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NUR 170 / NUR170 E XAM 4: (NEW 2025/ 2026
UPDATE) CONCEPTS OF MEDICAL-SURGICAL NURSING
GUIDE| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
Describe the diarrhea in a patient with Ulcerative Colitis - ANS ✓- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - ANS ✓-Steatorrhea (fatty and
floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - ANS ✓Crohns disease
What is the surgical intervention for Ulcerative Colitis? - ANS ✓Removal of the colon
resulting in a ileostomy
What is the surgical intervention for Crohns? - ANS ✓There is none. Only surgery is
performed if something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - ANS ✓Watery. Located on the right side of body
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Describe the stool of a colostomy? - ANS ✓Formed. Located on the left side of the body
If a colostomy is not draining, what should be done? - ANS ✓- Moist warm towels on
abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) look? - ANS ✓Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
What are the symptoms of IBS? - ANS ✓- Diarrhea or Constipation
- Soft, watery stool
- Nausea when eating or defecating
- Abnormal pain or bloating
- ***Normal weight & nutrition
- ***Normal labs
What are some treatment options for IBS? - ANS ✓- Probiotics
- Fiber 30-40g per day
- Immodium
- Metamucil
What is Diverticulosis? - ANS ✓Pouching of the colon
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What is Diverticulitis? - ANS ✓Inflammation of the pouch in the stomach
What are the lab signs for diverticulitis? - ANS ✓Increased WBC and decreased H&H
Low or High fiber for Diverticulitis? - ANS ✓Low (think litis= little)
Low or High fiber for Diverticulosis? - ANS ✓High
What is the treatment for diverticulosis? - ANS ✓-No laxatives or enemas
-Avoid strenuous activities
-Avoid seeds and nuts
-Meds: Flagyl, Bactrim, Cipro
What is the difference between a small and large bowel obstruction? - ANS ✓Has to do with
the small and large intestine
Give examples of a mechanical bowel obstruction - ANS ✓- Tumors
- Scar tissue
- Feces
- Intussusception (when bowel pushes together)
- Volvulus (twisting of the bowel)
Give examples of a non-mechanical bowel obstruction - ANS ✓Typically post op: paralytic
illeus (section of the intestine where its not moving)
NUR 170
NUR
NUR 170 / NUR170 E XAM 4: (NEW 2025/ 2026
UPDATE) CONCEPTS OF MEDICAL-SURGICAL NURSING
GUIDE| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
Describe the diarrhea in a patient with Ulcerative Colitis - ANS ✓- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - ANS ✓-Steatorrhea (fatty and
floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - ANS ✓Crohns disease
What is the surgical intervention for Ulcerative Colitis? - ANS ✓Removal of the colon
resulting in a ileostomy
What is the surgical intervention for Crohns? - ANS ✓There is none. Only surgery is
performed if something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - ANS ✓Watery. Located on the right side of body
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Describe the stool of a colostomy? - ANS ✓Formed. Located on the left side of the body
If a colostomy is not draining, what should be done? - ANS ✓- Moist warm towels on
abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) look? - ANS ✓Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
What are the symptoms of IBS? - ANS ✓- Diarrhea or Constipation
- Soft, watery stool
- Nausea when eating or defecating
- Abnormal pain or bloating
- ***Normal weight & nutrition
- ***Normal labs
What are some treatment options for IBS? - ANS ✓- Probiotics
- Fiber 30-40g per day
- Immodium
- Metamucil
What is Diverticulosis? - ANS ✓Pouching of the colon
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What is Diverticulitis? - ANS ✓Inflammation of the pouch in the stomach
What are the lab signs for diverticulitis? - ANS ✓Increased WBC and decreased H&H
Low or High fiber for Diverticulitis? - ANS ✓Low (think litis= little)
Low or High fiber for Diverticulosis? - ANS ✓High
What is the treatment for diverticulosis? - ANS ✓-No laxatives or enemas
-Avoid strenuous activities
-Avoid seeds and nuts
-Meds: Flagyl, Bactrim, Cipro
What is the difference between a small and large bowel obstruction? - ANS ✓Has to do with
the small and large intestine
Give examples of a mechanical bowel obstruction - ANS ✓- Tumors
- Scar tissue
- Feces
- Intussusception (when bowel pushes together)
- Volvulus (twisting of the bowel)
Give examples of a non-mechanical bowel obstruction - ANS ✓Typically post op: paralytic
illeus (section of the intestine where its not moving)
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