NR224 Final Exam: Skills Exam Review & Study Guide | Chamberlain University

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FINAL EXAM: NR224 / NR 224 (LATEST

UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)

FUNDAMENTALS: SKILLS | QUESTIONS AND ANSWERS

| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS)

– CHAMBERLAIN

What is the most effective method to prevent the transfer of

clostridium difficile (C. Difficile) ? .....ANSWER.....HAND HYGIENE

with soap and water is effective to physically remove C. difficile

spores from the hands. (Potter 1092)

What is the term for the [abnormal] method used to assist in stool

passage by exerting pressure to expel fecal matter through

voluntary contraction of the abdominal muscles while maintaining

a forced expiration against a closed airway?

.....ANSWER.....Valsalva Manuever

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*Normal passage of bowels should be painless, passing soft

formed stool*

Which patients are at greatest risk for cardiac dysrhythmia and

high blood pressure with the Valsalva manuever and MUST

avoid straining to pass stool? .....ANSWER.....Patients with

cardiovascular disease, glaucoma, increased intracranial

pressure, or a new surgical wound

(Potter 1089)

What is the term for a collection of hardened feces in the rectum

that cannot be expelled due to unrelieved constipation?

.....ANSWER.....Fecal Impaction

Where does fecal impaction occur in the colon?

.....ANSWER.....Rectum

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Least formed stool is present in which portion of the digestive

tract? .....ANSWER.....Ascending Colon

Most formed stool is present in which portion of the digestive

tract? .....ANSWER.....Descending Colon

Which position should the patient be in while administering an

enema? .....ANSWER.....Left Side-Lying or Sim's Position

Which factors would contribute to stopping enema

administration? .....ANSWER.....If bleeding occurs, abdomen

becomes rigid and distended, pain occurs, or resistance is felt

Which enema solution is the safest for administration because it

does NOT create a danger for excess fluid absorption?

.....ANSWER.....Normal Saline [Isotonic Solution]

Which enema solution is contraindicated in patients who are

dehydrated or young infants because of risk for fluid imbalance?

.....ANSWER.....Hypertonic Solution

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Which enema solution is considered to be hypotonic and should

NOT be repeated because of the risk of water toxicity or

circulatory overload if and because the body absorbs excessive

amounts of water? .....ANSWER.....Tap Water [Hypotonic

Solution]

Which enema solution lubricates the rectum and allows the feces

to absorb the oil making them soft and easier to pass?

.....ANSWER.....Oil Retention

Which enema solution creates intestinal irritation to stimulate

peristalsis by using castile soap? .....ANSWER.....Soapsuds

Which enema solution should used in caution in pregnant women

and elderly because it may cause an electrolyte imbalance or

damage to intestinal mucosa? .....ANSWER.....Soapsuds

Which laboratory test is used to measure microscopic amounts of

blood in the feces (blood that cannot be seen)

.....ANSWER.....Guaiac Fecal Occult Blood Test