostomy tube, it
usually does not require general anesthesia. Use of a PEG tube or other
type of gastrostomy tube requires an intact, functional GI tract.
Insertion of a PEG tube involves local anesthesia, passage of an
endoscope into the stomach, a small incision or stab wound through
the skin of the abdomen, pushing a cannula through the small incision,
insertion of a guide wire or suture material through the cannula, and
introduction and placement of the PEG tube through one of several
method
Enemas - correct answer_ An enema is the introduction of a solution
into the large intestine, usually to remove feces. It can also be used to
administer certain medications
The most common types of solutions used for cleansing enemas are tap
water, normal saline solution, soap solution, and hypertonic solution.
Fluid Volume Deficit- Sodium - correct answer_ Hypernatremia: excess
water loss and excess of sodium