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Maryville NURS 623 Exam 3, Exam 3 NURS 623 REAL EXAM GUIDE NEWEST VERSION EXPECTED QUESTION AND CORRECT ANSWER FROM VERIFIED SOURCES.RATED A GRADE$16.99
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Maryville NURS 623 Exam 3, Exam 3 NURS 623 REAL
EXAM GUIDE NEWEST VERSION 2024-2025 EXPECTED
QUESTION AND CORRECT ANSWER FROM VERIFIED
SOURCES.RATED A GRADE
What is the most common psychiatric disorder in the U.S? - ANSWER-
✔✔Anxiety
Describe the clinical presentation for Gastroesophageal Reflux Disease
(GERD)? - ANSWER-✔✔heartburn, regurgitation, water brash (reflex
salivation), sour taste in morning, belching, coughing, and hoarseness.
Objective: only sign may be occult blood in stool.
How is GERD diagnosed (when to refer to GI)? - ANSWER-✔✔With
symptoms, sometimes with upper endo; refer if failed treatment of step
2- after 6 weeks of treatment
Discuss the patient education regarding lifestyle changes for
management of GERD. - ANSWER-✔✔lifestyle changes including diet
weight loss, raising the head of their bed 6-8 inches, avoid nicotine
products avoid recumbency or sleeping for 3 to 4 hours after a meal,
avoid bedtime snacks, avoid fatty and late meals, foods such as
chocolate, alcohol, peppermint, caffeine, onions, garlic, citrus, and
tomatoes, wearing loose comfortable clothing, and starting a routine
exercise and weight loss program
,Describe medical management of GERD? - ANSWER-✔✔step-up:
LIFESTYLE changes, PRN OTC H2ra and antacid; PPI; referral
Step-down: starts with PPI then step down until Sx under control
46 year old male complains of dysphasia hoarseness and cough he
states he wakes up with a sour taste in his mouth. What is the most
likely cause of the patient symptoms? - ANSWER-✔✔GERD
Managment of peptic/gastric ulcer - ANSWER-✔✔*relieve pain, heal
the ulcer, and prevent complications/reoccurrence
*PHARMACOLOGICAL therapy is the foundation of management (H2Ra,
PPI, antacids, antibx w/H-pylori)
Describe the diagnosis criteria IBS - ANSWER-✔✔3 Criteria:
1. pain relieved by defacation or change in BMs for 3 months
2. BM with patterns of constipation/diarrhea 25% of the time
3. 2 features of either: altered frequency, form, sensory act of
defecation or varied bloating and pain
What are the risk factors are associated with Cholelithiasis? - ANSWER-
✔✔female gender
,obesity
pregnancy
increased age
drug induced (oral contraceptives, clofibrates)
cystic fibrosis
rapid weight loss, spinal cord injury
ileal disease with extensive resection
diabetes mellitus
sickle cell anemia
Cirrhosis
Biliary issues
What is the clinical presentation of cholecystitis? - ANSWER-✔✔colicky
type pain
Indigestion
N/V (after high-fat meals)
Pain localized to RUQ
referred pain to back & RT shoulder
What laboratory findings would you expect to see with acute
cholecystitis? - ANSWER-✔✔Elevated Alkaline Phosphatase & Bilirubin
, 45 year old obese woman with severe pain in tenderness in the right
upper quadrant accompanied by nausea and vomiting and fever there is
a positive Murphy sign what is the most likely diagnosis? - ANSWER-
✔✔Cholecystitis
What elevated laboratory test is considered the gold standard for
diagnosis of non-alcoholic pancreatitis? - ANSWER-✔✔Serum amylase,
concurrent with Lipase
What is the clinical presentation of chronic pancreatitis? - ANSWER-
✔✔LUQ can radiate to lumbar area
weight loss
diarrhea
N/V
dyspepsia
PE findings with pancreatitis? - ANSWER-✔✔epigastric tenderness with
no rebounding tenderness, may feel pseudeocyst/mass mild jaundice.
What are the recommendations/guidelines for colon cancer screenings
for average risk? - ANSWER-✔✔Average Risk: 50-75 or African American
45+
fecal occult blood every 1 yr
flex sig every 5 yrs
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