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NUR170 Exam 4: Questions & Complete Answers (100%)
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NUR170 Exam 4: Questions & Complete Answers (100%)
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NUR170 Exam 4: Questions & Complete Answers(100%)
What are the symptoms for GERD or a Hiatal Hernia? Right Ans - -
Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? Right
Ans - -Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? Right Ans - -Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? Right Ans - Aspiration
Can a patient have GERD and not have a hernia? Right Ans - Yes
Can a patient have a hernia and not have GERD? Right Ans - No
If a patient has GERD, how should they lay in bed? Right Ans - On their
right side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? Right Ans - - H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? Right Ans - - 2-4L of
oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
, - EGD with cauterization
What is a sign of peritonitis? Right Ans - Boardlike abdomen
What are the vital signs for a patient with an active bleed? Right Ans - Low
BP, High pulse
What part of the body does Crohns disease affect? Right Ans - "Gum to
Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? Right Ans - Rectum/
Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns Right Ans - Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns Right Ans - Crohns
Describe the diarrhea in a patient with Ulcerative Colitis Right Ans - -
Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease Right Ans - -
Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? Right Ans - Crohns disease
What is the surgical intervention for Ulcerative Colitis? Right Ans -
Removal of the colon resulting in a ileostomy
What is the surgical intervention for Crohns? Right Ans - There is none.
Only surgery is performed if something is wrong (perforations, strictures, or
fistulas)
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