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10/14/2024 11:14 PM
CMSRN Med-Surg Exam Questions And
Correct Answers
Possible Causes of Appendicitis - answer✔bowel CA, infection. barium ingestion, fecal mass
Notable Symptoms of appendicitis - answer✔RLQ abd pain, fever, tachycardia, N/V, Rovsing
sign
Diagnostic tests for appendicitis - answer✔elevated WBC's, abd U/S, CT scan
Nursing Dx for appendicitis - answer✔acute pain, risk for infection
Nursing tx for appendicitis - answer✔fowler's position, IV access, prep for sx, minimal pain
medication prior to sx to avoid masking changes in pain
Med/Surg tx for appendicitis - answer✔IV fluids, abx, possible NG tube, antiemetics,
appendectomy
Watch for with Appendicitis - answer✔sudden decrease in pain may indicate rupture; notify MD
immediately
Diet for appendicitis - answer✔NPO
Contraindicated for appendicitis - answer✔no heat applications over abdomen, no deep palpation
of RLQ
other Appendicitis - answer✔Fatal if untreated; bowel perforation and sepsis can occur in less
than 36 hours
possible Causes of Cholecystitis - answer✔gallstones, bacterial infection
Symptoms of Cholecystitis - answer✔sharp RUQ abd pain; referred pain to R shoulder, N/v,
positive Murphy's Sign
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10/14/2024 11:14 PM
Dx tests for cholecystitis - answer✔abd U/s, serum alk phos, lactate, AST/SGOT and bilirubin
elevated
Nursing Dx for cholecystitis - answer✔acute pain, risk for infection
Nursing Tx for cholecystitis - answer✔routine, IV access if dehydrated or sx necessary
Medical Tx for cholecystitis - answer✔analgesics, abx, anticholinergics, lithotripsy, abd
laparotomy/laparoscopy
Watch for ____ with cholecystitis - answer✔jaundice
Diet for cholecystitis - answer✔low fat, NPO for sx
Contraindicated in cholecystitis - answer✔high fat diet
Possible causes of liver cirrhosis - answer✔alcohol, hepatitis, toxins, gallbladder dx,
hemochromatosis, right sided HF
Notable symptoms of liver cirrhosis - answer✔enlarged liver, N/V, diarrhea or constipation,
flatulence, dull abd pain, weight loss
Diagnostic tests for liver cirrhosis - answer✔liver biopsy, liver function studies
Nursing Dx for liver cirrhosis - answer✔imbalanced nutrition: less than body requirements,
impaired liver function, Risk for impaired skin integrity
Nursing Tx for liver cirrhosis - answer✔bed rest, skin care, deep breathing, monitor for bleeding
and personality changes
Medical Tx for liver cirrhosis - answer✔potassium-sparing diuretic, antiemetic, paracentesis,
lactulose
Watch for _______, _____, in liver cirrhosis - answer✔ascites, esophageal varices
Diets for liver cirrhosis - answer✔high calorie, moderate protein, moderate fat, low sodium, fluid
restriction; restrict protein if encephalopathy present
Contraindicated in Liver cirrhosis - answer✔NSAIDs, aspirin, spicy/irritating foods, alcohol
Facts about liver cirrhosis - answer✔most common in men ages 40-60; 5 types ( micronodular,
macronodular, biliary, pigment, and cardiac)
Liver cirrhosis is most common in ___ ages __ to __ - answer✔men, 40, 60
Types of liver cirrhosis - answer✔micronodular, macronodular, biliary, pigment, cardiac
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10/14/2024 11:14 PM
Possible Causes of Diverticulitis/osis - answer✔low colonic motility, low fiber diet, defects in
colon wall
Notable Symptoms in Divertiulosis - answer✔mild to none
Notable symptoms for diverticulitis - answer✔fever, LLQ abd pain, N/V, ribbonlike stools
Dx tests for Diverticulitis/osis - answer✔barium enema, colonoscopy
Nursing Dx for Diverticulitis/osis - answer✔Risk for constipation, Dysfunctional GI motility
Nursing Tx for Diverticulosis/itis - answer✔educate about fiber, monitor for infection/bleeding
Medical Tx for diverticulitis/osis - answer✔analgesics, abx, stool softeners, cathartics, colon
resection with temporary colonostomy
Watch for _____, _____, ____, and ____ in Diverticulosis/itis - answer✔changes in stool,
abdominal rigidity, high fever/chills, hypotension
Diet for Diverticulosis/itis - answer✔HIGH-FIBER AFTER pain lessens
Facts about Diverticulitis - answer✔may be acute or chronic
Possible Causes of GERD/Reflux - answer✔alcohol, smoking, hernia, obesity, pregnancy, NG
tube >4 days
Notable symptoms of GERD/Reflux - answer✔burning epigastric pain, may radiate to chest and
arms
Diagnostic tests for GERD/Reflux - answer✔esophagoscopy, barium swallow, upper GI series
Nursing Dx for GERD/Reflux - answer✔Pain
Nursing Tx for GERD/Reflux - answer✔upright positioning after meals, elevate HOB during
sleep, educate on weight loss, alcohol and smoking cessation
Medical Tx for GERD/Reflux - answer✔antacids, H2 receptor agonists, proton pump inhibitors,
cholinergics
Watch for ____ in GERD/Reflux - answer✔symptoms of esophagitis
Diet for GERD/Reflux - answer✔small, frequent meals; avoid eating before bedtime; avoid
trigger foods
Contraindicated in GERD/Reflux - answer✔alcohol, smoking
