NUR 3227C PPNC2 EXAM 1 AND EXAM 2

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NUR 3227C PPNC2 EXAM 1 AND EXAM 2

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EXAM WITH 150 ACTUAL EXAM

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NUR 3227C PPNC2 EXAM 1

A nurse is teaching a patient to obtain a specimen for fecal occult blood testing using fecal immunochemical testing (FIT) at home. How does the nurse instruct the patient to collect the specimen?

• Get three fecal smears from one bowel movement.
• Obtain one fecal smear from an early-morning bowel movement.
• Collect one fecal smear from three separate bowel movements.
• Get three fecal smears when you see blood in your bowel movement. -

ANSWER-3. Collect one fecal smear from three separate bowel movements.

After surgery the patient with a closed abdominal wound reports a sudden "pop" after coughing. When the nurse examines the surgical wound site, the sutures are open, and pieces of small bowel are noted at the boom of the now- opened wound.Which are the priority nursing interventions? (Select all that apply.)

• Notify the health care provider.
• Allow the area to be exposed to air until all drainage has stopped.
• Place several cold packs over the area, protecting the skin around the wound.
• Cover the area with sterile, saline-soaked towels immediately. 1 / 4

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• Cover the area with sterile gauze and apply an abdominal binder. - ANSWER-1.

Notify the health care provider.

• Cover the area with sterile, saline-soaked towels immediately.

What is the correct sequence of steps when performing wound irrigation to a large open wound?

• Use slow, continuous pressure to irrigate wound.
• Attach 19-gauge angiocatheter to syringe.
• Fill syringe with irrigation fluid.
• Place biohazard bag near bed.
• Position angiocatheter over wound. - ANSWER-4, 3, 2, 5, 1

Which skin-care measures are used to manage a patient who is experiencing fecal and/or urinary incontinence? (Select all that apply.)

• Frequent position changes
• Keeping the buttocks exposed to air at all times
• Using a large absorbent diaper, changing when saturated
• Using an incontinence cleaner
• Applying a moisture barrier ointment - ANSWER-1. Frequent position changes
• Using an incontinence cleaner
• Applying a moisture barrier ointment

What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

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• Cleanse the skin with antibacterial soap, and apply talcum powder to the

buttocks.

• Initiate bowel or habit training program to promote continence.
• Help the patient to toilet once every hour.
• Use sanitary pads in the patient's underwear. - ANSWER-2. Initiate bowel or

habit training program to promote continence.

The patient states, "I have diarrhea and cramping every time I have ice cream. I am sure this is because the food is cold." Based on this assessment data, which health problem does the nurse suspect?

• A food allergy
• Irritable bowel syndrome
• Increased peristalsis
• Lactose intolerance - ANSWER-4. Lactose intolerance

A nurse is taking a health history of a newly admied patient with a diagnosis of possible fecal impaction. Which question is the priority to ask the patient or caregiver?

• Have you eaten more high-fiber foods lately?
• Have you taken antibiotics recently?
• Do you have gluten intolerance?
• Have you experienced frequent, small liquid stools recently? - ANSWER-4.

Have you experienced frequent, small liquid stools recently?

When repositioning an immobile patient, the nurse notices redness over the hip bone. What is indicated when a reddened area blanches on fingertip touch? 3 / 4

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• A local skin infection requiring antibiotics
• Sensitive skin that requires special bed linen
• A stage 3 pressure injury needing the appropriate dressing
• Blanching hyperemia, indicating the attempt by the body to overcome the

ischemic episode - ANSWER-4. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode

Which nursing actions do you take when placing a bedpan under an immobilized patient? (Select all that apply.)

• Lift the patient's hips off the bed and slide the bedpan under the patient.
• After positioning the patient on the bedpan, elevate the head of the bed to a 45-

degree angle.

• Adjust the head of the bed so that it is lower than the feet, and use gentle but

firm pressure to push the bedpan under the patient.

• Have the patient stand beside the bed, and then have him or her sit on the bedpan

on the edge of the bed.

• Make sure the patient has a nurse call system in reach to notify the nurse when

he or she is ready to have the bedpan removed. - ANSWER-2. After positioning the patient on the bedpan, elevate the head of the bed to a 45-degree angle.

• Make sure the patient has a nurse call system in reach to notify the nurse when

he or she is ready to have the bedpan removed.

During the administration of a warm tap-water enema, a patient complains of cramping abdominal pain that he rates 6 out of 10. What nursing intervention should the nurse do first?

• Stop the instillation.
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