NUR 195 week 11 Exam | Questions And Answers Latest {2024- 2025} A+
Graded | 100% Verified
True or false after the symptoms of acute gastritis subside. The nurse should introduce solid foods right
away to provide adequate oral nutrition in decrease the need for IV therapy. - False
True or false the nurse should educate clients with celiac disease to avoid food products that contain
gluten such as wheat barley in Rye, as well as non-food items, such as Toothpaste, communion, wafers,
cosmetics, and art supplies that may also contain gluten - True
True or false clients with inflammatory bowel disease IBD should follow a low residue, high proteins,
high calorie diet, especially during an acute phase - True
True or false, the usual, wearing time of an ostomy appliance before it begins to leak and need to be
changed is 2 to 3 days - False
True or faults, ulcerative, colitis, and Crohn's disease share several symptoms, including severe bleeding
narrowing of the bell, lumen, and mucosal edema - False
True or false the pain associated with a duodenal ulcer is relieved by indigestion of food - True
True or false both alterative colitis and Crohn's disease put the client at risk for developing colon cancer
- True
True or faults in a large bowel obstruction the abdomen will be distended and the bowel sounds will be
hyper active - False
True or false clients with Crohn's disease can develop an anal fistula, which is a tunnel or canal from the
anus to the perianal skin - True
True or faults pain from a gastric ulcer is exacerbated by the indigestion of food - True
,What is preparation of a EGD - Allergies
Informed consent
NPO 4-6 hr
Vitals
Sedation
After- NPO till swallowing- vitals, LOC
What conditions can be diagnosed by performing an EGD - GERD
Bleeding
Ulcer
Cancer
Hernia
H pylori
What is peptic ulcer disease, PUD - - erosion of mucosas membranes in the stomach or Duodenum
- The epithelial layer is exposed to pepsin and acid resulting in an ulcer
- It can result in abdominal pain bleeding melena, hematemesis, or worst case scenario a perforation
causing peritonitis
- H pylori Laurie is a small Hardy bacterium and is the most common cause for PUD
What clinical manifestations occur with PUD? - Black tarry, stools, blood from the upper G.I. blood iron
with bismuth salicylate
- Main way to determine is by an EGD but the above is a general way to help determine between gastric
and duodenal ulcers?
Clinical manifestations of gastric ulcers - Nausea
Bloating
Burning
Epigastric pain
Pain right after meals
, Hematemesis
Clinical manifestations of duodenal ulcers - Nausea
Bloating
Burning
Epigastric pain
Pain 1.5-3 hours after a meal
Pain relieved by food
Melina stool
Gastric ulcers hurt - After eating
duodenal ulcer are - Relived by eating
What test is performed in a client with PUD? - - EGD is the most accurate - obtain a direct biopsy testing
during procedure
- CBC nonspecific, but may show iron deficiency anemia for persistence, low-grade bleeding
- H pylori testing urea breath test is the most accurate
- Stool sampling detects H pylori antigen in the stool
Potential complications of PUD - Hemorrhage, perforation, pyloric stenosis
PUD medication management - - triple therapy for treatment of H pylori-two antibiotics and a PPI or H2
antagonist - they also give bismuth salicylate
- sucralfate - coats, the stomach and forms a barrier to protect the ulcer or from the stomach acid
- misoprostol- used for PUD caused by NSAID use contradicted in pregnancy - no alcohol - metallic taste
Manifestations of peritonitis - RIGID, BOARD-LIKE ABDOMEN. Pain Fever, increased WBC, N/V,
hypovolemic shock, pain that worsens with movement, shallow breathing, tachycardia, hypotension,
ascites
Graded | 100% Verified
True or false after the symptoms of acute gastritis subside. The nurse should introduce solid foods right
away to provide adequate oral nutrition in decrease the need for IV therapy. - False
True or false the nurse should educate clients with celiac disease to avoid food products that contain
gluten such as wheat barley in Rye, as well as non-food items, such as Toothpaste, communion, wafers,
cosmetics, and art supplies that may also contain gluten - True
True or false clients with inflammatory bowel disease IBD should follow a low residue, high proteins,
high calorie diet, especially during an acute phase - True
True or false, the usual, wearing time of an ostomy appliance before it begins to leak and need to be
changed is 2 to 3 days - False
True or faults, ulcerative, colitis, and Crohn's disease share several symptoms, including severe bleeding
narrowing of the bell, lumen, and mucosal edema - False
True or false the pain associated with a duodenal ulcer is relieved by indigestion of food - True
True or false both alterative colitis and Crohn's disease put the client at risk for developing colon cancer
- True
True or faults in a large bowel obstruction the abdomen will be distended and the bowel sounds will be
hyper active - False
True or false clients with Crohn's disease can develop an anal fistula, which is a tunnel or canal from the
anus to the perianal skin - True
True or faults pain from a gastric ulcer is exacerbated by the indigestion of food - True
,What is preparation of a EGD - Allergies
Informed consent
NPO 4-6 hr
Vitals
Sedation
After- NPO till swallowing- vitals, LOC
What conditions can be diagnosed by performing an EGD - GERD
Bleeding
Ulcer
Cancer
Hernia
H pylori
What is peptic ulcer disease, PUD - - erosion of mucosas membranes in the stomach or Duodenum
- The epithelial layer is exposed to pepsin and acid resulting in an ulcer
- It can result in abdominal pain bleeding melena, hematemesis, or worst case scenario a perforation
causing peritonitis
- H pylori Laurie is a small Hardy bacterium and is the most common cause for PUD
What clinical manifestations occur with PUD? - Black tarry, stools, blood from the upper G.I. blood iron
with bismuth salicylate
- Main way to determine is by an EGD but the above is a general way to help determine between gastric
and duodenal ulcers?
Clinical manifestations of gastric ulcers - Nausea
Bloating
Burning
Epigastric pain
Pain right after meals
, Hematemesis
Clinical manifestations of duodenal ulcers - Nausea
Bloating
Burning
Epigastric pain
Pain 1.5-3 hours after a meal
Pain relieved by food
Melina stool
Gastric ulcers hurt - After eating
duodenal ulcer are - Relived by eating
What test is performed in a client with PUD? - - EGD is the most accurate - obtain a direct biopsy testing
during procedure
- CBC nonspecific, but may show iron deficiency anemia for persistence, low-grade bleeding
- H pylori testing urea breath test is the most accurate
- Stool sampling detects H pylori antigen in the stool
Potential complications of PUD - Hemorrhage, perforation, pyloric stenosis
PUD medication management - - triple therapy for treatment of H pylori-two antibiotics and a PPI or H2
antagonist - they also give bismuth salicylate
- sucralfate - coats, the stomach and forms a barrier to protect the ulcer or from the stomach acid
- misoprostol- used for PUD caused by NSAID use contradicted in pregnancy - no alcohol - metallic taste
Manifestations of peritonitis - RIGID, BOARD-LIKE ABDOMEN. Pain Fever, increased WBC, N/V,
hypovolemic shock, pain that worsens with movement, shallow breathing, tachycardia, hypotension,
ascites
