NUR 140 Exam 2 Study Questions and Correct Answers
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Course
NUR 140
Institution
NUR 140
Appendicitis appendix becomes inflamed and edematous leading to obstruction
Clinical manifestations of appendicitis -vague periumbilical pain with anorexia -local tenderness at mcburneys point -redbound tenderness -low grade fever -rovsings sign -constipation
Redbound tenderness there is more pai...
NUR 140 Exam 2 Study Questions and
Correct Answers
Appendicitis ✅appendix becomes inflamed and edematous leading to obstruction
Clinical manifestations of appendicitis ✅-vague periumbilical pain with anorexia
-local tenderness at mcburneys point
-redbound tenderness
-low grade fever
-rovsings sign
-constipation
Redbound tenderness ✅there is more pain when pressure on the tender area is
released
Rovsing's sign ✅palpation of the left lower quadrant causes right lower quadrant pain
that may indicate appendicitis
Appendicitis diagnostic findings ✅-elevated WBC count with elevated neutrophils
-elevated C-Reactive protein
-CT scan or ultrasound of abdomen
Medical management-appendicitis ✅Surgery (appendectomy, laparascopic or open
approach)
Antibiotics
IV fluids
Inflammatory Bowel Disease ✅group of chronic disorders that result in inflammation
and/or ulceration of the bowel
Chron's disease- Patho ✅Inflammatory process begins with crypt inflammation and
abscesses that develop into small, focal ulcers
+ "Cobblestone" appearance
+ Diseased bowel segments have defined borders separate from normal bowel tissue -
>skip lesions
Chrons disease diagnostics ✅-WBC
-Elevated ESR and CRP
-H and H
-albumin and protein levels
-CT scan of the abdomen
-MRI
-Colonoscopy
, Ulcerative colitis- patho ✅+ Affects superficial mucosa of the colon
+ Bleeding occurs as a result of the ulcerations
+ Ulceration is continuous
Ulcerative colitis- diagnostics ✅-colonoscopy
-abdominal X-ray
-positive hemoccult testing
-low hemoglobin and hematocrit
-Elevated WBC count
-Elevated CRP and ESR
-low albumin and protein levels
-electrolyte imbalances
Prostaglandin E Analogs ✅Prototype: Misoprostol
-preventing stomach ulcers from occurring (NSAIDS)
-can decrease gastric acid secretion
-can stimulate uterine contractions (can stimulate abortion)
-monitor for diarrhea and cramping
Serotonin Antagonists ✅Prototype: ondansetron
-used to treat nausea and vomiting
-common side effect is dizziness
-need to monitor long QT syndrome with administration
Dopamine antagonists ✅Prototype: Metoclopramide
Side effects: sedation, extrapyramidal reactions, restlessness and neuroleptic malignant
syndrome
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