NR 324 Adult Health 1 exam 3
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Barium enema - Answer: examination of large intestine;
Before: give laxatives and enemas until clear of stool evening before
-clear liquid diet evening before
-NPO 8hr before
,After: give fluids, laxatives or suppositories to assist in expelling barium
-observe stool for passage of contrast medium
-educate pt stool may be white for up to 72 hr
With a barium enema what do you want to explain to the patient in
regards of what they might feel - Answer: They might feel cramping
and the urge to defecate may occur
-pt will be placed in various positions
What is Enteral nutrition (EN)
Indications - Answer: Tube feeding
-nutritionally balanced liquefied food or formula into the stomach,
duodenum, or jejunum
Indications:
-anorexia
-orofacial fractures
-head/neck cancer
-neurologic
-psychiatric conditions
-extensive burns
-critical illness
,-chemotherapy
-radiation therapy
Contraindications to enteral nutrition - Answer: -intentional
obstruction
-ileus
-peritonitis
-bowel ischemia
-intractable vomiting and diarrhea
Enteral nutrition formulas and delivery options - Answer: -variety of
formulas for patients with diabetes, liver, kidney, and lung disease
-concentrations from 1 to 2 cal/mL
-osmolarity, amount of protein, sodium, and fat vary
Delivery options:
-continuous infusion by pump
-cyclic feeding by pump
-intermittent by gravity
-intermittent bolus by syringe
, Esophagastroduodenoscopy (EGD) - Answer: Visualize esophagus,
stomach, duodenum
-detects inflammation, ulcerations, tumors, varices, or mallory-weiss
tears
Before:
-NPO for 8 hrs
-explain that local anesthesia may be sprayed on throat
-verify signed consent
After:
-keep NPO after procedure until gag reflex returns
-gently tickle back of throat to test gag reflex
-use warm saline gargles for relief of sore throat
-check temp q15-30min for 1-2 hr
Colonoscopy - Answer: Examination of colon, biopsies and polyps
removed; bowel prep before and observe for perforation
Before: low residue or full liquid diet the day before until bowel
cleansing begins
-pt drinks 2L dose of oral polyethylene glycol the night before
-second 2L 4-6 hr before procedure
-explain pt will be side-lying position and sedation given
FINAL Chamberlain Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
Barium enema - Answer: examination of large intestine;
Before: give laxatives and enemas until clear of stool evening before
-clear liquid diet evening before
-NPO 8hr before
,After: give fluids, laxatives or suppositories to assist in expelling barium
-observe stool for passage of contrast medium
-educate pt stool may be white for up to 72 hr
With a barium enema what do you want to explain to the patient in
regards of what they might feel - Answer: They might feel cramping
and the urge to defecate may occur
-pt will be placed in various positions
What is Enteral nutrition (EN)
Indications - Answer: Tube feeding
-nutritionally balanced liquefied food or formula into the stomach,
duodenum, or jejunum
Indications:
-anorexia
-orofacial fractures
-head/neck cancer
-neurologic
-psychiatric conditions
-extensive burns
-critical illness
,-chemotherapy
-radiation therapy
Contraindications to enteral nutrition - Answer: -intentional
obstruction
-ileus
-peritonitis
-bowel ischemia
-intractable vomiting and diarrhea
Enteral nutrition formulas and delivery options - Answer: -variety of
formulas for patients with diabetes, liver, kidney, and lung disease
-concentrations from 1 to 2 cal/mL
-osmolarity, amount of protein, sodium, and fat vary
Delivery options:
-continuous infusion by pump
-cyclic feeding by pump
-intermittent by gravity
-intermittent bolus by syringe
, Esophagastroduodenoscopy (EGD) - Answer: Visualize esophagus,
stomach, duodenum
-detects inflammation, ulcerations, tumors, varices, or mallory-weiss
tears
Before:
-NPO for 8 hrs
-explain that local anesthesia may be sprayed on throat
-verify signed consent
After:
-keep NPO after procedure until gag reflex returns
-gently tickle back of throat to test gag reflex
-use warm saline gargles for relief of sore throat
-check temp q15-30min for 1-2 hr
Colonoscopy - Answer: Examination of colon, biopsies and polyps
removed; bowel prep before and observe for perforation
Before: low residue or full liquid diet the day before until bowel
cleansing begins
-pt drinks 2L dose of oral polyethylene glycol the night before
-second 2L 4-6 hr before procedure
-explain pt will be side-lying position and sedation given
