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Chamberlain NR 511 Midterm Exam Questions

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Chamberlain NR 511 Midterm Exam Questions What are common causes of N/V associated with gastritis? - ANS - Alcohol, NSAIDs, ASA, ABX, and illicit substances What is the most common cause of nausea and vomiting? - ANS - Acute Gastroenteritis (AGE) What are some manifestations of AGE? - ANS - Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and borborygmus. How is the severity of AGE gauged? - ANS - Dehydration secondary to profuse watery diarrhea, fever greater than 101ºF (38.3ºC), vomiting, or dysentery. What are important parts of a patient's history when AGE is suspected? - ANS - Travel, dining locations, ABX history.. What happens to the pH of the stomach when antacids are taken and how does this affect bacteria? - ANS - High pH can make it easier for bacteria to survive and cause and infection. How does motility of the GI tract affect bacteria colonization? - ANS - Small bowel stasis as a result of obstruction, diverticulitis, or blind loop syndrome frequently develop an overgrowth of bacteria within the stagnant segment. Which immunoglobulin may protect the GI tract against invading organisms? - ANS - IgA...may also help protect against a future attack by the same pathogen. Onset of N/V begin within 6 hours after exposure. Is this bacterial or viral? - ANS - Bacterial: time frame suggests food poisoning resulting from the ingestion of a preformed toxin such as that of Bacillus cereus.


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