Final Exam NUR 170: ( Updated) Concepts of Medical
Surgical Nursing Review Guide Questions and Verified Answers,
100% Guaranteed A+- (Galen)
• Pepticdulcerddisease
o Ulcerationsdindstomachdordduodenum
o Increasedd risk
▪ fordbleedingdifdpatientdondprednisone
o S/S
▪ Melena,depigastricddiscomfortdthatdawakensdatdnightd,dnausea,
d dyspepsia,dpostdprandialdepigastricdpain,dheartburndthatddoesn
’td responddtodantiacids
• IrritabledBowldSyndrome
o Spasticd colon
o GIddisorderdthatdcausesdchronicdordrecurrentddiarrhea,dconstipation,
d anddordabdominald paindandd bleeding
o Abdominaldpaind(LLQ)d–dRelieveddbydBM
o Constipationdanddord Diarrhea
o Bloatingdanddbelching
• Ulceratived Colitis
o Inflammationd ofd rectumd whichd proceedsd upward
o Continuous
o Affectsdcolond(ulcers)dmostdaffectdrectumdanddsigmoid
o 10-fl0dbloodydstoolsdadday
o HCTdlabsdanddHGB-dfluiddanddelectrolytes
o Lowdresidueddietd–davoiddseedsdbeansdnutsdanddkernelsd-
smalld frequentdmeals
• Chron’sdDisease
o Inflammatoryddiseasedofdsmalldintestined(mainly)dalthoughditdcandb
ed anywheredindGIdtract
o Inflammationdcausesdthickeningdofdboweldwall-
dleadsdtodfistulasdanddord boweldobstruction
o 5-6dfattyddiarrhealdstoolsdadday
o Avoidd caffeinatedd andd carbonatedd beverages
• Diverticulitis
o Sacdlikedherniationsdindcolond(usuallydsigmoid)
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o Diverticula-dpouchesdindthedwalldofdthedcolon
o Infectionsdofddiverticulum,dwhichdoccursd indpatientsdwithddiverticulitis
o dietdtherapyd–dlowdfiberddietdduringdexacerbation-
dhighdfiberddietdafterd resolution
o LLQdpain
o Fever/chills/tachycardia
o N/V
• Cholecystitis
o Afterdfattydfoods-dN/Vd(bile)dpain
• Hepatitis
o s/s
▪ RUQddiscomfort
▪ GI:dn/v,danorexia,dwtdloss
▪ Fever
▪ Chills
▪ Jaundice
▪ Darkdurine
▪ Hxdofdpotentialdexposure
o Tx
▪ Rest
▪ Activitydasdtolerated
▪ Nutritiondanddhydration
o Dx
▪ Prescencedofdspecificdantibody/antigendindserum
o AE
▪ Hepatitisdwithdadvoweldcomesdfromdthedbowel
▪ Transmission:d fecald oral
▪ VaccinedfordAdnotdE
o B
▪ HepdB-dBodydfluids
▪ Transmission:dblood,dsemen,dslaiva
▪ VaccinedfordB
o C
▪ HepatitisdCd(HCV)dCirculation
▪ Transmission:dblooddsemen
▪ Nodvaccine
o D
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