Gi Disorders NURS 3366 Module 5 Questions With
Complete Solutions
acute pancreatitis Correct Answers Escape of pancreatic
enzymes into pancreas and surrounding tissue causing
autodigestion and hemorrhage
Causes- gallstones, alcohol
S&S- pain in epigastric area and jaundice
Dx- elevated serum amylase and lipase, leukocytosis, abdominal
CT (CAT scan)
Appendicitis Correct Answers Inflammation often caused by
fecal matter getting caught in lumen of appendix; slight genetic
predisposition
S&S- epigastric or periumbilical pain that migrates to RLQ; pain
will not want to move; "rebound" tenderness; N,V,D, anorexia,
fever, leukocytosis, if not treated quickly can lead to peritonitis
Tx- appendectomy
Barrett's esophagus Correct Answers Always caused by GERD
Dysplastic disorder that if left untreated can lead to esophageal
cancer
Bilirubin cycle (A&P review) Correct Answers Objective- turn
unconjugated (indirect) bilirubin into conjugated (direct)
bilirubin to make bile
Prehepatic stage- unconjugated bilirubin is released from spleen
and carried by proteins into liver
Hepatic stage- unconjugated bilirubin is conjugated
Posthepatic stage- conjugated bile is combined with bile for
excretion into small intestine
, Causative factors for ascites Correct Answers (1) increased
aldosterone leads to more water retention causing fluid shift
from blood to tissue
(2) decreased ability of liver to make plasma proteins, decreased
serum albumin, decreased oncotic pressure, fluid shift B to T
(3) increased back pressure in portal veins
Cholecystitis Risk Factors Correct Answers (1) obesity
(2) women who have had multiple pregnancies or are taking
contraceptives; estrogen
(3) starvation/rapid weight loss
(4) genetic predisposition
(5) 5 "F's"- female, fat, forty, fertile, fair (more common in
whites)
Cirrhosis Correct Answers Normal flow of blood through liver
is altered
Causes-
(1) excessive alcohol consumption
(2) too much acetaminophen
(3) viral hepatitis
(4) primary biliary cirrhosis (autoimmune) or secondary biliary
cirrhosis (bile obstruction)
(5) genetic disorders
Colorectal cancer Correct Answers Always arises from pre-
existing benign neoplasm which becomes malignant
Risk factors- (1) being over age 50, (2) high-fat diet, obesity,
sedentary lifestyle, (3) Alcohol abuse, (4) family history
S&S- Bloody stool, visible or occult, change in bowel habits
Complete Solutions
acute pancreatitis Correct Answers Escape of pancreatic
enzymes into pancreas and surrounding tissue causing
autodigestion and hemorrhage
Causes- gallstones, alcohol
S&S- pain in epigastric area and jaundice
Dx- elevated serum amylase and lipase, leukocytosis, abdominal
CT (CAT scan)
Appendicitis Correct Answers Inflammation often caused by
fecal matter getting caught in lumen of appendix; slight genetic
predisposition
S&S- epigastric or periumbilical pain that migrates to RLQ; pain
will not want to move; "rebound" tenderness; N,V,D, anorexia,
fever, leukocytosis, if not treated quickly can lead to peritonitis
Tx- appendectomy
Barrett's esophagus Correct Answers Always caused by GERD
Dysplastic disorder that if left untreated can lead to esophageal
cancer
Bilirubin cycle (A&P review) Correct Answers Objective- turn
unconjugated (indirect) bilirubin into conjugated (direct)
bilirubin to make bile
Prehepatic stage- unconjugated bilirubin is released from spleen
and carried by proteins into liver
Hepatic stage- unconjugated bilirubin is conjugated
Posthepatic stage- conjugated bile is combined with bile for
excretion into small intestine
, Causative factors for ascites Correct Answers (1) increased
aldosterone leads to more water retention causing fluid shift
from blood to tissue
(2) decreased ability of liver to make plasma proteins, decreased
serum albumin, decreased oncotic pressure, fluid shift B to T
(3) increased back pressure in portal veins
Cholecystitis Risk Factors Correct Answers (1) obesity
(2) women who have had multiple pregnancies or are taking
contraceptives; estrogen
(3) starvation/rapid weight loss
(4) genetic predisposition
(5) 5 "F's"- female, fat, forty, fertile, fair (more common in
whites)
Cirrhosis Correct Answers Normal flow of blood through liver
is altered
Causes-
(1) excessive alcohol consumption
(2) too much acetaminophen
(3) viral hepatitis
(4) primary biliary cirrhosis (autoimmune) or secondary biliary
cirrhosis (bile obstruction)
(5) genetic disorders
Colorectal cancer Correct Answers Always arises from pre-
existing benign neoplasm which becomes malignant
Risk factors- (1) being over age 50, (2) high-fat diet, obesity,
sedentary lifestyle, (3) Alcohol abuse, (4) family history
S&S- Bloody stool, visible or occult, change in bowel habits
