RASMUSSEN NUR2571 FINAL (GI/GU) EXAM
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
Complications of UC - ANS ✓Haemorrhage
Abscess
Toxic mega colon
Absorption
Bowel obstruction
Bowel perforation
Ulcerative Colitis (Nursing Interventions) - ANS ✓In severe cases the patient
may be given TPN and have an NPO order to promote bowel rest.
Teach patient to avoid trigger foods.
- Whole-grains, seeds, nuts, alcohol, caffeine, pepper.
Surgical interventions may be required.
- Ileostomy
The client who has ulcerative colitis is scheduled for an ileostomy. When the
client asks the nurse what to expect related to bowel function and care after
surgery, what response should the nurse make?
a. "You will be able to have some control over your bowel movements."
b. "The stoma will require that you wear a collection device at all times."
c. "After the stoma heals, you can irrigate your bowel so you will not have to wear
a pouch."
d. "The drainage will gradually become semisolid and formed." - ANS
✓Answer: B; A client with an ileostomy must wear a collection device all the
time.
1
NUR2571
, NUR
The nurse is caring for a client with a history of severe diarrhea. Which notation
about acid-base imbalance would the nurse expect to find in the medical record?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis - ANS ✓Answer: C; Bicarbonate is lost in stool. Due to
bicarbonate being a base, when too much of it is lost the blood becomes too
acidic. Diarrhea is a metabolic complication that results in metabolic acidosis.
Medications for UC - ANS ✓glucorticoids (Prednisone)
- Used during exacerbations to decrease inflammation
Salicylate compounds (Sulfasazine, mesalamine)
- Maintain re-missive periods.
Immunosuppressants (Azathioprine)
- Decrease immune response/inflammation.
Antidiarrheals
- Symptom management
Crohn's Disease - ANS ✓Chronic inflammation if the intestinal tract.
Characterized by cobblestone appearance of lesions that extend through full
thickness of abdominal wall.
Prone to fistula formation.**
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