NUR 104 Exam 4 Detailed Exam
Study Questions with Elaborate
Answers | Brand New Version
<Guarantee Pass>
1. Abdominal assessment order and rationale - ANSWER Inspect, Auscultate,
percuss, palpate. Must look and listen before touching to not create more
bowel sounds.
2. Alteration of electrolytes with vomiting and diarrhea - ANSWER
Hyperkalemia signs and symptoms include vomit and diarrhea.
hypernatremia can be causes by diarrhea and vomiting
3. Skin care for a patient with frequent diarrhea stools - ANSWER Apply
barrier cream on booty to protect skin.
4. Purpose of fecal occult blood testing (FOBT) - ANSWER To test for blood
in the stool.
5. Nurses' steps for administering a continuous and intermittent tube feeding -
ANSWER Inspect and Auscultate the abdomen.
Ensure placement by pulling residual and testing for pH level (should be
acidic).
Pull all residual and measure. Do not administer if there is more than 200 ml of
residual.
,6. List of assessment cues for a patient receiving tube feedings - ANSWER
Assess skin integrity,
tube placement(xray for placement intially, then verify gastric pH every 4 hrs
after),
gastrointestinal function,
and signs of complications.
7. Correct positioning for a patient receiving a tube feeding - ANSWER
Elevate head of bed 45-90 degrees if possible. 30 degress min.
8. Lab values used to measure nutritional status - ANSWER Albumin and
Transthyretin (prealbumin).
9. List of assessment cues for a patient with peptic ulcer disease - ANSWER
Burning pain 2-3 hours after eating, may wake the patient at night, eased by
eating/drinking. Dyspepsia (heartburn), bloating, nausea, bleeding (occult,
hematemesis, melena, hematochezia).
Hemorrhage, perforation, and gastric outlet obstructions.
10.Medications anticipated for a patient positive for Heliobacter Pylori -
ANSWER Amoxicillin,
clarithromycin (Biaxin),
metronidazole (Flagyl),
tetracycline (Sumycin),
or tinidazole (Tindamax).
11.Assessment cues for a patient with an infected abdominal wound -
ANSWER Heat, redness, swelling, pain, increased exudate, delayed healing,
contact bleeding, odor, abnormal granulation tissue.
,12.Symptoms of an abdominal perforation - ANSWER Severe abdominal pain
or cramping,
bloating or a swollen abdomen,
fever or chills,
nausea and vomiting,
pain or tenderness with touching of abdomen.
elevated WBC
Odor
13.Nursing priority for an actively bleeding esophageal varices - ANSWER
AIRWAY
14.Minimize risk for aspiration of blood, position the patient in semi-fowlers or
side-lying position.
15.Nurse's role when a patient experiences acute abdominal pain - ANSWER
Assess the gastrointestinal (GI) system, provide pain relief.
16.Procedure for obtaining FOBT - ANSWER Collect stool sample from two
separate places in the stool. Smear on the card. Drop the chemical onto the
sample. blue/green = blood detected.
17.Effects of stool for a patient taking an iron supplement - ANSWER Turns
stool dark green/black.
18.Purpose of using a laxative following a radiographic procedure using barium
as Contrast - ANSWER Barium can lead to constipation. Laxative is used to
completely expel the barium from the body.
, 19.Purpose of an esophagogastroduodenoscopy (EGD) - ANSWER Used to
examine the upper GI tract (esophagus, stomach and duodenum) to detect
bleeding and ulcers.
20.Purpose of a colonoscopy - ANSWER Used to examine the colon for
polyps, hemorrhoids or cancer.
biopsies, and polypectomies can be performed
21.Patient population suggested for colonoscopy screening - ANSWER 45-75
year olds.
40 if family history of cancers
22.Teaching plan for a patient scheduled for an endoscopic retrograde
Cholangiopancreatography (exam of the liver, gallbladder , bile ducts, and
pancreas.) - ANSWER NPO before the procedure.
Inquire about previous exposure to contrast media and sensitivities or allergies
Sedation is administered before the procedure.
avoid anticoagulants, aspirin or NSAIDs, for several; days
23.Procedure of inserting a nasogastric tube - ANSWER Measure from ear to
chin to xiphoid process. Chin to neck position. Have the patient swallow as
you place to help move it down the esophagus.
24.Positioning of a patient with a nasogastric tube - ANSWER Elevate head
45-90 degrees if possible.
