NU120 WEEK 2

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lauratwinoaks
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251820
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NU120 WEEK 2
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2013-12-11 23:58:13
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NU120 WEEK
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NU120 WEEK 2
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  1. DURING THE NURSING ASSESSMENT A PATIENT REVEALS THAT HE HAS DIARRHEA AND CRAMPING EVERY TIME HE HAS ICE CREAM.  HE ATTRIBUTES THIS TO THE COLD NATURE OF THE FOOD.  HOWEVER, THE NURSE BEGINS TO SUSPECT THAT THESE SYMPTOMS ARE ASSOCIATED WITH 
    1. FOOD ALLERGY
    2.  IRRITABLE BOWEL
    3.  LACTOSE INTOLERANCE
    4.  INCREASED PERISTALSIS
    3.  LACTOSE INTOLERANCE
  2. WHEN ASSESSING A 55 YEAR OLD PATIENT WHO IS IN THE CLINIC FOR A ROUTINE PHYSICAL, THE NURSE INSTRUCTS THE PATIENT ABOUT THE NEED TO OBTAIN A STOOL SPECIMEN FOR GUAIAC FECAL OCCULT BLOOD TESTING (GFOBT)
    1.  IF PATIENT REPORTS RECTAL BLEEDING
    2.  WHEN THERE IS A FAMILY HISTORY OF POLYPS
    3.  AS PART OF A ROUTINE EXAMINATION FOR COLON CANCER
    4.  IF A PALPABLE MASS IS DETECTED ON DIGITAL EXAMINATION
    3.  AS PART OF A ROUTINE EXAMINATION FOR COLON CANCER
  3. WHICH OF THE FOLLOWING MEDICATIONS LISTED IN A PATIENTS MEDICATION HISTORY POSSIBLY CAUSES GASTROINTESTINAL BLEEDING (SELECT ALL THAT APPLY)
    1.  ASPIRIN
    2.  CATHARTICS
    3.  ANTIDAIRRHEAL OPIATE AGENTS
    4.  NONSTEROIDAL ANTINFLAMMATORY DRUGS (NSAIDS)
    • 1.  ASPIRIN
    • 4.  NONSTEROIDAL ANTINFLAMMATORY DRUGS (NSAIDS)
  4. NURSES DISCOURAGE PATIENTS FROM STRAINING ON DEFECATION PRIMARILY BECAUSE IT CAUSES (SELECT ALL THAT APPLY)
    1.  PAIN
    2.  IMPACTION
    3.  HEMORRHOIDS
    4.  DYSRHYTHMIAS
    • 3.  HEMORRHOIDS
    • 4.  DYSRHYTHMIAS
  5. A CLEANSING ENEMA IS ORDERED FOR A 55 YEAR OLD PATIENT BEFORE INTESTINAL SURGERY.  THE NURSE UNDERSTANDS THAT THE MAXIMUM AMOUNT OF FLUID GIVEN IS
    1.  150 TO 200 ML
    2.  200 TO 400 ML
    3.  400 TO 750 ML
    4.  750 TO 1000 ML
    4.  750 TO 1000 ML
  6. A PATIENT STARTS TO EXPERIENCE PAIN WHILE RECEIVING AN ENEMA.  THE NURSE NOTES BLOOD IN THE RETURN FLUID AND RECTAL BLEEDING. WHAT ACTION DOES THE NURSE TAKE FIRST
    1.  ADMINISTERS PAIN MEDICATION
    2.  SLOWS DOWN THE RATE OF INSTILLATION
    3.  TELLS THE PATIENT TO BREATHE SLOWLY AND RELAX
    4.  STOPS THE INSTILLATION AND OBTAINS VITAL SIGNS
    4.  STOPS THE INSTILLATION AND OBTAINS VITAL SIGNS
  7. NUMBER THE STEPS TO IRRIGATING A NASOGASTRIC TUBE (NG) IN CORRECT ORDER
    1.  SLOWLY ASPIRATE THE SYRINGE
    2.  RECONNECT THE NG TUBE TO SUCTION
    3.  CLAMP AND DISCONNECT THE NG TUBE
    4.  PERFORM HAND HYGIENE AND APPLY CLEAN GLOVES
    5.  INSERT TIP OF SYRINGE INTO NG TUBE AND SLOWLY INJECT 30 ML SALINE
    • 4.  PERFORM HAND HYGIENE AND APPLY CLEAN GLOVES
    • 3.  CLAMP AND DISCONNECT THE NG TUBE
    • 5.  INSERT TIP OF SYRINGE INTO NG TUBE AND SLOWLY INJECT 30 ML SALINE
    • 1.  SLOWLY ASPIRATE THE SYRINGE2.  RECONNECT THE NG TUBE TO SUCTION
  8. LIST THE CORRECT ORDER IN WHICH TO APPLY AN OSTOMY POUCH
