100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR511 / NR 511 Midterm Exam Q & A (Latest 2024 / 2025): Differential Diagnosis & Primary Care Practicum (Verified Answers) $14.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. Chamberlain College Of Nursing
  4.  
  5. NR 511 Differential Diagnosis & Primary Care Practicum

Exam (elaborations)

NR511 / NR 511 Midterm Exam Q & A (Latest 2024 / 2025): Differential Diagnosis & Primary Care Practicum (Verified Answers)
 0 purchase

NR511 / NR 511 Midterm Exam Q & A (Latest 2024 / 2025): Differential Diagnosis & Primary Care Practicum (Verified Answers) NR511 / NR 511 NR511 / NR 511 Midterm Exam Q & A (Latest 2024 / 2025): Differential Diagnosis & Primary Care Practicum (Verified Answers) NR511 / NR 511 Final Exam Q & A (Lates...

[Show more]

Preview 4 out of 33  pages

Document information

  • October 31, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

All documents for this subject (109)

Seller

avatar-seller
NurseFerian

Reviews received

Content preview

NR 511 Midterm Exam Q & A Differential Diagnosis & Primary Care P... file:///C:/Users/HP/Desktop/New%20folder%20(2)/NR%20511%20M




NR511 Midterm Exam Q & A Differential

Diagnosis & Primary Care Practicum


1. Appendicitis: -Risk: 10-30yo, men, low fiber, high fat/sugar/carb diet

-S: Mild to severe colicky epigastric or periumbilical pain, but in 24 hours, movesto

RLQ and exacerbated by walking or coughing.May radiate to testicles. maybe

vomiting, sensation of constipation, but diarrhea present. low grade temp. chills &

sudden cessation of pain=perforation

-O: HTN/Tachy, flex R knee up to relieve pain when recumbent, guarding, rebound

tenderness.

-Dx: + Rovsing, Psoas, Obturator, McBurney's sign

-Tx: Appendectomy

-Edu: avoid lifting for 2 weeks.

2. Celiac Disease: -Risk:family hx, downs syndrome, HLA-DQ2(or 8), turners syn-

drome, type 2 DM or thyroiditis

-S:asymptomatic OR diarrhea, wt loss, dyspepsia, flatulence, fatigue, joint pain,

depressed mood, amenorrhea, difficulty getting pregnant, early menopause





1 of 33 10/30/2024, 9:57

,NR 511 Midterm Exam Q & A Differential Diagnosis & Primary Care P... file:///C:/Users/HP/Desktop/New%20folder%20(2)/NR%20511%20M




-O:may be normal, OR muscle wasting, pallow, reduced sub q fat, ataxia, peripheral

neuropathy

-Dx: Serologic testing for anti-tTG IgA antibodies, Total IgA, Upper GI scope (look at

damage). or no Dx- just try diet changes

-Tx: gluten free diet

3. cholelithiasis (gallstones): -Risk: Female, obese, pregnant, incr age, drug in-

duced, rapid wt loss, spinal cord injury, DM, Sickle cell anemia. Pigmented stones:

hemolytic disease, icr age, hyperalimentation, cirrhosis, biliary stasis

-S:indigestion, n/v, colicky-type pain, RUQ or epigastric pain, referred pain to middle

back, r shoulder, or infrascapular area, pain incr by movement (breathing)

-O: + murphy's sign (hold deep breath, palpate R subcostal area), low fever, mild

jaundice, edema, dim BS

-Dx: ABD ultrasound

-Tx: low fat diet, cholecystectomy, lithotripsy

-Edu:wt loss, avoid fatty food, avoid OCs and estrogen

4. Crohn's disease: -Risk: family hx, smoking, genetics, early adulthood

-S:Abd cramping, tenderness, fever, anorexia, wt loss, flatulence, RLQ pain or mass.Semi

liquid stools (may have blood), steatorrhea, gradual onset

-O: LLQ or entire abd tenderness, duarding, distentionanal gissures, skin tags





2 of 33 10/30/2024, 9:57

,NR 511 Midterm Exam Q & A Differential Diagnosis & Primary Care P... file:///C:/Users/HP/Desktop/New%20folder%20(2)/NR%20511%20M




