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NURS 424 exam #4 Study Guide with Complete Solutions $11.49   Add to cart

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NURS 424 exam #4 Study Guide with Complete Solutions

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  • NURS 2024/2025
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  • NURS 2024/2025

NURS 424 exam #4 Study Guide with Complete Solutions lab values to look at with GI issues & what they may show - Ans:--electrolytes (usually absorbed in small intestine) -BUN (dehydration shows elevated BUN & normal creatinine) -enzymes (elevated ALT & AST indicate liver damage) -hematology (...

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  • October 24, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




NURS 424 exam #4 Study Guide with
Complete Solutions


lab values to look at with GI issues & what they may show - Ans:✔✔--electrolytes (usually absorbed in

small intestine)


-BUN (dehydration shows elevated BUN & normal creatinine)


-enzymes (elevated ALT & AST indicate liver damage)


-hematology (Hgb, hct, PT, INR< PTT, important to monitor w/ GI bleed)


-ABGs (metabolic problems w/ diarrhea, diabetic ketoacidosis)


-antibodies (H pylori w/ peptic ulcer disease)


functions of liver - Ans:✔✔--metabolizes (fats, proteins, vitamins, iron storage, excretes bile, maintains

normal blood glucose)


-blood filtration (destroys bacteria)


-blood clotting (forms clotting factors)




Page 1/45

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-drug metabolism (metabolizes fat soluble drugs)


functions of pancreas - Ans:✔✔--secretes insulin & glucagon


-releases enzymes to aid in digestion of fats, starches & proteins (amylase, lipase)


-part of hepatic portal system (relative to blood supply)


laboratory assessment & 2 tests with pancreas issues - Ans:✔✔--amylase (pancreatitis)


-lipase (best to detect pancreatitis)


-secretin stimulation test (ability to respond to secretin)


-elastase test (stool test for elastase)


diagnostic tests with GI issues - Ans:✔✔--radiographic (KUD= x ray of abd)


-CT


-ultrasound


-MRI


-nuclear scan


-angiography



Page 2/45

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-endoscopy


-gastric tonometry


-sublingual capnometry


-endoscopic retrograde cholangiopancreatography (ERCP) (looks inside bile ducts, can pull out stones)


nursing assessment of abdomen - Ans:✔✔-1. inspection


2. auscultation


3. percussion


4. palpation


A patient has had an upper endoscopy and upon return to the medical/surgical floor the nurse notes the

patient is difficult to arouse. The priority action for the nurse is which of the following?




A. Assess the patient's airway


B. Allow the patient to sleep


C. Increase rate of IV fluids


D. Evaluate preprocedure laboratory tests for abnormalities - Ans:✔✔-A

Page 3/45

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Which laboratory results would the nurse evaluate as indicating damage to the liver? (Select all that

apply)




A. ALT of 135 units/L


B. AST of 25 units/L


C. Triglycerides 225 mg/dL


D. Amylase 300 units/L


E. Lipase 200 units/L - Ans:✔✔-A, D


-ALT & amylase are elevated


aneurysm - Ans:✔✔--abnormal dilation of an artery resulting in a weakened wall


-more pressure in the area, more likely it is to rupture


-named by location


causes of abdominal aortic aneurysm - Ans:✔✔--atherosclerosis


-genetic


-connective tissue disorder (Marfan syndrome)

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