NSG 331: FInal Exam Questions With Complete Solutions
*Most common cause of LBO* Correct Answers Colorectal
cancer; followed by diverticular disease
*Most common cause of SBO* Correct Answers surgical
adhesions (occurring days to years after surgery)
*Most common non-mechanical intestinal obstruction* Correct
Answers Paralytic ileus
Aortic Aneurysm: bulge in the wall of the aorta Correct
Answers *Abdominal aortic aneurysms (AAA) are higher in
those who smoke
*conservative (less than 5.5 cm)
*Operative (greater than 5.5)
Characteristic/ Meaning: Stoma Correct Answers Rose/ brick
red = visible stoma mucosa
Pale= anemia
Blanching/ dark red/ purple=inadequate blood supply
Mild to moderate edema = notmal in post op
Moderate to severe edema = obstr of stoma, allergic rxn to food
small amount of bleeding= normal (bc high vascularity)
increased bleeding= lower GI bleed, stomal varices, portal
hypertention.
Chemo: potential complications Correct Answers -vesicants:
tissue damage on contact (painful, risk of infec, tissue damage)
, -infiltration
Cholelithiasis: Correct Answers Stones in the gallbladder
Cholelithiasis: DX Correct Answers -US/ ERCP
-labs (increases WBC, increased bili, increased liver lvl,
increase amylase)
Clinical Manifestation of Cholelithiasis: Correct Answers (may
be asymptomatic to severe)
-more intense with obstruction
-biliary colic
-RUQ
-epigastric
-right shoulder
-3-6 hours after high fat meal or when person lies down
Colorectal Cancer Interprofessional care: Correct Answers
(diagnosis)
-H&P
-digital rectal exam
-occult blood test of stool
-CBC
-barium enema
-colonoscopy
-abdominal CT/US/ MRI
(management)
-regular CRC screening
(Acute care)
-post op for surgery= sterile dressing changes, care of drains, pt/
caregiver edu, sexual dysfunction possible
*Most common cause of LBO* Correct Answers Colorectal
cancer; followed by diverticular disease
*Most common cause of SBO* Correct Answers surgical
adhesions (occurring days to years after surgery)
*Most common non-mechanical intestinal obstruction* Correct
Answers Paralytic ileus
Aortic Aneurysm: bulge in the wall of the aorta Correct
Answers *Abdominal aortic aneurysms (AAA) are higher in
those who smoke
*conservative (less than 5.5 cm)
*Operative (greater than 5.5)
Characteristic/ Meaning: Stoma Correct Answers Rose/ brick
red = visible stoma mucosa
Pale= anemia
Blanching/ dark red/ purple=inadequate blood supply
Mild to moderate edema = notmal in post op
Moderate to severe edema = obstr of stoma, allergic rxn to food
small amount of bleeding= normal (bc high vascularity)
increased bleeding= lower GI bleed, stomal varices, portal
hypertention.
Chemo: potential complications Correct Answers -vesicants:
tissue damage on contact (painful, risk of infec, tissue damage)
, -infiltration
Cholelithiasis: Correct Answers Stones in the gallbladder
Cholelithiasis: DX Correct Answers -US/ ERCP
-labs (increases WBC, increased bili, increased liver lvl,
increase amylase)
Clinical Manifestation of Cholelithiasis: Correct Answers (may
be asymptomatic to severe)
-more intense with obstruction
-biliary colic
-RUQ
-epigastric
-right shoulder
-3-6 hours after high fat meal or when person lies down
Colorectal Cancer Interprofessional care: Correct Answers
(diagnosis)
-H&P
-digital rectal exam
-occult blood test of stool
-CBC
-barium enema
-colonoscopy
-abdominal CT/US/ MRI
(management)
-regular CRC screening
(Acute care)
-post op for surgery= sterile dressing changes, care of drains, pt/
caregiver edu, sexual dysfunction possible
