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NUR 313: Nursing Concepts for Adult Health Exam 3 Questions and Correct Answers, With Complete Solution. 766 Questions and Answers, Updated 2024, Actual Exam Questions Included.$14.49
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NUR 313: Nursing Concepts for Adult Health Exam 3 Questions and Correct Answers, With Complete Solution. 766 Questions and Answers, Updated 2024, Actual Exam Questions Included.
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Course
NUR 313
Institution
NUR 313
NUR 313: Nursing Concepts for Adult Health Exam 3 Questions and Correct Answers, With Complete Solution. 766 Questions and Answers, Updated 2024, Actual Exam Questions Included.
NUR 313: Nursing Concepts for Adult Health
Exam 3 Questions and Correct Answers, With
Complete Solution. 766 Questions and Answers,
Updated 2024, Actual Exam Questions Included.
What is the most common upper gastrointestinal condition seen in adults?
Gastroesophageal reflux disease (GERD)
What are some potential causes of GERD?
Aging
Overly full stomach
Pregnancy
Bulimia
What is the most common clinical manifestation of GERD?
Pyrosis (heartburn)
What are the clinical manifestations of GERD?
Pyrosis
Dyspepsia
Hypersalivation
At his annual physical, a patient complains of a frequent burning sensation in his
chest after eating. The nurse knows that this symptom is consistent with a
diagnosis of ___.
GERD
What destroyers of the mucosal barrier contribute to the development of peptic
ulcer disease (PUD)?
H. pylori
Aspirin & NSAIDs
Corticosteroids
Smoking
How does Helicobacter pylori contribute to the development of PUD?
Produces urease (enzyme), which mediates inflammation and causes mucosa to
become more vulnerable
How do aspirin and NSAIDs contribute to the development of PUD?
Inhibit synthesis of prostaglandins
What agents cause an increase in gastric acid production, predisposing an
individual to the development of PUD?
Food products
Vomiting
Stress
What drug therapy is initiated for patients suffering from GERD or PUD?
Antacids
Anti-secretory agents
Prokinetics
ABOs
,What are important components to consider in the nursing assessment of a
patient with GERD or PUD?
Past health history
Medication use
Heartburn (aggravating/alleviating factors, when it occurs)
Weight loss (nutritional deficiencies - pain, vomiting, PUD; lesions compromise
stomach's ability to break down food)
Black, tarry stools
Epigastric tenderness (location, changes in sensation)
N/V
Abnormal lab values
What is the aim of the treatment program for a patient suffering from GERD or
PUD?
Reduce degree of gastric acidity
Enhance mucosal defense mechanisms
What lifestyle modifications should be included in the health promotion plan for a
patient with PUD?
Smoking cessation
Stress reduction
What nutrition interventions might be implemented for a patient suffering from
PUD?
Avoid/eliminate foods or beverages that irritate
Bland diet may be recommended
Six small meals per day during symptomatic phase
What are the three major complications of PUD?
Hemorrhage
Perforation
Gastric outlet obstruction
A patient diagnosed with PUD has an increased amount of blood in gastric
contents, but states that her pain has decreased. What is suspected and what
does the nurse do?
Hemorrhagic shock -
Prepare for OR
Actions related to blood loss, fluid volume loss, pain
A patient diagnosed with PUD complains of sudden, severe abdominal pain and
presents with a rigid, board-like abdomen. What is suspected and what does the
nurse do?
Perforation -
Prepare for OR
Actions related to blood loss, fluid volume loss, pain
In someone with cirrhosis, destruction of the liver's parenchymal cells results in:
Decreased liver mass
Impaired liver function
Altered blood flow
What is the ninth leading cause of death in the U.S.?
Cirrhosis
,What is the most common cause of cirrhosis?
Alcoholism
What GI disturbances may be seen in the early stages of cirrhosis?
Anorexia
Dyspepsia
Flatulence
N/V
Change in bowel habits
Abdominal pain
Fever
Lassitude
Weight loss
Enlarged liver or spleen
What GI disturbances may be seen in the late stages of cirrhosis?
Anorexia
Dyspepsia
N/V
Abdominal pain
Fetor hepaticus
Varices (esophageal, gastric, hemorrhoid)
Hematemesis
Congestive gastritis
What integumentary changes are seen in the late stages of cirrhosis?
Jaundice
Spider angioma
Palmar erythema
Purpura
Petechiae
What hematologic changes are seen in the late stages of cirrhosis?
Anemia
Thrombocytopenia
Leukopenia
Coagulation disorders
Splenomegaly
What metabolic changes are seen in the late stages of cirrhosis?
Hypokalemia
Hyponatremia/hypernatremia
Hypoalbuminemia
What cardiovascular changes are seen in the late stages of cirrhosis?
Portal HTN
Fluid retention
Peripheral edema
Ascites
What neurologic changes are seen in the late stages of cirrhosis?
, Hepatic encephalopathy
Peripheral neuropathy
Asterixis
What are some important considerations to include in the nursing assessment of
a cirrhosis patient?
Past health history - chronic alcoholism, viral hepatitis
Physical exam
Medications
Weight loss
Jaundice
Abdominal distention
N/V
Altered mentation
RUQ pain
Abnormal lab values
What are the overall nursing goals for a patient with cirrhosis?
Relief of discomfort
Minimal/no complications
Return to as normal a lifestyle as possible
What are the main causes of liver failure?
Hepatitis B
Hepatitis C
Cirrhosis
When large parts of the liver become damaged beyond repair and the liver is no
longer able to function, a patient is said to have ___.
Liver failure
What are the signs and symptoms of liver failure?
Nausea
Anorexia
Fatigue
Diarrhea
Jaundice
Bleeding easily
Swollen abdomen/ascites
Mental disorientation/confusion (hepatic encephalopathy)
Sleepiness
Coma
What are the health promotion considerations in the nursing implementations for
a patient with liver failure?
Treat alcoholism - abstain!
Identify hepatitis early & treat
Stress importance of adequate nutrition
Identify biliary disease early & treat
What are the acute interventions involved in the nursing implementations for a
patient with liver failure?
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