Nursing 200 Exam 2 General Questions and Answers.
factors that influence nutrition - Correct Answer 1. Environment
2. Developmental needs throughout the lifespan
3. Pregnancy
4. Lactation
right upper quadrant - Correct Answer includes liver, gallbladder, duodenum, head of
pancreas, section of colon
left upper quadrant - Correct Answer includes stomach, spleen, pancreas, left lobe of liver
right lower quadrant - Correct Answer includes cecum, appendix, section of colon, lobe of
kidney, right ovary
left lower quadrant - Correct Answer includes sigmoid colon, left-ovary, ureter, fallopian
tube, part of uterus
hypoactive - Correct Answer is extremely soft and infrequent (e.g. one per minute) and
these sounds indicate decreased motility and are usually associated with manipulation of
the bowel during surgery, inflammation, paralytic ileus, or late bowel obstruction
hyperactive - Correct Answer sounds include high-pitched, loud, rushing sounds that
occur frequently (e.g. every 3 seconds) and they indicate increased intestinal motility and
are usually associated with diarrhea, an early bowel obstruction, or the use of laxatives.
importance of assessing PMI - Correct Answer displacement laterally or lower can
indicate heart enlargement
bounding abdominal pulsations and/or bruits indicate - Correct Answer possible
aneurysm
deviations from normal when assessing perfusion - Correct Answer Deviations include
cyanotic (venous insufficiency), pallor that increases with limb elevation, dependent rubor
/ a dusky red color when limb is lowered (arterial insufficiency), brown pigmentation
, around ankles, marked edema, skin think and shiny or think & waxy, with reduced hair and
ulceration.
deviations from normal when assessing peripheral veins - Correct Answer Deviations
from normal include distended veins in the thigh and/or lower leg or on posterolateral part
of calf from knee to ankle. Also swelling of one calf or leg, tenderness on palpation, pain in
calf muscles with forceful dorsiflexion of the foot (positive Homans' test), warmth and
redness over vein, no one sign/symptom consistently confirms or excludes the presence
of phlebitis or a deep venous thrombosis.
step-by-step instructions for obtaining a specimen to measure blood glucose - Correct
Answer - A blood glucometer and other necessary equipment such as gauze, a blood
sugar strip, lancet injector, gloves and antiseptic swab should be obtained.
- After verifying patient information, use the lancet to obtain a blood specimen, squeezing
gently.
- Hold the blood sugar strip under the blood accumulating until the strip has enough blood.
- Ask the client to apply pressure to the stick site.
- Follow the manufacturer of the glucometer for the specific amount of time needed to
expose the blood to the test strip.
- Measure the blood glucose by placing the strip in the meter.
- Generally, the blood glucose will be displayed. Be sure to completed the proper
documentation and administer insulin or other interventions as needed.
enteral nutrition - Correct Answer is an alternative feeding method that provides nutrition
through the GI system when a client cannot ingest foods or the upper GI tract is impaired
and the transport of food to the small intestine is interrupted.
nasogastric tube (NG) - Correct Answer inserted through the nostrils, down the
nasopharynx into the alimentary tract; used for short term feedings and clients have
adequate gastric emptying
Gastrostomy/jejunostomy tubes - Correct Answer used for long term nutritional support,
tubes usually placed surgically through the abdominal wall into the stomach or the
jejunum
correct process for measuring the appropriate length to insert a NG tube - Correct Answer
Use the tube to mark off the distance from the tip of the nose to the tip of the earlobe and
factors that influence nutrition - Correct Answer 1. Environment
2. Developmental needs throughout the lifespan
3. Pregnancy
4. Lactation
right upper quadrant - Correct Answer includes liver, gallbladder, duodenum, head of
pancreas, section of colon
left upper quadrant - Correct Answer includes stomach, spleen, pancreas, left lobe of liver
right lower quadrant - Correct Answer includes cecum, appendix, section of colon, lobe of
kidney, right ovary
left lower quadrant - Correct Answer includes sigmoid colon, left-ovary, ureter, fallopian
tube, part of uterus
hypoactive - Correct Answer is extremely soft and infrequent (e.g. one per minute) and
these sounds indicate decreased motility and are usually associated with manipulation of
the bowel during surgery, inflammation, paralytic ileus, or late bowel obstruction
hyperactive - Correct Answer sounds include high-pitched, loud, rushing sounds that
occur frequently (e.g. every 3 seconds) and they indicate increased intestinal motility and
are usually associated with diarrhea, an early bowel obstruction, or the use of laxatives.
importance of assessing PMI - Correct Answer displacement laterally or lower can
indicate heart enlargement
bounding abdominal pulsations and/or bruits indicate - Correct Answer possible
aneurysm
deviations from normal when assessing perfusion - Correct Answer Deviations include
cyanotic (venous insufficiency), pallor that increases with limb elevation, dependent rubor
/ a dusky red color when limb is lowered (arterial insufficiency), brown pigmentation
, around ankles, marked edema, skin think and shiny or think & waxy, with reduced hair and
ulceration.
deviations from normal when assessing peripheral veins - Correct Answer Deviations
from normal include distended veins in the thigh and/or lower leg or on posterolateral part
of calf from knee to ankle. Also swelling of one calf or leg, tenderness on palpation, pain in
calf muscles with forceful dorsiflexion of the foot (positive Homans' test), warmth and
redness over vein, no one sign/symptom consistently confirms or excludes the presence
of phlebitis or a deep venous thrombosis.
step-by-step instructions for obtaining a specimen to measure blood glucose - Correct
Answer - A blood glucometer and other necessary equipment such as gauze, a blood
sugar strip, lancet injector, gloves and antiseptic swab should be obtained.
- After verifying patient information, use the lancet to obtain a blood specimen, squeezing
gently.
- Hold the blood sugar strip under the blood accumulating until the strip has enough blood.
- Ask the client to apply pressure to the stick site.
- Follow the manufacturer of the glucometer for the specific amount of time needed to
expose the blood to the test strip.
- Measure the blood glucose by placing the strip in the meter.
- Generally, the blood glucose will be displayed. Be sure to completed the proper
documentation and administer insulin or other interventions as needed.
enteral nutrition - Correct Answer is an alternative feeding method that provides nutrition
through the GI system when a client cannot ingest foods or the upper GI tract is impaired
and the transport of food to the small intestine is interrupted.
nasogastric tube (NG) - Correct Answer inserted through the nostrils, down the
nasopharynx into the alimentary tract; used for short term feedings and clients have
adequate gastric emptying
Gastrostomy/jejunostomy tubes - Correct Answer used for long term nutritional support,
tubes usually placed surgically through the abdominal wall into the stomach or the
jejunum
correct process for measuring the appropriate length to insert a NG tube - Correct Answer
Use the tube to mark off the distance from the tip of the nose to the tip of the earlobe and
