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NUR 339 ( LATEST 2024 / 2025 ) EXAM | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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NUR 339 ( LATEST 2024 / 2025 ) EXAM | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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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
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