NURS 623 Exam 3
NURS 623 Exam 3 Questions and
Answers Updated 2024
What is viseral pain -Correct Answer ✔viscera (organs) -pain that is caused by
distention or spasm of a hollow viscus
How would you describe parietal pain and what abdominal disorder often causes it ? -
Correct Answer ✔sharp well localized pain caused by irritation of the peritoneum ; often
associated with appendicitis
abdominal pain that is described as colicky (comes and goes) may result from ? -
Correct Answer ✔gallstones or renal stones
What is most most common cause of constipation in the US? What is recommended to
help? -Correct Answer ✔lack of dietary fiber; recommended amount is 30 grams daily
How would you treat constipation nonpharmaologically? -Correct Answer ✔*slowly
increases fiber 25-35 grams with 12-15 grams in the morning; exercise after meals;
uninterrupted toilet time; adequate hydration 64 ounces daily
Celiac disease is described as a malabsorption syndrome related to ? -Correct Answer
✔an immune reaction to gluten in the diet; more common in women ages 40-50
Gluten is found in food products that contain..... -Correct Answer ✔wheat barley and rye
What a patient with celiac disease have a history of ? -Correct Answer ✔chronic
diarrhea, foul smelling stools, abdominal bloating, weakness and fatigue
What confirms the diagnosis of celiac disease? -Correct Answer ✔distal duodenal
biopsy
How do you treat celiac disease? -Correct Answer ✔gluten free diet, and treatment of
nutritional deficiencies such as iron, folate and vitamin B12
Epigastric discomfort, postprandial fullness, early satiety, anorexia, belching, nausea,
heartburn, vomiting, bloating, borborygmi, dysphagia, and abdominal burning are
symptoms of ..... -Correct Answer ✔dyspepsia
GERD is the backward flow of stomach contents into the -Correct Answer ✔esophagus
without associated retching or vomiting
NURS 623 Exam 3
, NURS 623 Exam 3
What are some lifestyle modifications for GERD? -Correct Answer ✔smoking cessation,
avoid tight clothing, diet, exercise, dont eat 4 hours before bedtime, sleep with HOB
elevated
The primary cause of GERD is the inappropriate, spontaneous -Correct Answer
✔transient relaxation of the lower espophageal sphincter(LES) to an unknown stimulus
Lifestyle modification are the first line treatment for GERD, name some?? -Correct
Answer ✔elevating HOB, avoid large, high fat meals, avoid chocolate, alcohol,
peppermint, caffeine, onions garlic, citrus and tomatoes; avoid lying down 3-4 hours
after meal, avoid bedtime snacks, weightloss
If lifestyle modifications dont work in the treatment of GERD what is the first "step up"
treatment with non erosive reflux? -Correct Answer ✔"tidine" :cimetidine, ranitidine,
famotidine, nizatidine; if no improvement then PPIs are used
What is the initial therapy for patients with GERD who have erosive esophagitis or
barretts esophagus -Correct Answer ✔PPI's (razole) such as omeprazole once a day 30
minutes before breakfast (8 week course)
For a patient with GERD and complications such as erosive esophagitis or barretts
esophagus who is unresponsive to treatments what would your plan of action be ? -
Correct Answer ✔surgical intervention: nissen fundoplication
GERD is a lifelong disease and patients should be evaluated on a regular basis ,
patients with mild to moderate symptoms should be instructed to treat how? -Correct
Answer ✔lifestyle modifications and antacids or OTC H2-RAs (famotidine) for 4 weeks;
What are the lifestyle modifications for GERD? -Correct Answer ✔elevate HOB, no
eating 3-4 hour before bed and no snacks, weight reducation, smoking cessation, avoid
large meals, tight clothing , avoid bending or straining, advise to eat small frequent
meals
What are the most common causes of gasteroenteritis? -Correct Answer ✔bacterial,
viral and parasitic
A stool culture should be done on any patient who has what symptoms? -Correct
Answer ✔severe diarrhea, fever >101.3, bloody stools, leukocytes, lactoferrin or occult
blood bc there are indications of a bacterial pathogen
Any patient who develops diarrhea after initiation or completion of antibiotics therapy
should have a ....... -Correct Answer ✔tissue culture assay or an ELISA test for possible
C-Diff
NURS 623 Exam 3
