NR 511 final exam Questions and Answers 100% pass

NR 511 final exam Questions and Answers 100% pass mesenteric infarction - Answer- Patient presents with mid epigastric pain, LUQ radiating to back, mild to very severe pain. Also has associated nausea and vomiting diaphoresis, pain is worse with lying supine. Physical assessment shows diminished bowel sounds and abdominal arteriogram. Urinary stones/kidney stones - Answer- Patient presents with a colicky flank pain progressing to constant and severe radiating to the groin in both lower quadrant, patient has associated nausea vomiting fever chills and abdominal distention. Costovertebral angle tenderness hematuria; do urinalysis IVP and US intestinal perforation - Answer- Patient presents with severe, parietal, diffuse pain; has associated guarding, rebound tenderness, pain is relieved while lying still. Physical exam shows decreased bowel sounds, guarding, rebound tenderness; get abdominal x- ray intestinal obstruction - Answer- Patient presents with colicky right lower quadrant and left lower quadrant pain; has associated nausea vomiting, Anorexia, obstipation; physical exam shows hyperactive high-pitched bowel sounds are hypo active bowel sounds, get an abdominal x-ray Pancreatitis - Answer- Patient presents with severe, visceral, diffuse pain. Has associated hypotension tachycardia; pain is relieved by leaning forward. Physical exam shows abdominal distention, diminished bowel sounds, diffuse rebound tenderness; will have elevated amylase levels ectopic pregnancy - Answer- Patient will present with persistent right lower quadrant pain or left lower quadrant pain. May have vaginal bleeding. Physical exam will show tender adnexal mass and will have a positive hCG test. Dissection or Rupture of Aortic Aneurysm - Answer- Patient will present with ripping, tearing, intense pain in chest, abdomen, lower back. Will have associated hypotension, feelings of doom, shock. Physical exam will show shock, diminished femoral pulses; get x-ray and CT scan Peptic Ulcer Disease (PUD) - Answer- Patient presents with annoying pain in epigastric region radiating to the back, right shoulder, or side. Associated nausea, hunger; worse with empty stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have epigastric tenderness to palpation. Studies done is endoscopy and barium swallow gastroesophageal reflux disease (GERD) - Answer- Patient will present with epigastric, retrosternal pain. This pain will be intermittent. Patient may have sour taste, low-grade bleeding, hoarseness, pharyngitis; worse with bending at the waist, NSAIDs, ASA, alcohol, caffeine, recumbency; relieved with antacids. Test are barium swallow, upper G.I., esophageal endoscopy with biopsy gastritis - Answer- Patient will present with epigastric pain that is constant. May have associated nausea, vomiting, diarrhea, fever, hemorrhage; worse with alcohol, NSAIDs, aspirin; is rarely worse with food salpingitis - Answer- Patient will present with right lower quadrant and or left lower quadrant pain. Pain will be worse around menstruation and when ascending stairs. There will be cervical motion and adnexal tenderness irritable bowel syndrome (IBS) - Answer- Patient will present with left lower quadrant pain right lower quadrant pain the pain will be intermittent and recurrent. Will have associated diarrhea, mucus in store; worse with stress and eating; often relieved by defecation. There will be: tender to palpation; small bowel follow through to rule out other causes Inflammatory bowel disease (Crohn's disease, ulcerative colitis) - Answer- Patient will present with pain in the right lower quadrant and left lower quadrant; may have diarrhea, weight loss, rectal bleeding, tenesmus, fever; worse with stress. Physical exam will show tenderness in the right lower quadrant left lower quadrant; order CBC with differential small bowel follow through (crohns) and a colonoscopy (UC) gastroenteritis - Answer- This pain will be diffuse. May have associated nausea, vomiting, diarrhea, fever, chills; worse with food; relieved with vomiting or defecation. Physical exam will show hyperactive b