-Dx:stool analysis & culture (to r/o other cause), barium upper GI series (aphthous

and linear ulcers. Late- "string sign"), Colonoscopy, Ct scan

-Tx: sulfasalazine (but not beneficial). glucocorticoids (prednisone), metronidazole,

immunosuppressants

-Edu: low-residue diet when obstructive symptoms present, avoid all fiber. eat what

they want when no attack









3 of 33 10/30/2024, 9:57

,NR 511 Midterm Exam Q & A Differential Diagnosis & Primary Care P... file:///C:/Users/HP/Desktop/New%20folder%20(2)/NR%20511%20M




5. Diverticulitis: -risk: >40yo, low fiber diet, chronic constipation, straining, irregular

BMs, diverticula in the colon

-S: Fever, chills, tachycardia, LLQ pain,n/v,anorexia, pain is relieved with BM, con-

stipation & diarrhea, abd tenderness & distention. **may present with bleeding not

associated with pain**

-O: LLQ pain, firm, fixed mass in the area of the diverticula. rebound tenderness,

guarding, tender rectum, + blood in BM

-dx:mild leukocytosis, low H&H, ABD X-ray if perforation or peritonitis suspected.CT

scan most accurate

-tx: no routine ATB (but augmentin or metronidazole when needed),

-edu: high fiber diet

6. Peptic Ulcer Disease: -risk: H.pylori, NSAIDs, ASA, stress, 55-70yo, blood type,

genetics, smoking, COPD, cirrhosis, renal failure & transplant, caffeine, ETOH, spicy

foods

-S: epigastric burning or gnawing pain relieved by food or antacids. nocturnal pain,

-O:not useful. epigastric pain 2.5cm to the R of midline

-dx: CBC, BMP, urea breath test, stool test, EGD biopsy,

-tx: PPI (-prazole) 4-8 weeks. H2-RA x 8 weeks. Clarithromycin & amoxicillin or

metronidazole and a PPI BID x 14 days.





4 of 33 10/30/2024, 9:57

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseFerian. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64302 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(5)

HESI Pharmacology V2 120 Questions with verified Answers latest update 2023 Questions with verified Answers latest update

Exam (elaborations) ·

(1)

EVOLVE HESI PHARMACOLOGY EXAM 2024/ LATEST UPDATE EXAM WITH CORRECT DETAILED AND VERIFIED ANSWERS/100% VERIFIED/A GRADE

Exam (elaborations) ·

(0)

Test Bank - Gould's Pathophysiology for the Health Professions, 6th and 7th Edition by VanMeter and Huber. All Chapters

Exam (elaborations) ·

(0)

MRL2601 ASSIGNMENT 1 MEMO - SEMESTER 2 - 2024 - UNISA - DUE : 27 AUGUST 2024 - ( FULLY REFERENCED WITH FOOTNOTES - DISTINCTION GUARANTEED)

Exam (elaborations) ·

(0)

NSG552 / NSG 552 Exam 3 (Latest 2024 / 2025): Psychopharmacology | Grade A Questions and Verified Answers | 100% Correct - Wilkes

Summary ·

(4)

volledige samenvatting PB 1902 INLEIDING IN DE ANTROZOOLOGIE: MENS- DIER RELATIES VANUIT EEN PSCHOLOGISCH PERSPECTIEF

Exam (elaborations) ·

(0)

Rasmussen CollegeA&P 1 MA278/BSC2 module 10 quiz / A&P 1 MA278/BSC2 Module 10 Quiz (latest complete solutions_2021)

Summary ·

(0)

Unlock the Secrets to Success with [Abnormal Child Psychology,Mash,6e] Solutions Manual: Your Key to Academic Excellence!

Exam (elaborations) ·

(0)

TEST BANK FOR GENETICS: FROM GENES TO GENOMES 7TH EDITION MICHAEL GOLDBERG JANICE FISCHER LEROY HOOD LELAND HARTWELL
$14.49
  • (0)
Add to cart
Added