NUR170t /t NURt 170t Examt 4:t Conceptst
oft Medical-Surgicalt Nursingt Guidet
(Latestt 2025/t 2026t Update)t |t Qst &t As|t
Gradet A|t 100%t Correctt (Verifiedt
Answers)-t Galen
QUESTION
removalt oft stomach-t couldt bet fromt ulcerst thatt turnedt malignant,t reducedt intrinsict factor
cmt oft thist diseaset thatt cant bet at complication?
Answer:
gastrectomy
dumpingt syndrome-t 30t minst oft eating,t vertigo,t tachycardia,t syncope,t sweating,t pallor,t
palpitations,t wantt tot liet down
QUESTION
treatmentt oft gastrectomyt (postt op)?
concerns?
Answer:
NGT,t TPN,
peritonitis,t reducedt intrinsict factor-t vitt B12,t iron,t folict acid,t calciumt (malabsorption)
QUESTION
Inflammatoryt diseaset oft smallt intestinet mostly,t affectst allt partst oft GIt tract
Answer:
crohn'st disease
QUESTION
whatt dot yout needt tot monitort fort whent itt comest tot crohns
,Answer:
peritonitis,t SBO,t nutritionalt &t fluidt imbalances
QUESTION
CMt oft Crohn's
Answer:
1.t diarrhea,t fever,t abdt pain,t anorexia,t visiblet peristalsis,t steatorrhea
2.t anemiat witht fistula,t malabsorption,t wtt loss,t strictures/ulcerst (cobblestonet appearance)
QUESTION
treatmentt fort crohn's?
dxt oft crohn's?
Answer:
meds:t adalimumab,t corticosteroids,t
diet:t hight int calories,t protein,t vitamin,t
lowt int fibert (duringt flaret up)
surgery:t frequently,t treatt dehydrationt witht IVF,t ostomyt
abdt CT,t EGD/colonoscopy,t labs,t c-diff,t pregt test
QUESTION
Inflammationt oft rectumt whicht proceedst upward,t moret int Jewisht andt whites,t continuous,t
affectst sigmoidt colon
Answer:
ulcerativet colitis
QUESTION
CMt oft ulcerativet colitis
Answer:
1.t 10-20t bloodyt liquidt stoolst at dayt witht mucous,t
2.t suddent urge,t nutritionalt deficiencies,t hemorrhage,t
3.t LLQt abdt pain,t wtt loss,t tenesmus,t straining
,QUESTION
whatt ist at bigt concernt witht ulcerativet colitis?
Answer:
toxict megacolont risk:t massivet dilationt oft colont &t subsequentt colonict ileus,t cant leadt tot
gangrenet &t peritonitis
QUESTION
treatmentt oft UC?
dxt oft UC?
Answer:
surgery:t curativet int UC,t nott Crohn's,t
meds:t antidiarrheal,t corticosteroids,t ileostomy
bariumt enemat (differst betweent UCt &t crohns)
colonoscopy,t
sigmoidoscopyt biopsy,
mucosalt inflammation
QUESTION
considerationst fort bariumt enemat fort IBD?
Answer:
not solidt foodst dayt before,t NPOt aftert MN
prep:t enema,t Mgt citrate,t dulcolax
instillt barium/air-t urget willt come,t stoolst willt bet grey/whitet immediatelyt aftert &t fort
fewt days
drinkt plentyt oft fluidst aftert exam
QUESTION
IBDt dietaryt teaching/treatment
Answer:
avoidt seeds,t beans,t nuts,t kernels,t caffeine,t alcohol,
increaset omegat 3's;t salmon,t mackerel,t herring,t sardines,t
, smallt frequentt meals,t nutritionalt supplements
decreasedt concentratedt sweets,t fruits,t veggies
QUESTION
IBDt drugt therapy:
1.t ______-t inhibitst prostaglandins,t decreaset inflammation.t 2t drugst are?
2.t _____-t decreaset inflammation.t assesst fort hyperBS,t taper.t whatt drug?
3.t _____-t alterst immunet response.t workst bettert int combinationt w/steroid.t whatt drugs?
4.t _____-t reducest activityt oft TNF,t reducet inflammation,t decreaset immunet system,t
baselinet TBt testing.t whatt drugs?
