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NSG 320 Exam 3 Study Guide: Key Concepts & Review | Nursing Student Resources

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Prepare for your NSG 320 Exam 3 with this comprehensive study guide. This resource covers essential topics in advanced nursing concepts, including complex patient care management, pathophysiology, pharmacology, and evidence-based practice. Ideal for nursing students reviewing for the final, this PDF provides critical information to help you succeed.

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NSG 320 EXAM 3 /NSG320 Exam 3 Actual Exam
Newest 2025/2026 With Complete Questions And
Correct Answers |Already Graded A+||Brand New
Version!|



Total parenteral nutrition (TPN) -
....ANSWER.....✓✓entire nutrition is inside an IV bag and
goes right into the blood


Central line - ....ANSWER.....✓✓TPN is given through a
CENTRAL LINE! Not peripheral IV


Indication for central line feeding -
....ANSWER.....✓✓usually given to a client who is NPO
(patients with pancreatitis and Crohn's)


Administration of TPN - ....ANSWER.....✓✓start and stop
SLOW and GRADUALLY


Risk for patients receiving TPN - ....ANSWER.....✓✓at
high risk for hyper or hypoglycemia

,2|Page



TPN tubing change frequency - ....ANSWER.....✓✓every
24 hours


Action if TPN bag is almost empty -
....ANSWER.....✓✓Hang 10% dextrose water (to help
avoid hypoglycemia)


Nursing care for TPN - ....ANSWER.....✓✓daily weights,
monitor electrolytes and I&Os, monitor GLUCOSE
LEVELS


Signs of hyperglycemia - ....ANSWER.....✓✓Polydipsia,
polyuria, polyphagia, nausea, HA, abdominal pain


Enteral feeding - ....ANSWER.....✓✓Nutrients supplied to
the gastrointestinal tract orally or by feeding tube (NGT,
PEG, G-Tube)


Complications of enteral feeding - ....ANSWER.....✓✓tube
displacement, clogged tubes, aspiration, abdominal
distention


Refeeding syndrome - ....ANSWER.....✓✓happens within
24-48 hours of starting enteral or parenteral nutrition;
giving too much nutrition in a short amount of time

,3|Page




Refeeding Syndrome S/S - ....ANSWER.....✓✓24-48hrs
of therapy d/t fluid shifts: bradypnea, lethargy,
confusion, weakness


Avoiding refeeding syndrome - ....ANSWER.....✓✓give
GRADUALLY, increase calories SLOWLY


Gastritis - ....ANSWER.....✓✓inflammation/irritation of
the lining of the stomach


GERD - ....ANSWER.....✓✓esophageal irritation by
stomach acid that travels into the esophagus


Consequences of untreated GERD -
....ANSWER.....✓✓can lead to Barrett's esophagus


Peptic Ulcer Disease - ....ANSWER.....✓✓open
sores/ulcers in the lining of stomach or small intestine


Gastric vs duodenal ulcers - ....ANSWER.....✓✓Gastric =
ulcer in the stomach; Duodenal = ulcer in the small
intestine

, 4|Page



S/S of GERD - ....ANSWER.....✓✓dyspepsia 'heartburn'


Diet considerations for GERD and PUD -
....ANSWER.....✓✓avoid eating fried and fatty foods,
citrus, dairy, chocolate, peppermint/spearmint, caffeine
(coffee), spicy food, alcohol, caffeine, cigarettes


GERD - ....ANSWER.....✓✓Gastroesophageal reflux
disease, a chronic digestive condition.


Common treatment for GERD -
....ANSWER.....✓✓Antacids, H2 blockers, PPIs.


Antacid administration teaching -
....ANSWER.....✓✓Always take 1 hour before or after
other medications, NEVER TOGETHER.


When should H2 blockers and PPIs be taken? -
....ANSWER.....✓✓Take 30 minutes before meals.


Diagnostic assessment for LES function -
....ANSWER.....✓✓Upper GI endoscopy.

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