NSG 211 Test 3 Review (Latest 2024 /2025) Questions and Answers (Verified Answers)
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Course
NSG 211 T 3
Institution
NSG 211 T 3
What is wide angle glaucoma?
Usually bilateral, but one eye may be more severely affected than the other. In wide-angle glaucoma, the anterior chamber angle is open and appears normal.
What is narrow angle glaucoma?
Obstruction in aqueous humor outflow due to the complete or partial closure of t...
NSG 211 Test 3 Review (Latest 2024 /2025) Questions and
Answers (Verified Answers)
Crohn's disease can be described as a chronic relapsing disease. Which of the following areas in
the GI system may be involved with this disease?
A. The entire length of the large colon
B. Only the sigmoid area
C. The entire large colon through the layers of mucosa and submucosa
D. The small intestine and colon; affecting the entire thickness of the bowel - Answer- D. The
small intestine and colon; affecting the entire thickness of the bowel
Crohn's disease can involve any segment of the small intestine, the colon, or both, affecting the
entire thickness of the bowel. Answers 1 and 3 describe ulcerative colitis, answer 2 is too
specific and therefore, not likely.
Which area of the alimentary canal is the most common location for Crohn's disease?
A. Ascending colon
B. Descending colon
C. Sigmoid colon
D. Terminal ileum - Answer- D. Terminal ileum
Studies have shown that the terminal ileum is the most common site for recurrence in clients
with Crohn's disease. The other areas may be involved but aren't as common.
Fistulas are most common with which of the following bowel disorders?
A. Crohn's disease
B. Diverticulitis
C. Diverticulosis
D. Ulcerative colitis - Answer- A. Crohn's disease
,The lesions of Crohn's disease are transmural; that is, they involve all thickness of the bowel.
These lesions may perforate the bowel wall, forming fistulas with adjacent structures. Fistulas
don't develop in diverticulitis or diverticulosis. The ulcers that occur in the submucosal and
mucosal layers of the intestine in ulcerative colitis usually don't progress to fistula formation as
in Crohn's disease.
Which of the following associated disorders may a client with ulcerative colitis exhibit?
A. Gallstones
B. Hydronephrosis
C. Nephrolithiasis
D. Toxic megacolon - Answer- D. Toxic megacolon
Toxic megacolon is extreme dilation of a segment of the diseased colon caused by paralysis of
the colon, resulting in complete obstruction. This disorder is associated with both Crohn's disease
and ulcerative colitis. The other disorders are more commonly associated with Crohn's disease.
Which of the following associated disorders may the client with Crohn's disease exhibit?
A. Ankylosing spondylitis
B. Colon cancer
C. Malabsorption
D Lactase deficiency - Answer- C. Malabsorption
Because of the transmural nature of Crohn's disease lesions, malaborption may occur with
Crohn's disease. Ankylosing spondylitis and colon cancer are more commonly associated with
ulcerative colitis. Lactase deficiency is caused by a congenital defect in which an enzyme isn't
present.
Which of the following symptoms may be exhibited by a client with Crohn's disease?
A. Bloody diarrhea
B. Narrow stools
C. N/V
,D.. Steatorrhea - Answer- D.. Steatorrhea
Steatorrhea from malabsorption can occur with Crohn's disease. N/V, and bloody diarrhea are
symptoms of ulcerative colitis. Narrow stools are associated with diverticular disease.
Surgical management of ulcerative colitis may be performed to treat which of the following
complications?
A. Gastritis
B. Bowel herniation
C. Bowel outpouching
D. Bowel perforation - Answer- D. Bowel perforation
Perforation, obstruction, hemorrhage, and toxic megacolon are common complications of
ulcerative colitis that may require surgery. Herniation and gastritis aren't associated with irritable
bowel diseases, and outpouching of the bowel is diverticulosis.
The client being seen in a physician's office has just been scheduled for a barium swallow the
next day. The nurse writes down which of the following instructions for the client to follow
before the test?
A. Fast for 8 hours before the test
B. Eat a regular supper and breakfast
C. Continue to take all oral medications as scheduled
D. Monitor own bowel movement pattern for constipation - Answer- A. Fast for 8 hours before
the test
A barium swallow is an x-ray study that uses a substance called barium for contrast to highlight
abnormalities in the GI tract. The client should fast for 8 to 12 hours before the test, depending
on the physician instructions. Most oral medications also are withheld before the test. After the
procedure the nurse must monitor for constipation, which can occur as a result of the presence of
barium in the GI tract.
, A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since
the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order
which of the following treatment approaches to help the client meet his nutritional needs?
A. Initiate continuous enteral feedings
B. Encourage a high protein, high-calorie diet
C. Implement total parenteral nutrition
D. Provide six small meals a day - Answer- C. Implement total parenteral nutrition
Food will be withheld from the client with severe symptoms of ulcerative colitis to rest the
bowel. To maintain the client's nutritional status, the client will be started on TPN. Enteral
feedings or dividing the diet into 6 small meals does not allow the bowel to rest. A high-calorie,
high-protein diet will worsen the client's symptoms.
A patient unable to tolerate oral medications may be prescribed which of the following proton
pump inhibitors to be administered intravenously?
A. lansoprazole (Prevacid)
B. omeprazole (Prilosec)
C. pantoprazole (Protonix)
D. esomeprazole (Nexium) - Answer- C. pantoprazole (Protonix)
Pantoprazole is the only proton pump inhibitor that is available for intravenous administration.
The other medications in this category may only be administered orally.
Side effects of loperamide (Imodium) include all of the following except?
A. Diarrhea
B. Epigastric pain
C. Dry mouth
D. Anorexia - Answer- A. Diarrhea
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