NR 324 Adult Health 1 exam 3 FINAL
Exam review Questions and Verified
Answers, 100- Score Guarantee Pass
(Latest 2025)
Barium enema - CORRECT ANSWERS 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 -
CORRECT ANSWERS They might feel cramping and the urge to defecate may occur
-pt will be placed in various positions
What is Enteral nutrition (EN)
Indications - CORRECT ANSWERS 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 - CORRECT ANSWERS -intentional obstruction
-ileus
-peritonitis
-bowel ischemia
-intractable vomiting and diarrhea
Enteral nutrition formulas and delivery options - CORRECT ANSWERS -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) - CORRECT ANSWERS 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 - CORRECT ANSWERS 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
After: observe for complications
-monitor vital signs
Complications of a colonoscopy - CORRECT ANSWERS -Abdominal cramps
-Rectal bleeding
-Perforation
(malaise, abdominal distention, tenesmus)
Nasogastric tube - CORRECT ANSWERS Nutrition, medication and decompression; proper
technique during use, verify placement
-bc of small diameter they are more easily clogged when feedings are thick and are more difficult to use
for checking residual volumes
, They are particularly prone to obstruction when oral drugs have not been thoroughly crushed and
dissolved in water before administration
-Can be dislodged by vomiting or coughing
-Can be knotted/kinked in GI tract
NG tube management - CORRECT ANSWERS Check Aspiration risk before inserting
Obtain x-ray to confirm tube placement
If intermittent delivery is used HOB should remain elevated 30-60 min after feedings
Check gastric residual volumes before each feeding and every 4 hours during the first 48 hrs
Mark exit site at time of initial x-ray and check tuber external length at regular intervals
Observe for negative pressure when attempting to withdraw fluid from feeding
Provide skin care around tube and assess daily (rinse with sterile water )
What are the main complications of tube feedings? - CORRECT ANSWERS Vomiting
Dehydration
Diarrhea
Constipation
-Elevate HOB a minimum of 30 degrees but preferably 46 degrees to decrease complications and risk for
aspiration
Nursing management of tube feedings - CORRECT ANSWERS 1. Check tube placement before
feeding and each drug administration.
2. Assess for bowel sounds before feeding.
3. Use liquid medications rather than pills.
• Dilute viscous liquid medications.
• Do not add medications to enteral feeding formula.
4. If using tablets, crush drugs to a fine powder and dissolve in water to avoid clogging
Exam review Questions and Verified
Answers, 100- Score Guarantee Pass
(Latest 2025)
Barium enema - CORRECT ANSWERS 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 -
CORRECT ANSWERS They might feel cramping and the urge to defecate may occur
-pt will be placed in various positions
What is Enteral nutrition (EN)
Indications - CORRECT ANSWERS 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 - CORRECT ANSWERS -intentional obstruction
-ileus
-peritonitis
-bowel ischemia
-intractable vomiting and diarrhea
Enteral nutrition formulas and delivery options - CORRECT ANSWERS -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) - CORRECT ANSWERS 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 - CORRECT ANSWERS 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
After: observe for complications
-monitor vital signs
Complications of a colonoscopy - CORRECT ANSWERS -Abdominal cramps
-Rectal bleeding
-Perforation
(malaise, abdominal distention, tenesmus)
Nasogastric tube - CORRECT ANSWERS Nutrition, medication and decompression; proper
technique during use, verify placement
-bc of small diameter they are more easily clogged when feedings are thick and are more difficult to use
for checking residual volumes
, They are particularly prone to obstruction when oral drugs have not been thoroughly crushed and
dissolved in water before administration
-Can be dislodged by vomiting or coughing
-Can be knotted/kinked in GI tract
NG tube management - CORRECT ANSWERS Check Aspiration risk before inserting
Obtain x-ray to confirm tube placement
If intermittent delivery is used HOB should remain elevated 30-60 min after feedings
Check gastric residual volumes before each feeding and every 4 hours during the first 48 hrs
Mark exit site at time of initial x-ray and check tuber external length at regular intervals
Observe for negative pressure when attempting to withdraw fluid from feeding
Provide skin care around tube and assess daily (rinse with sterile water )
What are the main complications of tube feedings? - CORRECT ANSWERS Vomiting
Dehydration
Diarrhea
Constipation
-Elevate HOB a minimum of 30 degrees but preferably 46 degrees to decrease complications and risk for
aspiration
Nursing management of tube feedings - CORRECT ANSWERS 1. Check tube placement before
feeding and each drug administration.
2. Assess for bowel sounds before feeding.
3. Use liquid medications rather than pills.
• Dilute viscous liquid medications.
• Do not add medications to enteral feeding formula.
4. If using tablets, crush drugs to a fine powder and dissolve in water to avoid clogging
