NSG 3100 EXAM 3 LATEST 2023-2024 (2 VERSIONS A &B) ACTUAL EXAM ALL 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITHRATIONALES

VERSION A
When changing the colostomy appliance, cut the opening in the skin
barrier no more than __ larger than the stoma. – ANSWER- 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4
hours after meals. True or False – ANSWER- True
An unlicensed assistive personnel (UAP) reports to the nurse that a
client being fed experienced coughing and choking when swallowing.
The client states, “It feels like the food is stuck in my throat.” What does
the nurse suspect is happening with this client? – ANSWER- The client
is having dysphagia.
While undergoing a soapsuds enema, the client complains of mild
abdominal cramping. The nurse should: – ANSWER- lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile
urine specimen by: – ANSWER- syringe to withdraw from cath port

limiting fluids has what effect on urine? – ANSWER- raises specific
gravity
The nurse is alert to the possibility that for 24 to 48 hours after the
postoperative procedure, clients may experience the following as a result
of the anesthetic used during the surgery: – ANSWER- paralytic ilyus
before fecal occult test eat – ANSWER- bread
diagnosis of Alteration in urinary elimination, retention. On assessment,
the nurse anticipates that this client will exhibit: – ANSWER- a feeling
of pressure and voiding of small amounts.
diarrhea patients should consume – ANSWER- lean meats
A colonoscopy is ordered and the patient has questions about the
examination. Before the colonoscopy, the nurse teaches the patient that:

  • ANSWER- light sedation is normally used
    In an assessment of a client with overflow incontinence, the nurse
    expects to find that the client has: – ANSWER- constant dribbling of
    urine
    A nurse is monitoring a client’s fluid intake. For breakfast, the client
    consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1
    scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The
    nurse should record the fluid intake as: – ANSWER- 660 mLs

    24 hour urine needs to be restarted in the event that: – ANSWER- client
    voids in the toilet
    Which interventions prevent or minimize the risk factors in clients at
    risk for spiration? – ANSWER- Feeding the patient small bites.
    Keeping suction equipment nearby.
    Positioning the client upright at 90 degrees.
    Providing liquids with a thickening agent.
    The client receiving a tube feeding develops diarrhea. The nurse should:
  • ANSWER- adjust rate of infusion
    Critical care element for clients with ileostemy – ANSWER- skin care
    Why would a nurse order a guaiac test – ANSWER- blood in stool
    most important question for MRI – ANSWER- Any metal in body?
    considerations for diagnostic procedures – ANSWER- what type of
    sample?
    NPO?
    Contrast?
    Medications?

    Duration of test
    consent?
    what is included in the CBC – ANSWER- Hgb
    Hct
    Erythrocytes
    RBC
    Leukocytes
    diff wbc
    Components of BMP (basic metabolic panel) – ANSWER- BUN
    Creatinine
    Potassium
    Sodium
    Calcium
    Chloride
    Glucose
    Components of a CMP (Comprehensive Metabolic Panel) – ANSWERLiver
    Proteins
    albumin
    bilirubin

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