Exam (elaborations)
Chamberlain NR 511 Midterm Exam Questions And Verified Detailed Answers 100% Pass
- Course
- Institution
Chamberlain NR 511 Midterm Exam Questions And Verified Detailed Answers 100% Pass ...
[Show more]
Content preview
Chamberlain NR 511 Midterm Exam Questions And VerifiedDetailed Answers 100% Pass 2024-2025
What are common causes of N/V associated with gastritis? -Answer Alcohol, NSAIDs,
ASA, ABX, and illicit substances
What is the most common cause of nausea and vomiting? -Answer Acute Gastroenteritis
(AGE)
What are some manifestations of AGE? -Answer Nausea, vomiting and diarrhea, fever,
abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and
borborygmus.
How is the severity of AGE gauged? - Answer Dehydration sec to profuse watery
diarrhea, fever >101ºF (38.3ºC), vomiting or dysentery.
What are important parts of a patient history when suspecting AGE? - Answer Travel,
dining locations, ABX history.
What is the result of the use of antacids on the pH of the stomach and what does this do
to bacteria? - Answer High pH can make it easier for bacteria to survive and cause and
infection.
How does motility of the GI tract affect bacteria colonization? - Answer Small bowel
stasis as a result of obstruction, diverticulitis, or blind loop syndrome frequently develop
an overgrowth of bacteria within the stagnant segment.
Which immunoglobulin can protect the GI tract from invading organisms? Answer
IgA.can also provide protection against future attack by the same pathogen.
,Onset of N/V begin within 6 hours after exposure. Is this bacterial or viral? Answer
Bacterial: time frame suggests food poisoning resulting from the ingestion of a
preformed toxin such as that of Bacillus cereus.
What two indications are highly suggestive of viral AGE? - Answer Incubation periods
more than 14 hours and the first symptom of vomiting.
If the patient has AGE and bloody stools are reported, what can be deduced from that
about the cause of having blood in the stool/ - Answer Mucosal damage and
inflammatory process secondary to invasive pathogens.
What do frothy stools and flatus indicate? - Answer Malabsorption issue.
Patients with chronic AGE illness who are malnourished may have edema. Why is this? -
Answer Hypoalbuminemia
T or F: Chronic diarrhea is usually noninfectious in etiology. - Answer True
T or F: Acute diarrhea is usually related to infectious agents or toxins - Answer True
What is the most common viral agent of AGE in adults? - Answer Norovirus
What is the most common viral pathogen causing AGE in pediatrics? -Answer Rotavirus.
This has been greatly reduced since the introduction of the rotavirus vaccine.
T or F: Stool studies are indicated in the absence of bloody diarrhea or systemic disease
-Answer False
T or F: A CBC will help distinguish between viral and bacterial AGE -Answer False
,When are stool studies indicated? - Answer Severe or prolonged diarrhea, a fever >
38.5ºC, bloody stools or stools that test positive for leukocytes or occult blood.
What are common pathogens involved in Traveler's Diarrhea? - Answer Shigella,
Campylobacter, and E. coli.
What should the clinician do if the patient develops diarrhea after initiation of
completion of antibiotic therapy? - Answer Test for C. diff.
Some of the DDx of AGE would include which of the following for symptomatically
presenting patients with persistent or chronic diarrhea and severe abdominal pain?
Answer IBS, IBD, ischemic bowel disease, partial bowel obstruction, small bowel
diverticulosis.
What are some of the red flag symptoms for hospitalization? Answer Hypovolemia,
dehydration, abnormal electrolytes, decreased renal function, bloody stool or rectal
bleeding, weight loss, severe abdominal pain, prolonged symptoms greater than 1
week, pregnancy, advanced age, history of hospitalization or antibiotic use in the last
3-6 months.
What is the usual course of treatment for AGE? -Answer Only supportive treatment is
initiated since AGE is usually self-limiting and resolves within 1 week after onset of
symptoms.
How such patients with evidence of dehydration be treated initially? -Answer Fluid
repletion and nutrition. Sports drinks aren't as effective as specific electrolyte
replenishing drinks.
At what point would you send a patient to the hospital for dehydration? - Answer Signs
of hypovolemia including hypotension, tachycardia, pallor, and poor skin turgor.
T of F: Empiric antimicrobial therapy is indicated for the patient with severe diarrhea
, suspected form traveling. - Answer True. Bactrim, Ciprofloxacin, Norfloxacin, Floxacin.
T or F: Antibiotic prophylaxis for persons traveling to high-risk areas is appropriate. -
Answer True
How effective is antibiotic prophylaxis for patients traveling to high-risk areas? Answer
90% effective
What does antibiotic prophylaxis treatment consist of? Answer Bactrim, Ciprofloxacin,
Norfloxacin, or Floxacin given once daily until 2 days after returning home.
What is an appropriate symptomatic treatment for patients < 65 years or age with
moderate to severe diarrhea? Answer Two-day course of Loperamide (Imodium)
What are the appropriate symptomatic treatments for patients < 65 years or age with
significant vomiting? - Answer Two-day course of Zofran or Phenergan.
What is the best method of prevention of AGE? - Answer Hand washing.
T or F: Kids can go back to daycare even if they have infectious diarrhea as long as they
are separated from kids. - Answer False! Not until diarrhea has resolved.
If pain is located in the right lower quadrant, what might be the etiology related to bowel
disorders? -Answer IBD, IBS, Infectious Colitis, Constipation
If pain is located in the left lower quadrant, what might be the etiology related to bowel
disorders? -Answer Diverticulitis, IBS, IBD, Constipation, Infectious Colitis.
If pain is in the left upper quadrant, what might be the etiology related to bowel
disorders? - Answer Stomach ulcers, pancreatitis, and gastritis.
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Braxton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now