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Exam (elaborations)

Nur676 Exam 3 Questions With 100% Verified Answers.

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  • NUR 676
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  • NUR 676

Nur676 Exam 3 Questions With 100% Verified Answers. Most common GI complaint in primary care and most common dx for GI... - answerIBS IBS occurs in... - answermostly young adults but in ALL ages IBS is considered a .... - answergut brain disorder has variety of GI sx characteristics of IBS -...

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  • October 1, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 676
  • NUR 676
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Brainbarter
©BRAINBARTER 2024/2025




Nur676 Exam 3 Questions With 100%
Verified Answers.


Most common GI complaint in primary care and most common dx for GI... - answer✔IBS

IBS occurs in... - answer✔mostly young adults
but in ALL ages

IBS is considered a .... - answer✔gut brain disorder
has variety of GI sx

characteristics of IBS - answer✔abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult
evacuation)

Gi motility in IBS result of ... - answer✔stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth

common s/sx of IBS - answer✔chronic abd pain
bloating /distension
flatulence
bowel habit changes

what helps differentiate IBS from others - answer✔MUST have abdominal pain present

IBS abdominal pain characteristics - answer✔nonradiating, intermittent, crampy

, ©BRAINBARTER 2024/2025


usually in LLQ

s/sx of IBS usually occurs after ... - answer✔consuming meals (large) or alcohol

NOT IBS if ... - answer✔nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever

Physical exam for IBS - answer✔VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam

diagnostics for IBS sx - answer✔labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral

colonoscopy recommended for pt with IBS if - answer✔1. <40 healthy adult with acute bowel
change
2. >50
3. pts with weight loss, anemia, occult blood

Initial approach: use ROME IV criteria - answer✔1. sx present >3 months
2. initial sx onset >6 months of IBS dx

, ©BRAINBARTER 2024/2025


3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool

IBS management: - answer✔symptomatic treatment
pharmacotherapy
alternative therapy

IBS symptomatic treatment - answer✔dietary modifications
medications
supportive and behavioral thearpy
education
reassurance

IBS medications - answer✔synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol

Food cause or aggravate IBS - answer✔large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!

IBS patient should consult GI if - answer✔bowel status change when pt >50

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