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NUR 170, Exam 4 Questions and Answers Study Guide

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This document contains comprehensive Exam 4 questions and answers for NUR 170, covering the key nursing concepts assessed during the final portion of the course. It is designed to help students review patient assessment, clinical judgment, medication administration, care planning, communication, documentation, patient safety, and evidence-based nursing practice in preparation for Exam 4.

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NUR 170




NUR 170 EXAM 4 QUESTIONS AND ANSWERS



What are the symptoms for GERD or a Hiatal Hernia? - correct answer -
Heartburn
-Indigestion
-Pain
-N&V


What are ways to manage the symptoms of GERD or a Hiatal Hernia? -
correct answer -Lifestyle changes (diet=Low residue or bland)

-Nutrition
-Medications


Which patients are at risk for GERD? - correct answer -Obese
-Older adults
-Pregnant women

,NUR 170


-Tight clothing


Patients with GERD are at risk for what? - correct answer Aspiration


Can a patient have GERD and not have a hernia? - correct answer Yes


Can a patient have a hernia and not have GERD? - correct answer No


If a patient has GERD, how should they lay in bed? - correct answer On
their right side or with the head of the bed at 30 degree angle


What are common causes of peptic ulcer disease? - correct answer - H.
Pylori
- NSAIDS
- Stress


How is the patient with an upper GI bleed managed? - correct answer - 2-
4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization

, NUR 170


What is a sign of peritonitis? - correct answer Boardlike abdomen


What are the vital signs for a patient with an active bleed? - correct answer
Low BP, High pulse


What part of the body does Crohns disease affect? - correct answer "Gum
to Bum"= Mouth all the way through the digestive tract is inflammed


What part of the body does Ulcerative Colitis affect? - correct answer
Rectum/ Sigmoid colon


Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - correct answer Ulverative Colitis


Which disease is more immune?
--Ulcerative Colitis
-- Crohns - correct answer Crohns


Describe the diarrhea in a patient with Ulcerative Colitis - correct answer -
Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate

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