25.Nursing care for a patient with a nasogastric tube for decompression -
ANSWER Provide nare care, oral care, ensure patency, secure the line. Use
intermittent suction. Administer saline flushes every 8 hours. Maintain NPO
Study Questions with Elaborate
Answers | Brand New Version
<Guarantee Pass>
1. Abdominal assessment order and rationale - ANSWER Inspect, Auscultate,
percuss, palpate. Must look and listen before touching to not create more
bowel sounds.
2. Alteration of electrolytes with vomiting and diarrhea - ANSWER
Hyperkalemia signs and symptoms include vomit and diarrhea.
hypernatremia can be causes by diarrhea and vomiting
3. Skin care for a patient with frequent diarrhea stools - ANSWER Apply
barrier cream on booty to protect skin.
4. Purpose of fecal occult blood testing (FOBT) - ANSWER To test for blood
in the stool.
5. Nurses' steps for administering a continuous and intermittent tube feeding -
ANSWER Inspect and Auscultate the abdomen.
Ensure placement by pulling residual and testing for pH level (should be
acidic).
Pull all residual and measure. Do not administer if there is more than 200 ml of
residual.
,6. List of assessment cues for a patient receiving tube feedings - ANSWER
Assess skin integrity,
tube placement(xray for placement intially, then verify gastric pH every 4 hrs
after),
gastrointestinal function,
and signs of complications.
7. Correct positioning for a patient receiving a tube feeding - ANSWER
Elevate head of bed 45-90 degrees if possible. 30 degress min.
8. Lab values used to measure nutritional status - ANSWER Albumin and
Transthyretin (prealbumin).
9. List of assessment cues for a patient with peptic ulcer disease - ANSWER
Burning pain 2-3 hours after eating, may wake the patient at night, eased by
eating/drinking. Dyspepsia (heartburn), bloating, nausea, bleeding (occult,
hematemesis, melena, hematochezia).
Hemorrhage, perforation, and gastric outlet obstructions.
10.Medications anticipated for a patient positive for Heliobacter Pylori -
ANSWER Amoxicillin,
clarithromycin (Biaxin),
metronidazole (Flagyl),
tetracycline (Sumycin),
or tinidazole (Tindamax).
11.Assessment cues for a patient with an infected abdominal wound -
ANSWER Heat, redness, swelling, pain, increased exudate, delayed healing,
contact bleeding, odor, abnormal granulation tissue.
,12.Symptoms of an abdominal perforation - ANSWER Severe abdominal pain
or cramping,
bloating or a swollen abdomen,
fever or chills,
nausea and vomiting,
pain or tenderness with touching of abdomen.
elevated WBC
Odor
13.Nursing priority for an actively bleeding esophageal varices - ANSWER
AIRWAY
14.Minimize risk for aspiration of blood, position the patient in semi-fowlers or
side-lying position.
15.Nurse's role when a patient experiences acute abdominal pain - ANSWER
Assess the gastrointestinal (GI) system, provide pain relief.
16.Procedure for obtaining FOBT - ANSWER Collect stool sample from two
separate places in the stool. Smear on the card. Drop the chemical onto the
sample. blue/green = blood detected.
17.Effects of stool for a patient taking an iron supplement - ANSWER Turns
stool dark green/black.
18.Purpose of using a laxative following a radiographic procedure using barium
as Contrast - ANSWER Barium can lead to constipation. Laxative is used to
completely expel the barium from the body.
, 19.Purpose of an esophagogastroduodenoscopy (EGD) - ANSWER Used to
examine the upper GI tract (esophagus, stomach and duodenum) to detect
bleeding and ulcers.
20.Purpose of a colonoscopy - ANSWER Used to examine the colon for
polyps, hemorrhoids or cancer.
biopsies, and polypectomies can be performed
21.Patient population suggested for colonoscopy screening - ANSWER 45-75
year olds.
40 if family history of cancers
22.Teaching plan for a patient scheduled for an endoscopic retrograde
Cholangiopancreatography (exam of the liver, gallbladder , bile ducts, and
pancreas.) - ANSWER NPO before the procedure.
Inquire about previous exposure to contrast media and sensitivities or allergies
Sedation is administered before the procedure.
avoid anticoagulants, aspirin or NSAIDs, for several; days
23.Procedure of inserting a nasogastric tube - ANSWER Measure from ear to
chin to xiphoid process. Chin to neck position. Have the patient swallow as
you place to help move it down the esophagus.
24.Positioning of a patient with a nasogastric tube - ANSWER Elevate head
45-90 degrees if possible.
25.Nursing care for a patient with a nasogastric tube for decompression -
ANSWER Provide nare care, oral care, ensure patency, secure the line. Use
intermittent suction. Administer saline flushes every 8 hours. Maintain NPO
