NUR 339 Exam 10
1. Manifestations of Chron's disease?
Answer
diarrhea, camping RLQ, weight loss, F&E and nutritional imbalances, low grade fever, fistulas,
strictures
2. bicarbonate
Answer
reduces acidity
3. Bile duct & pancreatic duct structure
Answer
o Share an opening into the duodenum o Can cause issues if gallstones present such as
pancreas digesting itself
4. cerebral cortex
Answer
anticipatory N/V
5. CTZ
Answer
hormones
6. sensory organ
Answer
sighs and smells
7. vestibular apparatus
Answer
motion
8. Client teaching for GERD
,Answer
void large meals, don't lie or bend after eating, weight reduction, avoid aggravating foods, sleep
with head elevated, cessation of smoking, decrease in ETOH
9. Causes of PUD?
Answer
H. pylori, stress, major trauma, severe medical illness, NSAIDS, aggregating foods
10. Manifestations of PUD?
Answer
burning, gnawing or cramp-like pain in epigastric region that may radiate to back or shoulder,
relieved by food or antacids
11. Client teaching for PUD?
Answer
take full dose of antibiotics, small frequent meals, drinking between metals, reduce stress
12. Nursing Implications for PUD?
Answer
Check for blood in stool and emesis, fever
13. Treatment for PUD?
Answer
cauterize, antibiotics
14. Complications of PUD?
Answer
hemorrhage, obstruction, perforation
15. Causes of IBS
Answer
heredity, psychosocial stress, high fat diet, irritating foods, smoking
16. Manifestations of IBS
,Answer
vary widely, constipation & diarrhea, S&S relieved by abd pain, bloating, cramping, altered
bowel function
17. Treatment of IBS
Answer
avoid aggravating foods, manage S&S, stress reduction
18. Client teaching for IBS
Answer
increase fiber, avoid aggravating foods, stool softeners, bulking agents
19. Diagnostic tests for IBS
Answer
H & P, S&S for 12 wks, pain relief defecation, pain w/ changes in bowel function & change
look of stool
20. Chron's disease causes?
Answer
autoimmune
21. Treatment for Chron's disease?
Answer
surgery to repair fistulas, structures, drain abscesses, remove diseased bowel, ileostomy
22. Client teaching for Chron's disease?
Answer
avoid aggravating foods, try to correct F&E imbalance
23. Diagnostic tests for Chron's disease?
Answer
colonoscopy
24. Manifestations of ulcerative colitis?
, Answer
diarrhea w/ blood and mucus, abd pain, anorexia, fatigue weakness, fever, high ESR, anemia,
continuous inflammation
25. Treatment of ulcerative colitis
Answer
corticosteroids, surgery
26. Client teaching for ulcerative colitis?
Answer
avoid aggravating foods, stay hydrated, take meds regularly
27. Diagnostic tests for ulcerative colitis
Answer
stool sample, colonoscopy,
28. Causes of diverticulitis
Answer
occurs when there is an inflammation of the divertic- ula, a MAJOR cause is constipation
29. Manifestations of diverticulitis
Answer
pain in left lower quadrant, tenderness, nau- sea, vomiting, elevated white count, fever
30. Treatment of diverticulitis
Answer
liquid diet or NPO, antibiotics, surgery, pain control
31. Complications of diverticulits
Answer
perforation, peritonitis, hemorrhage, bowel ob- struction, fistulas