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NUR 155 Test 3 – Questions With Correct Answers
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NUR 155 Test 3 – Questions With Correct AnswersElimination ✔️Ans - process of removal of various forms of bodily wastes
through the coordination efforts of the intact renal, urinary, hepatic, and
gastrointestinal systems
Functions of the digestive tract ✔️Ans - - Breakdown of food for digestion
- Absorption of nutrients produced by digestion into the bloodstream
- Elimination of undigested foodstuffs and other waste products
Digestion ✔️Ans - phase of the digestive process that occurs when ezymes
mix with ingested food and when proteins, fats and sugars are broken
down into their component molecules
Absorption ✔️Ans - The process by which nutrient molecules pass through
the wall of the digestive system into the blood
elimination ✔️Ans - occurs after digestion and absorption when waste
products are eliminated from the body
Major Enzymes and secretions ✔️Ans - Chewing and swallowing: saliva,
salivary amylase
Gastric function: hydrochloric acid, pepsin, intrinsic factor
Small intestine: amylase, lipase, trypsin, bile
GI history ✔️Ans - - all info related to GI
- abdominal pain , gas, nausea, vomiting, constipation, diarrhea
- Hx of GI surgery
- appetite, eating problems, teeth
Interventions for Pt that is NPO ✔️Ans - - Nasogastric tube
- Nasoenteric : nasoduodenal, Nasojejunal
- Gastrostomy
- Jejunostomy
,Nursing care for PT with a Tube ✔️Ans - - confirming placement of tube
- clearing tube obstruction
- monitoring Pt
- maintaining tube function
- oral and nasal tube
- monitoring, preventing and managing complications
- tube removal
Problems/ complications with tubes ✔️Ans - - diarrhea
- nausea, vomiting
- dumping syndrome
- aspiration syndrome
- tube displacement
- tube obstruction
- nasopharyngeal irritation
- hyperglycemia
IBD ✔️Ans - chrons and ulcerative colitis
Crohn's disease ✔️Ans - a chronic autoimmune disorder that can occur
anywhere in the digestive tract; it is most often found in the ascending
colon all layers of bowel wall
- mouth to anus
- bowel walls thicken and intestinal lumen narrows
Ulcerative colitis ✔️Ans - large intestine (colon) is normally only site
infected
- begins in rectum and moves upward
Chron's disease s/s ✔️Ans - - diarrhea and cramping
- bleeding is rare
- cobblestone appearance
- weight loss, maybe severe
- thickness of bowel wall
- increased risk for colorectal cancer
Ulcerative colitis info ✔️Ans - - recurrent disease of the mucosal and
submucosal layers of the colon
, - ulcerations cause lower GI bleeding
- abscesses form
- starts in rectum but can eventually involve entire colon
- stools contain blood -inner linning of bowel wall
Complications of Chrons and Ulcerative colitis ✔️Ans - - hemorrhages
- perforation, abscesses, fistulas
- toxic megacolon ---> UC
Ulcerative colitis s/s ✔️Ans - - diarrhea
- rectal bleeding, anemia, fever
- weight loss is rare
- mucosa is affected
- increased risk for colorectal cancer
-hypocalcemia
- tenesmus
Diagnostic studies for UC and chrons ✔️Ans - - CBC : iron, WBC
- decreased electrolytes (sodium, K+, bicarbonate, magnesium)
- stool samples
- hypoalbuminemia
UC and Chron's imaging studies ✔️Ans - - double contrast barium
- transdominal ultrasound
- CT
- MRI
- Colonoscopy
- Endoscopy = chrons diease
Goals of treating IBD: ✔️Ans - - rest the bowl
- control the inflammation
- combat infection
- provide symptomatic relief
- no cure : chrons
Drug therapy for IBD ✔️Ans - - induce and maintain remission
Five classes: 5- amino salicylates, antimicrobials, biologic therapies,
corticosteroids, immunosuppressants
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