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NUR 130 Exam 6 Study Guide Solutions
Crohn's Disease - Ans:✔✔-Course: prolonged, variable
Pathology: Transmural thickening - deep, penetrating granulomas
Location: Ileum, ascending colon
Bleeding: no
Perianal involvement: common
Fistulas: common
Diarrhea: less severe
Abdominal mass: common
Ulcerative Colitis - Ans:✔✔-Course: exacerbations, remissions
Pathology: Mucosal ulcerations
Location: rectum
Bleeding: common
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Perianal involvement: rare
Fistulas: rare
Diarrhea: severe
Abdominal mass: rare
Crohn's s/s - Ans:✔✔-RLQ crampy, abdominal pain and diarrhea unrelieved by defecation, abdominal
tenderness and spasms after meals, weepy, edematous intestine that continually empties, fever,
leukocytosis, steatorrhea, anorexia, weight loss, nutritional deficits
Ulcerative colitis s/s - Ans:✔✔-diarrhea, passage of mucus, pus, or blood, LLQ abdominal pain,
intermittent tenesmus, bleeding, pallor, anemia, fatigue, anorexia, weight loss, fever, vomiting,
dehydration, cramping, electrolyte imbalances, skin lesions
Diverticulitis - what is it? - Ans:✔✔-diverticulum becomes inflamed, causing perforation, and potential
complications such as obstruction, abscess, fistula formation, peritonitis, and hemorrhage
Appendicitis - what is it? - Ans:✔✔-Appendix becomes inflamed and edematous as a result of becoming
kinked or occluded by fecalith, lymphoid hyperplasia, or foreign bodies. Eventually gangrene and
perforation occurs
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A nurse is preparing to provide care for a patient whose exacerbation of ulcerative colitis has required
hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the
patients stools will have what characteristics?
A)
Watery with blood and mucus
B)
Hard and black or tarry
C)
Dry and streaked with blood
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D)
Loose with visible fatty streaks - Ans:✔✔-A) Watery w/blood and mucus
A patient has had an ileostomy created for the treatment of irritable bowel disease and the patient is
now preparing for discharge. What should the patient be taught about changing this device in the home
setting?
A)
Apply antibiotic ointment as ordered after cleaning the stoma.
B)
Apply a skin barrier to the peristomal skin prior to applying the pouch.
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