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NUR 140 Exam 2 Study Questions and Correct Answers

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  • NUR 140
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  • NUR 140

Appendicitis appendix becomes inflamed and edematous leading to obstruction Clinical manifestations of appendicitis -vague periumbilical pain with anorexia -local tenderness at mcburneys point -redbound tenderness -low grade fever -rovsings sign -constipation Redbound tenderness there is more pai...

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  • September 30, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 140
  • NUR 140
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NUR 140 Exam 2 Study Questions and
Correct Answers
Appendicitis ✅appendix becomes inflamed and edematous leading to obstruction

Clinical manifestations of appendicitis ✅-vague periumbilical pain with anorexia
-local tenderness at mcburneys point
-redbound tenderness
-low grade fever
-rovsings sign
-constipation

Redbound tenderness ✅there is more pain when pressure on the tender area is
released

Rovsing's sign ✅palpation of the left lower quadrant causes right lower quadrant pain
that may indicate appendicitis

Appendicitis diagnostic findings ✅-elevated WBC count with elevated neutrophils
-elevated C-Reactive protein
-CT scan or ultrasound of abdomen

Medical management-appendicitis ✅Surgery (appendectomy, laparascopic or open
approach)
Antibiotics
IV fluids

Inflammatory Bowel Disease ✅group of chronic disorders that result in inflammation
and/or ulceration of the bowel

Chron's disease- Patho ✅Inflammatory process begins with crypt inflammation and
abscesses that develop into small, focal ulcers
+ "Cobblestone" appearance
+ Diseased bowel segments have defined borders separate from normal bowel tissue -
>skip lesions

Chrons disease diagnostics ✅-WBC
-Elevated ESR and CRP
-H and H
-albumin and protein levels
-CT scan of the abdomen
-MRI
-Colonoscopy

, Ulcerative colitis- patho ✅+ Affects superficial mucosa of the colon
+ Bleeding occurs as a result of the ulcerations
+ Ulceration is continuous

Ulcerative colitis- diagnostics ✅-colonoscopy
-abdominal X-ray
-positive hemoccult testing
-low hemoglobin and hematocrit
-Elevated WBC count
-Elevated CRP and ESR
-low albumin and protein levels
-electrolyte imbalances

Histamine H2 Antagonist ✅Prototypes: famotadine/ cimetidine
(pepsid)
-acid reflux
-stops acid production

Proton Pump Inhibitors ✅Prototype: Omeprazole
-used for overproduction of acid in the stomach
-stops acid production

Mucosal Protectant ✅Prototype: Sucralfate
-good for ulcers or inflammation
-protects lining of stomach

Antacids ✅Prototype: Aluminum Hydroxide
-neutralizes stomach acid
-doesnt stop acid production

Prostaglandin E Analogs ✅Prototype: Misoprostol
-preventing stomach ulcers from occurring (NSAIDS)
-can decrease gastric acid secretion
-can stimulate uterine contractions (can stimulate abortion)
-monitor for diarrhea and cramping

Serotonin Antagonists ✅Prototype: ondansetron
-used to treat nausea and vomiting
-common side effect is dizziness
-need to monitor long QT syndrome with administration

Dopamine antagonists ✅Prototype: Metoclopramide
Side effects: sedation, extrapyramidal reactions, restlessness and neuroleptic malignant
syndrome

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