    1.  REMOVE THE USED POUCH AND SKIN BARRIER
    2. PERFORM HAND HYGIENE AND APPLY CLEAN GLOVES
    3.  ASSESS THE STOMA FOR COLOR, SWELLING, AND HEALING
    4.  GENTLY CLEANSE THE PERISTOMAL SKIN WITH WARM TAP WATER
    5.  APPLY NONALLERGENIC TAPE AROUND THE PECTIN SKIN BARRIER
    6.  CUT AN OPENING ON THE POUCH 0.15-0.3 CM (1/16 TO 1/8 INCH) LARGER THAN THE STOMA
    7.  PRESS THE ADHESIVE BACKING OF THE POUCH SMOOTHLY AGAINST THE SKIN
    • 2. PERFORM HAND HYGIENE AND APPLY CLEAN GLOVES
    • 1.  REMOVE THE USED POUCH AND SKIN BARRIER
    • 4.  GENTLY CLEANSE THE PERISTOMAL SKIN WITH WARM TAP WATER
    • 3.  ASSESS THE STOMA FOR COLOR, SWELLING, AND HEALING
    • 6.  CUT AN OPENING ON THE POUCH 0.15-0.3 CM (1/16 TO 1/8 INCH) LARGER THAN THE STOMA
    • 7.  PRESS THE ADHESIVE BACKING OF THE POUCH SMOOTHLY AGAINST THE SKIN
    • 5.  APPLY NONALLERGENIC TAPE AROUND THE PECTIN SKIN BARRIER
  9. A PATIENT IS ADMITTED FOR LOWER GASTROINTESTINAL (GI) BLEEDING.  WHAT COLOR OF STOOL DOES THE NURSE ANTICIPATE THE PATIENT TO HAVE
    1.  RED
    2.  BLACK
    3.  GREEN
    4.  ORANGE
    1.  RED
  10. THE NURSE IS CARING FOR A PATIENT WITH A COLOSTOMY.  WHICH INTERVENTIONS MOST IMPORTANT
    1.  CLEANSING THE STOMA WITH HOT WATER
    2.  INSERTING A DEODORANT TABLET IN THE STOMA BAG
    3.  SELECTING A BAG WITH AN APPROPRIATE SIZE STOMA OPENING
    4.  WEARING STERILE GLOVES WHILE CARING FOR THE STOMA
    3.  SELECTING A BAG WITH AN APPROPRIATE SIZE STOMA OPENING
  11. THE NURSE UNDERSTANDS THAT, WHEN COMPARING NASOGASTRIC TUBES USED FOR GASTRIC DECOMPRESSION, A SALEM SUMP IS SPECIFICALLY DESIGNED TO 
    1.  MINIMIZE THE RISK OF A BOWEL OBSTRUCTION
    2.  ENSURE DRAINAGE OF THE INTESTINES
    3.  PREVENT GASTRIC MUCOSAL DAMAGE
    4.  PROMOTE RESTING THE GUT
    3.  PREVENT GASTRIC MUCOSAL DAMAGE
  12. BEFORE COLLECTING A STOOL SAMPLE FOR OCCULT BLOOD, THE NURSE INSTRUCTS THE NURSING ASSISTIVE PERSONNEL TO
    1.  ASK THE PATIENT TO VOID
    2.  WAS THE PATIENT'S PERINEUM
    3.  SECURE A STERILE, SPECIMEN CONTAINER
    4.  PLAN TO COLLECT THE FIRST SPECIMEN OF THE DAY
    1.  ASK THE PATIENT TO VOID
  13. THE NURSE IS TAKING A HEALTH HISTORY OF A NEWLY ADMITTED PATIENT WITH A DIAGNOSIS RULE/OUT BOWEL OBSTRUCTION.  WHICH OF THE FOLLOWING IS THE PRIORITY QUESTION TO ASK THE PATIENT
    1.  DESCRIBE YOUR BOWEL MOVEMENTS
    2.  HOW OFTEN DO YOU HAVE A BOWEL MOVEMENT
    3.  WHEN WAS THE LAST TIME YOU MOVED YOUR BOWELS
    4.  DO YOU ROUTINELY USE STOOL SOFTENERS, LAXATIVES, OR ENEMAS
    3.  WHEN WAS THE LAST TIME YOU MOVED YOUR BOWELS
  14. THE NURSE IS CARING FOR A 78 YEAR OLD MAN WITH DIARRHEA.  OF THE FOLLOWING PROBLEMS, WHICH IS THE MOST IMPORTANT TO CONSIDER
    1.  MALNUTRITION
    2.  DEHYDRATION
    3.  SKIN BREAKDOWN
    4.  INCONTINENCE
    2.  DEHYDRATION
  15. THE NURSE RECOGNIZES WHICH PATIENT NEEDS TO USE A FRACTURE PAN FOR A BOWEL MOVEMENT
    1.  THE PATIENT WHO IS OBESE
    2.  THE PATIENT EXPERIENCING CONFUSION
    3.  THE PATIENT ON BED REST
    4.  A PATIENT RECOVERING FROM HIP SURGERY
    4.  A PATIENT RECOVERING FROM HIP SURGERY

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