NURSADN6 Exam #2 Study Guide Questions With Solutions
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Course
NURSADN
Institution
NURSADN
NURSADN6 Exam #2 Study Guide Questions
With Solutions
What is a *Bowel Perforation* and what are the signs/symptoms of it? Spillage of gastric
or duodenal contents into peritoneal cavity.
S/S: Sudden, severe upper abdominal pain (may be referred to the shoulder), vomiting, Tender
rigid, bo...
NURSADN6 Exam #2 Study Guide Questions
With Solutions
What is a *Bowel Perforation* and what are the signs/symptoms of it? Spillage of gastric
or duodenal contents into peritoneal cavity.
S/S: Sudden, severe upper abdominal pain (may be referred to the shoulder), vomiting, Tender
rigid, board-like abdomen, shallow/grunting respirations and signs of shock
What is the intervention for a *bowel perforation*? Immediate surgery
What is an *ileostomy*? A surgical operation in which a piece of the ileum is diverted to
an artificial opening in the abdominal wall.
For a patient with an *ileostomy*, what might the stool look like? Liquid fecal drainage;
constant and cannot be regulated; minimal odor because fewer bacteria are present
Indications for an *Ileostomy* Toxic Megacolon from Inflammatory Bowel Disease
,NURSADN6 Exam #2 Study Guide Questions
With Solutions
What are some important *ileostomy* complications? High risk for bowel obstruction
(Instruct pt to chew food thoroughly and drink lots of water)
and the potential risk for vitamin B12 deficiency (Administer supplements as needed)
What is *peptic ulcer disease* (PUD)? A break or ulceration in the protective mucosal
lining of the lower esophagus, stomach, pylorus or duodenum associated with the infection of H.
pylori
A patient presents to the clinic with *dull gnawing pain or burning in the mid epigastrium*,
heartburn and
vomiting. What does the nurse suspect this patient to be diagnosed with? Peptic Ulcer
Disease
One of the goals in managing Peptic Ulcer disease is to reduce the acidity within the stomach,
this can be achieved with the use of PPIs or *Proton Pump Inhibitors*. To remember these
medications, what is the *suffix* associated with them?
A. -prazole (Ex. Pantoprazole)
B. - dine (Ex. Famotidine)
,NURSADN6 Exam #2 Study Guide Questions
With Solutions
C. -ate (Ex. Sucralfate)
D. -cid (Ex. Pepcid) A. -prazole (Ex. Pantoprazole)
*Rationale:* Famotidine is an H2 Blocker, Sucralfate is a surface agent and Pepcid is an antacid.
Though they may all be used in the management of GERD and PUD, only Panto*prazole* is a
PPI.
How do PPIs work? They block the proton pump in our stomach and decrease the
concentration of HCl; Irreversible inhibit the H+/K+ ATPase in stomach parietal cells.
H pylori is associated 70-90% of Peptic Ulcer cases. How does H. pylori cause ulcers?
The bacteria breaks down the gastroduodenal mucosal barrier and stimulates gastric acid
secretion burrow through barrier, release ammonium and liquefy the barrier which stimulates
HCl secretion
*H. pylori* treatment can include what? PPI + 2 of the following antibiotics
--Clarithromycin
--Metronidazole
--Amoxicillin
, NURSADN6 Exam #2 Study Guide Questions
With Solutions
One week treatment: 90% cure rate
Two weeks of PPI + 1 antibiotic (typically clarithromycin): 10-20% lower cure rate
MHD notes:
--Tetracycline can be 1 of the 2 antibiotics
--Bismuth salts, doxycycline, and metronidazole for 14 days is cheap and effective
What is *Crohn's disease*? A chronic inflammatory bowel disease (IBD) that affects the
lining of the digestive tract (anywhere from mouth to anus) which can lead to abdominal pain,
severe diarrhea, fatigue, weight loss and malnutrition
What are the signs and symptoms of *Crohn's Disease*? First sign will be abd pain
unrelieved by defecation followed by:
-diarrhea,
-weight loss
-constant fluid loss
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