NSG554 / NSG 554 Exam 3 (Latest 2024 / 2025): Nurse Practitioners in Primary Care I | Complete Guide with Verified Answers | 100% Correct - Wilkes

Exam 3: NSG554 / NSG 554 (Latest 2024 / 2025) - Nurse Practitioners in Primary Care I Exam Review | Complete Guide with Verified Answers | 100% Correct - Wilkes Q: Ulcerative Colitis Answer: -Idiopathic inflammatory condition involving the mucosal surface of the colon -Results in diffuse friability and erosions with bleeding -Periods of symptomatic flare-ups and remission -Bloody diarrhea is hallmark ** -Severity based on stool frequency, presence & amount of rectal bleeding, cramps, abdominal pain, fecal urgency, tenesmus and extra intestinal symptoms -PE should focus on volume status (orthostatic BPs + pulse + nutrition status) -Abdominal examination look for tenderness, evidence of peritoneal inflammation; red blood may be present on digital rectal examination Q: Ulcerative colitis: Mild Answer: 4 stools per day 90 HR Normal hematocrit & albumin, no weight loss, normal temperature 20 ESR Q: Ulcerative colitis: Moderate Answer: 4-6 stools per day 90-100 HR 30-40% hematocrit 1-10% weight loss 99-100 temperature 20-30 ESR 3-3.5 albumin Q: Ulcerative colitis: Severe Answer: 6 mostly bloody stools per day 100 HR 30% hematocrit 10% weight loss 100 temperature 30 ESR 3 albumin Q: Ulcerative Colitis: Signs and Symptoms - Mild to moderate disease Answer: -Fewer than 4-6 bowel movements/day -mild to moderate rectal bleeding -no constitutional symptoms -stools may be formed or loose -Rectal inflammation = fecal urgency & tenesmus -LLQ cramps relieved by defecation -No significant pain or tenderness -Mild anemia and hypoalbuminemia Q: Ulcerative Colitis: Signs and Symptoms - severe Answer: -More than 6 bloody bowel movements/day -Severe anemia, hypovolemia, impaired nutrition with hypoalbuminemia -Abdominal pain/tenderness present -