Exam (elaborations)

NUR 611 GI Questions and Correct Answers | Latest Update

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Course
NUR 611

Institution
NUR 611

visceral pain → pain in internal organs, distension or spasm of a hollow organ, poorly localized, covers several body segments, dull crampy pain, N/V, pallor, sweating somatic pain → pain in the abdominal wall, well localized, asymmetric, and intensified by jarring parietal pain → shar...

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Uploaded on September 21, 2024
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Written in 2024/2025
Type Exam (elaborations)
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nur 611 gi questions and correct answers latest
visceral pain pain in internal organs distensio

Institution NUR 611
Course NUR 611

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→ Best Grades | Must Pass | Latest Update | Correct s | 2024/2025

NUR 611 GI Questions and Correct
Answers | Latest Update
visceral pain

→ pain in internal organs, distension or spasm of a hollow organ, poorly localized,
covers several body segments, dull crampy pain, N/V, pallor, sweating

somatic pain

→ pain in the abdominal wall, well localized, asymmetric, and intensified by jarring

parietal pain

→ sharp and well localized pain

referred pain

→ achy pain, felt away from area of disease

abdominal exam order

→ inspection, auscultation, percussion, palpation (IAPP)

Obturator's sign

→ test for appendicitis; pain on passive internal rotation of the flexed thigh

Rovsing's sign

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→ test for appendicitis by palpating the LLQ, eliciting pain in the RLQ if positive

Psoas sign

→ test for appendicitis; extending the thigh with the patient lying on their side with
knees extended

Murphy's sign

→ indicates acute cholecystitis; ask pt to exhale, examiner palpates below costal
margin on the right side mid-clavicular line

recommendations for constipation

→ increase fiber to 25-35 g per day; physical activity, hydration until urine clear; mild
- bulk forming, moderate - stool softener +/- stimulant, chronic - osmotic; (only agents
appropriate for long term use are the bulking agents)

chronic diarrhea

→ diarrhea that lasts for more than 2 weeks or recurs over months to years

osmotic diarrhea

→ malabsorption r/t injury to colon, or celiac disease, common in women ages 40-50,
responds to fasting

Secretory (non inflammatory) diarrhea

→ E coli, laxative abuse, large amounts, doesn't respond to fasting

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irritable bowel disease (IBD)

→ crohn's and ulcerative colitis

altered intestinal motility

→ diabetic neuropathy, dumping syndrome, or IBS

functional dyspepsia

→ presence of chronic intermittent symptoms without mucosal lesions or other structural
GI abnormalities for at least 3 months (epigastric pain, postprandial fullness, early
satiety, epigastric burning)

first line dyspepsia treatment

→ H2 antagonists (ranitidine), OTC omeprazole, H. pylori eradication

second line dyspepsia treatment

→ gastric motility drugs (metoclopramide, erythromycin), amitriptyline at hs, SSRIs,
antacids, sucralfate, misoprostol

tenesmus

→ The feeling that you need to pass stools, even though your bowels are already
empty. It may involve straining, pain, and cramping.

C diff treatment

→ flagyl, vancomycin, or bacitracin suspension

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