*NURSING > QUESTIONS & ANSWERS > GI Case Study Questions And Answers 100% All Correct 2022 (All)
GI Case Study Questions And Answers 100% All Correct 2022 A patient who is 1-day-post op after undergoing a Nissen has crackles, an O2 saturation of 92% on room air, a RR of 24, with shallow breat... hing: - ANS-Raise the head of the bed Apply oxygen Deep breaths Check for bleeding: HR up, BP down Abdominal distention (use measuring tape to measure abdominal girth) Check baseline data for crackles, check history to see if something would support these findings Assess for fluid overload A tech left the HOB flat after am care on a pt. with a PEG (percutaneous endoscopy gastric) tube and continuous enteral feedings: - ANS-Raise the HOB Pause the feeding Auscultate lungs, abdomen Abd distention Look for hypoxia to see if pt has aspirated Every 4 hours, check residuals, 60 ml syringe and aspirate until you do not pull out anything else then put it back in the belly because you don't want to upset acid-base balance 250 ml retained before you hold the feedings (TESTED ON) 45 degree HOB 30 minutes-60 minutes Prior to administering medications via a Peg tube, the nurse aspirates 100 mL's of residual: - ANS-This is normal so document the findings and administer the medications. - CONTINUES... [Show More]
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