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NUR 195 Week 11: Questions With Correct Answers
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NUR 195 Week 11: Questions With Correct Answers
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NUR 195 Week 11: Questions With Correct Answers True or false after the symptoms of acute gastritis subside. The nurse should introduce solid foods right away to provide adequate oral nutrition in decrease the need for IV therapy. Right Ans - FalseTrue or false the nurse should educate clients with celiac disease to avoid food
products that contain gluten such as wheat barley in Rye, as well as non-food items, such as Toothpaste, communion, wafers, cosmetics, and art supplies that may also contain gluten Right Ans - True
True or false clients with inflammatory bowel disease IBD should follow a low residue, high proteins, high calorie diet, especially during an acute phase Right Ans - True
True or false, the usual, wearing time of an ostomy appliance before it begins to leak and need to be changed is 2 to 3 days Right Ans - False
True or faults, ulcerative, colitis, and Crohn's disease share several symptoms, including severe bleeding narrowing of the bell, lumen, and mucosal edema Right Ans - False
True or false the pain associated with a duodenal ulcer is relieved by indigestion of food Right Ans - True
True or false both alterative colitis and Crohn's disease put the client at risk for developing colon cancer Right Ans - True
True or faults in a large bowel obstruction the abdomen will be distended and the bowel sounds will be hyper active Right Ans - False
True or false clients with Crohn's disease can develop an anal fistula, which is a tunnel or canal from the anus to the perianal skin Right Ans - True
True or faults pain from a gastric ulcer is exacerbated by the indigestion of food Right Ans - True What is preparation of a EGD Right Ans - Allergies Informed consent
NPO 4-6 hr Vitals Sedation After- NPO till swallowing- vitals, LOC
What conditions can be diagnosed by performing an EGD Right Ans - GERD
Bleeding Ulcer Cancer
Hernia H pylori
What is peptic ulcer disease, PUD Right Ans - - erosion of mucosas membranes in the stomach or Duodenum - The epithelial layer is exposed to pepsin and acid resulting in an ulcer
- It can result in abdominal pain bleeding melena, hematemesis, or worst case scenario a perforation causing peritonitis
- H pylori Laurie is a small Hardy bacterium and is the most common cause for
PUD
What clinical manifestations occur with PUD? Right Ans - Black tarry, stools, blood from the upper G.I. blood iron with bismuth salicylate - Main way to determine is by an EGD but the above is a general way to help determine between gastric and duodenal ulcers?
Clinical manifestations of gastric ulcers Right Ans - Nausea
Bloating
Burning Epigastric pain Pain right after meals Hematemesis
Clinical manifestations of duodenal ulcers Right Ans - Nausea
Bloating Burning Epigastric pain Pain 1.5-3 hours after a meal Pain relieved by food Melina stool
Gastric ulcers hurt Right Ans - After eating
duodenal ulcer are Right Ans - Relived by eating
What test is performed in a client with PUD? Right Ans - - EGD is the most accurate - obtain a direct biopsy testing during procedure
- CBC nonspecific, but may show iron deficiency anemia for persistence, low-
grade bleeding
- H pylori testing urea breath test is the most accurate
- Stool sampling detects H pylori antigen in the stool
Potential complications of PUD Right Ans - Hemorrhage, perforation, pyloric stenosis
PUD medication management Right Ans - - triple therapy for treatment of H pylori-two antibiotics and a PPI or H2 antagonist - they also give bismuth salicylate - sucralfate - coats, the stomach and forms a barrier to protect the ulcer or from the stomach acid
- misoprostol- used for PUD caused by NSAID use contradicted in pregnancy - no alcohol - metallic taste
Manifestations of peritonitis Right Ans - RIGID, BOARD-LIKE ABDOMEN. Pain Fever, increased WBC, N/V, hypovolemic shock, pain that worsens with movement, shallow breathing, tachycardia, hypotension, ascites
What are priority nursing considerations when caring for a client with PUD? Right Ans - Diet, exercise No smoking Stay upright after eating Small frequent meals Report GI bleeding Medications Report changes to stool color Avoid stress Avoid NSIDS
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