NURS 5315 UTA TEST 5 (MODULE 9)
QUESTIONS WITH CORRECT ANSWERS 2025
AgeWRelatedWChanges-WGIW-WCORRECTWANSWERW-decreasedWtasteWandWsmell
slowedWmotilityW&WGERD
decreasedWbloodWflowWandWgastricWsecretionsWwhichWcanWleadWtoWincreasedWriskWofWdamageWtoWmucosa
lWlining
b12WanemiaW(pernicious)
decreasedWnutrientWabsorption
reducedWdrugWmetabolismWfromWenzymaticWchangesWofWtheWliver
liverWfunctionWtestsWunchangedW(ifWnotWnormal,Wdisorder,WnotWagingWsign)
fibroticWpancreasWandWatrophy
decreaseWinWfunctionWofWbetaWcellWfunction
DiarrheaW-WCORRECTWANSWERW-
atWleastW3WlooseWstoolsWthanWdevelopedWwithinW24Whours,WlastsWnoWlongerWthanW14Wdays
infectiousWdiarrheaWisWtypicallyWlessWthanW2Wweeks
>14Wdays=Wpersistent
>30WdaysW=Wchronic
complications-
Wdehydration,Welectrolyte,Wimbalances,WmetabolicWacidosis,WweightWloss,Wmalabsorption,WfattyWstools
OsmoticWDiarrheaW-WCORRECTWANSWERW-Non-
absorbableWsubstanceWdrawsWwaterWintoWtheWGIWtract,WwhichWresultsWinWlargeWvolumeWdiarrhea
mechanismWofWactionWbyWlactuloseWandWmiralax
canWbeWcausedWbyWnon-
absorbableWsugar,WtubeWfeedings,Wmalabsorption,WpancreaticWenzymeWdeficiency,WbileWsaltWdeficiency,WS
IWbacterialWovergrowth,WceliacWdisease
,SecretoryWdiarrheaW-WCORRECTWANSWERW-
excessiveWmucosalWsecretionWofWfluidWandWelectrolytesWproducesWlarge-volumeWdiarrhea
typicallyWd/tWinfectiousWcausesWlikeWbacteriaW(c-diff)
motilityWdiarrheaW-WCORRECTWANSWERW-
DecreasedWtransitWtimeWofWfoodWthroughWtheWGIWtract,WshortWbowelWsyndrome
D/t-
WresectionWofWsmallWintestine,WsurgicalWbypassWofWsmallWintestine,WIBS,Whyperthyroidism,WdiabeticWneuro
pathy,WlaxativeWabuse
GIWBleedW-WCORRECTWANSWERW-Complications-
Wshock,WdecreasedWcardiacWoutput,Whypotension,WAKI,Wtachycardia,Wanemia
OccultW-WnotWvisibleWandWresultsWinWironWdeficiency.WCommonWinWcolonWcancer.
UpperWGIWBleedW-WCORRECTWANSWERW-Esophagus,Wstomach,Wduodenum
D/t-Wvarices,Wgastritis,WpepticWulcers,WweissWtearW(tearWofWesophagusWfromWstomach)
Hematemesis-Wfrank,WbrightWred,WcoffeeWground.WIfWfrank,WusuallyWneedWimmediateWintervention
Melena
LowerWGIWBleedW-WCORRECTWANSWERW-Jejunum,Wileum,Wcolon,Wrectum
D/t-WIBD,Wcancer,Wdiverticula,Whemorrhoids,Wfissure
Hematochezia-WbrightWredWbloodWinWstool
, TheseWtypicallyWpresentWinWtheWrectum,WsigmoidWcolon,WorWdescendingWcolon
PepticWUlcerWDiseaseW-WCORRECTWANSWERW-
AWbreakWorWulcerationWinWtheWprotectiveWmucosalWliningWofWtheWlowerWesophagus,Wstomach,WorWduoden
um.WUnderlyingWtissueWisWexposedWtoWgastricWacid,Wautodigestion,WandWfurtherWdamage.W
Risks-Wsmoking,Wage,WNSAID,WalcoholWabuse,WDM,Wemphysema,Wcirrhosis,WHWpyloriWinfection
Complications-WbleedingWorWperforationWofWstomachWcontentsWintoWperitonealWcavity
GastricWulcerW-WCORRECTWANSWERW-UlcerWlocatedWinWtheWstomach
Risks-WagesW55-65,WNSAIDWuse
S/S-WgastricWpainWthatWisWworseWwithWeating,Wmelena,WhematemesisWorWcoffeeWgroundWemesis
DuodenalWulcerW-WCORRECTWANSWERW-MoreWcommonWinWyoungerWpopulation
MostWcommonWtypeWofWulcer
EpigatstricWpainWthatWisWrelievedWwithWeating,WpainWrecursWwhenWstomachWisWemptyW(~2hrsWfromWlastWfo
od),WmelenaWorWhematemesis
StressWrelatedWulcerW-WCORRECTWANSWERW-Risks-
WcriticallyWillW(ventilated,WmultiWorganWfailure,Wtrauma,Wburns,WTBI)
Ischemic-WdevelopWwithinWhoursWofWanWeventWthatWhasWledWtoWgastricWorWduodenalWischemia-
WHF,Wsepsis,WmultiWorganWfailure,Wburns
Cushing-WdevelopsWfollowingWTBI