Chamberlain NR 511 Final | Chamberlain University-Illinois | Questions with 100% Verified Answers | Latest Update

Chamberlain NR 511 Final | Chamberlain University-Illinois | Questions with
100% Verified Answers | Latest Update

Question: Differential diagnosis abdominal pain
Answer:
Consider type of pain- visceral, parietal Consider quality of pain- sharp, burning Consider
onset/timing- sudden/intermittent Consider associated symptoms

Question: Assessment of diarrhea
Answer:
acute diarrhea- often sudden onset and viral lasting less than one week, have nausea, vomiting
and fever may occur chronic diarrhea- lasts more than 2 weeks reoccurs over months and
years, common causes- IBS, IBD, diet colon cancer

Question: Diagnosis of diarrhea
Answer:
focus on patient history characteristics of stool diet travel medication associated symptoms
aggravating and relieving factors

Question: Assessment of constipation
Answer:
depends on cause take history x-ray anoscopy palpation auscultation

Question: Diagnosis of constipation
Answer:
dry hard stools with decreased frequency painful deification fecal incontinence, small caliber
stools, diarrhea abdominal pain abdominal distention anorexia

Question: Management of constipation
Answer:
patient education- activity, diet, bowel habits increase amount of fiber 25-35 grams per day
pharm- psyllium (bulking), docusate (softer), magnesium hydroxide (laxative), bisacodyl
senna (stimulant), mineral oil (lube) the only med approved for long term use is bulking agents

Question: Management of chronic constipation
Answer:
increase fiber laxatives / stool softeners when needed increase fluid increase activity

,Question: Assessment for appendicitis
Answer:
abd. pain in the RLQ*** (McBurney's Points) N/V pain with cough or movement rebound
tenderness (+Blumberg's)
-ever
Rovsings sign Psoas sign Obturator sign McBurney's sign

Question: Diagnosis of appendicitis
Answer:
labs CBC, wbcs between 10-20,000, HcG rule out pregnancy x-ray, assess for gas, pne, and
fecal matter CT- inflammation or rupture

Question: Management of appendicitis
Answer:
typically surgical cefoxitin 1-2 g every 8 hours ampicillin 3 g every 6 hours

Question: Signs and symptoms of appendicitis
Answer:
RLQ pain that is worse with walking or cough epigastric or periumbicial may radiate into
testes temp 99-100 nausea, vomiting diarrhea when on back may have right knee flexed
guarding rebound tenderness

Question: Assessment of gastroenteritis
Answer:
inflammation of the stomach and intestines anoreixa, nausea, vomiting, diarrhea electrolyte
imbalances, dehydration, fever

Question: Diagnosis of gastroenteritis
Answer:
patient history including suspected pathogen, drugs and sugar substitutes stool sample- look
for blood, parasites, blood cultures if signs of typhiod or entric fever

Question: Management of gastroenteritis
Answer:
at home hydration with sodium content of 45-75 mgs immodiun emperic antibiotics for severe
(travelers diarrhea)- azithromycin

, Question: Sings and symptoms if ischemic colitis
Answer:
cramping abdominal pain bloody stools diarrhea urgency nausea/vomiting low grade fever
abdominal tenderness bloating

Question: Treatment of Giardia
Answer:
Metronidazole

Question: Rome IV Criteria
Answer:
Constipation:
2 or less BMs / wk Hx of stool withholding Hx of pain/hard BMs Large fecal mass in rectum
Hx of large diameter stools

Question: Assessment of ulcerative colitis
Answer:
+ pANCA fever malaise rectal bleeding mild abdominal pain i confined to colon mucosa
friable 4-10 loose stools per day with blood and mucus

Question: Diagnosis of Ulcerative Colitis
Answer:
stool analysis sigmoidoscopy

Question: Management of Ulcerative Colitis
Answer:
mesalamine sulfasalazine loprimide with mild disease

Question: Assessment of diverticulitis
Answer:
LLQ abdominal pain pain worse after eating alternate between constipation and diarrhea
maybe bleeding if fistula forms can pass fecal matter and air in the urine rebound tenderness
mass hyper ot hypoactive bowel sounds