Exam (elaborations)
NUR 339 ( LATEST 2024 / 2025 ) EXAM | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
- Course
- Institution
NUR 339 ( LATEST 2024 / 2025 ) EXAM | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
[Show more]
Content preview
NUR 339 EXAM1. What is Peptic Ulcer Disease?
Answer
upper GI disorder
ulcers formed in stomach, duodenum, and esophagus caused by mucosa exposed to gastric acid
and pepsin
2. What are the risk factors for Peptic Ulcer Disease? (11)
Answer
stress, major trauma, severe medical illness, NSAID/aspirin ingestion, H. pylori infection of
stomach, older adults >60, smoking, warfarin and corticosteroid use, family history, blood group
O, caffeine intake
3. What is the client teaching for Peptic Ulcer Disease? (3)
Answer
eat a balanced diet, avoid alcohol and smoking, and do not take NSAIDs or aspirin
4. What is the gastric mucosal barrier?
Answer
tight junction of epithelial cells that prevent acid penetration to the mucosa
5. Who are the priority clients for gastric ulcers (PUD)? (2)
Answer
patients infected with
H. pylori (more likely in smokers) and patients who ingest NSAIDs
6. What is GERD?
Answer
upper GI disorder called gastroesophageal reflux disease; caused by weak lower esophageal
sphincter and increased intra-abdominal pres- sure leading to reflux of stomach contents into
esophagus causing mucosal injury
,7. What is the client teaching for GERD? (6)
Answer
avoid large meals, do not lie down after eating, avoid bending after meals, reduce weight, avoid
aggravating foods, sleep with head elevated
8. What is H. pylori?
Answer
a gram negative bacterium infection associated with most of patients with PUD
9. What is the client teaching for H. pylori? (3)
Answer
more likely to occur in patients who smoke, occurs at any age and either sex, mostly chronic in
nature
10. What are the pain characteristics for a duodenal ulcer?
Answer
most common 2-3 hours after eating and at night
11. Which ulcer is more common?
Answer
duodenal
12. What is the pathophysiology of nausea? (3)
Answer
stimulation of vomiting center in medulla oblongata -> stimulation of salivary center and
pharyngeal, gastrointestinal, and abdominal muscle -> vomiting occurs
13. What is irritable bowel syndrome? (3)
Answer
lower GI disorder; associated with irregular GI motility, spastic contractions, and dysregulation
of intestinal motor and sensory function
14. What is the client teaching for irritable bowel syndrome? (6)
Answer
, women are more affected than men, can be diarrhea or constipation predominant, should
increase fiber, avoid aggravating foods, can keep a food diary, and reduce stress
15. What are the two diseases associated with inflammatory bowel disease?-
Answer
ulcerative colitis and Crohn's disease
16. What is Crohn's disease? (3)
Answer
lower GI disorder
Answer
affects any area in GI tract - ileum and submucosal of bowel most common,
granulomas and submucosal edema surrounded by normal tissue - skip lesions, bowel has poor
absorption of nutrients
17. What are the symptoms for Crohn's disease? (8)
Answer
diarrhea, cramping in RLQ, weight loss, nutritional imbalances, low grade fever, fistulas,
strictures/obstruction, abdominal abscesses
18. What is ulcerative colitis? (5)
Answer
lower GI disorder; affects colon & rectum only, continuous inflammation (no skip lesions),
mucosal hemorrhage become necrotic and forms shallow ulcers leading to bleeding, bowel has
poor nutrient absorption, varies in severity from mild (<4 diarrhea/day) to fulminant (> 10/day,
toxicity)
19. What is the client teaching for ulcerative colitis? (3)
Answer
fix nutritional deficien- cies, avoid aggravating foods and stress, surgical intervention is
sometimes needed
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 gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now