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Exam (elaborations)

NURS 4100 Test 2 With Complete Solution

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  • NURS 4100
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  • NURS 4100

NURS 4100 Test 2 With Complete Solution...

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  • August 31, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 4100
  • NURS 4100
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Belina
NURS 4100 Test 2 With
Complete Solution

Digestive system - ANSWER 1. starts at mouth and nose/ends at rectum

2. GI tract starts at esophagus

3. blood supply for abdomen- splanchnic circulation (Splank-nik)/ GI receives
largest CO

Upper GI/Mouth - ANSWER 1. swallowing

2. salivation

3. pharynx

4. esophagus behind the trachea

Upper GI - ANSWER 1. stomach

2. gallbladder- stores bile

3. pancreas- exocrine function: digestive enzymes, endocrine function:
produces insulin and glucagon, retroperitoneal

4. duodenum: first part of small intestine, pancreatic enzyme empty & bile
empties here

lower GI - ANSWER 1. small intenstine: duodenum, jejunum, ileum/ digestion
and absorption

2. illeocecal valve

,3. large intestine: -ascending, transverse, descending, sigmoid

-storage of waste, water absorption

cecum withdrawal time - ANSWER time after cecum reached to time scope is
removed

-average 6 mins

risk for GIB (gastro intestinal bleeding) - ANSWER 1. h.pylori

2. extended NSAID use

3. smoking

4. Genetics

Clinical Manifestations of GIB - ANSWER 1. Hematochezia: red blood in stool

2. Melena: black, tarry stool

3. Occult blood: "hidden" blood- may present with term-9symptomatic
anemia, syncope

4. Hematemesis: vomiting blood, coffee grounds to red blood

5. abdominal discomfort

6. anywhere in GI/ can be life threatening

7. shock and MODS

8. H&H late sign of GIB

Upper GI causes: esophagus problems

-Esophageal Varices - ANSWER 1. cause: portal HTN, cirrhosis, PVT

, 2. s/sx: massive bleeding

3. Care:

-airway protection

-intubation and balloon placed

-blackmore/minnesota tube

1. Blake: esophagus balloon, gastric balloon, and gastric suction

2. Minn has that + esophageal suction port

Upper GIB causes

-esophagus problems: Mallory weiss - ANSWER 1. linear mucosal laceration
at gastroesophageal junction

2. cause: forceful emesis

3. s/sx:

-hematemesis, persistent bleeding requires EGD, hemoclip placement/epi

4. take PPI after resolution

Stress ulcer

ICU pts at risk - ANSWER 1. vent >48 hrs

2. coagulopathy

2. in 24 hrs of admin




Upper GI problems

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