NUR 3227C PPNC2 EXAM 1 AND EXAM 2 LATEST VERSIONS 2024

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download the pdf at • ,get pdf at https://learnexams.com/ • .NUR 3227C PPNC2 EXAM 1 • A nurse is teaching a patient to obtain a specimen for fecal occult blood testing • using fecal immunochemical testing (FIT) at home. How does the nurse instruct • the patient to collect the specimen? • • 1. Get three fecal smears from one bowel movement. • 2. Obtain one fecal smear from an early-morning bowel movement. • 3. Collect one fecal smear from three separate bowel movements. • 4. Get three fecal smears when you see blood in your bowel movement. - • ANSWER-3. Collect one fecal smear from three separate bowel movements. • • After surgery the patient with a closed abdominal wound reports a sudden pop • after coughing. When the nurse examines the surgical wound site, the sutures are • open, and pieces of small bowel are noted at the boom of the now- opened wound. • Which are the priority nursing interventions? (Select all that apply.) • • 1. Notify the health care provider. • 2. Allow the area to be exposed to air until all drainage has stopped. • 3. Place several cold packs over the area, protecting the skin around the wound. • 4. Cover the area with sterile, saline-soaked towels immediately. • pg. 1 • ,5. Cover the area with sterile gauze and apply an abdominal binder. - ANSWER-1. • Notify the health care provider. • 4. Cover the area with sterile, saline-soaked towels immediately. • • What is the correct sequence of steps when performing wound irrigation to a large • open wound? • • 1. Use slow, continuous pressure to irrigate wound. • 2. Attach 19-gauge angiocatheter to syringe. • 3. Fill syringe with irrigation fluid. • 4. Place biohazard bag near bed. • 5. Position angiocatheter over wound. - ANSWER-4, 3, 2, 5, 1 • • Which skin-care measures are used to manage a patient who is experiencing fecal • and/or urinary incontinence? (Select all that apply.) • • 1. Frequent position changes • 2. Keeping the buttocks exposed to air at all times • 3. Using a large absorbent diaper, changing when saturated • 4. Using an incontinence cleaner • 5. Applying a moisture barrier ointment - ANSWER-1. Frequent position changes • 4. Using an incontinence cleaner • 5. Applying a moisture barrier ointment • • What should the nurse teach family caregivers when a patient has fecal • incontinence because of cognitive impairment? • • pg. 2 • ,1. Cleanse the skin with antibacterial soap, and apply talcum powder to the • buttocks. • 2. Initiate bowel or habit training program to promote continence. • 3. Help the patient to toilet once every hour. • 4. Use sanitary pads in the patient's underwear. - ANSWER-2. Initiate bowel or • habit training program to promote continence. • • The patient states, I have diarrhea and cramping every time I have ice cream. I am • sure this is because the food is cold. Based on this assessment data, which health • problem does the nurse suspect? • • 1. A food allergy • 2. Irritable bowel syndrome • 3. Increased peristalsis • 4. Lactose intolerance - ANSWER-4. Lactose intolerance • • A nurse is taking a health history of a newly admied patient with a diagnosis of • possible fecal impaction. Which question is the priority to ask the patient or • caregiver? • • 1. Have you eaten more high-fiber foods lately? • 2. Have you taken antibiotics recently? • 3. Do you have gluten intolerance? • 4. Have you experienced frequent, small liquid stools recently? - ANSWER-4. • Have you experienced frequent, small liquid stools recently? • • When repositioning an immobile patient, the nurse notices redness over the hip • bone. What is indicated when a reddened area blanches on fingertip touch? • • pg. 3 • , 1. A local skin infection requiring antibiotics • 2. Sensitive skin that requires special bed linen • 3. A stage 3 pressure injury needing the appropriate dressing • 4. Blanching hyperemia, indicating the attempt by the body to overcome the • ischemic episode - ANSWER-4. Blanching hyperemia, indicating the attempt by • the body to overcome the ischemic episode • • Which nursing actions do you take when placing a bedpan under an immobilized • patient? (Select all that apply.) • • 1. Lift the patient's hips off the bed and slide the bedpan under the patient. • 2. After positioning the patient on the bedpan, elevate the head of the bed to a 45- • degree angle. • 3. Adjust the head of the bed so that it is lower than the feet, and use gentle but • firm pressure to push the bedpan under the patient. • 4. Have the patient stand beside the bed, and then have him or her sit on the bedpan • on the edge of the bed. • 5. Make sure the patient has a nurse call system in reach to notify the nurse when • he or she is ready to have the bedpan removed. - ANSWER-2. After positioning • the patient on the bedpan, elevate the head of the bed to a 45-degree angle. • 5. Make sure the patient has a nurse call system in reach to notify the nurse when • he or she is ready to have the bedpan removed. • • During the administration of a warm tap-water enema, a patient complains of • cramping abdominal pain that he rates 6 out of 10. What nursing intervention • should the nurse do 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