Answer:
1.t aminosalicylates,t (sulfasalazinet &t mesalamine)
2.t corticosteroids,t (prednisone)
3.t immunomodulators,t (mercaptopurine,t methotrexate)
4.t biologicalt therapies,t (infliximab,t adalimumab)
QUESTION
functionalt GIt disordert thatt causest chronict ort recurrentt diarrhea,t constipationt ort both,t
abdt paint &t bloating,t mostt commont digestivet disorder,t spastict colon,t psycht issuet
(depression,t anxiety)
Answer:
irritablet bowelt syndrome
QUESTION
RFt oft IBS
Answer:
1.t caffeine/carbonation,t dairy,t rawt foods,t roughaget
2.t whitet women,t bacterialt overgrowth,t
3.t stress/behavioralt issuest (depression/anxiety)
QUESTION
CMt oft irritablet bowelt syndrome
oft Medical-Surgicalt Nursingt Guidet
(Latestt 2025/t 2026t Update)t |t Qst &t As|t
Gradet A|t 100%t Correctt (Verifiedt
Answers)-t Galen
QUESTION
removalt oft stomach-t couldt bet fromt ulcerst thatt turnedt malignant,t reducedt intrinsict factor
cmt oft thist diseaset thatt cant bet at complication?
Answer:
gastrectomy
dumpingt syndrome-t 30t minst oft eating,t vertigo,t tachycardia,t syncope,t sweating,t pallor,t
palpitations,t wantt tot liet down
QUESTION
treatmentt oft gastrectomyt (postt op)?
concerns?
Answer:
NGT,t TPN,
peritonitis,t reducedt intrinsict factor-t vitt B12,t iron,t folict acid,t calciumt (malabsorption)
QUESTION
Inflammatoryt diseaset oft smallt intestinet mostly,t affectst allt partst oft GIt tract
Answer:
crohn'st disease
QUESTION
whatt dot yout needt tot monitort fort whent itt comest tot crohns
,Answer:
peritonitis,t SBO,t nutritionalt &t fluidt imbalances
QUESTION
CMt oft Crohn's
Answer:
1.t diarrhea,t fever,t abdt pain,t anorexia,t visiblet peristalsis,t steatorrhea
2.t anemiat witht fistula,t malabsorption,t wtt loss,t strictures/ulcerst (cobblestonet appearance)
QUESTION
treatmentt fort crohn's?
dxt oft crohn's?
Answer:
meds:t adalimumab,t corticosteroids,t
diet:t hight int calories,t protein,t vitamin,t
lowt int fibert (duringt flaret up)
surgery:t frequently,t treatt dehydrationt witht IVF,t ostomyt
abdt CT,t EGD/colonoscopy,t labs,t c-diff,t pregt test
QUESTION
Inflammationt oft rectumt whicht proceedst upward,t moret int Jewisht andt whites,t continuous,t
affectst sigmoidt colon
Answer:
ulcerativet colitis
QUESTION
CMt oft ulcerativet colitis
Answer:
1.t 10-20t bloodyt liquidt stoolst at dayt witht mucous,t
2.t suddent urge,t nutritionalt deficiencies,t hemorrhage,t
3.t LLQt abdt pain,t wtt loss,t tenesmus,t straining
,QUESTION
whatt ist at bigt concernt witht ulcerativet colitis?
Answer:
toxict megacolont risk:t massivet dilationt oft colont &t subsequentt colonict ileus,t cant leadt tot
gangrenet &t peritonitis
QUESTION
treatmentt oft UC?
dxt oft UC?
Answer:
surgery:t curativet int UC,t nott Crohn's,t
meds:t antidiarrheal,t corticosteroids,t ileostomy
bariumt enemat (differst betweent UCt &t crohns)
colonoscopy,t
sigmoidoscopyt biopsy,
mucosalt inflammation
QUESTION
considerationst fort bariumt enemat fort IBD?
Answer:
not solidt foodst dayt before,t NPOt aftert MN
prep:t enema,t Mgt citrate,t dulcolax
instillt barium/air-t urget willt come,t stoolst willt bet grey/whitet immediatelyt aftert &t fort
fewt days
drinkt plentyt oft fluidst aftert exam
QUESTION
IBDt dietaryt teaching/treatment
Answer:
avoidt seeds,t beans,t nuts,t kernels,t caffeine,t alcohol,
increaset omegat 3's;t salmon,t mackerel,t herring,t sardines,t
, smallt frequentt meals,t nutritionalt supplements
decreasedt concentratedt sweets,t fruits,t veggies
QUESTION
IBDt drugt therapy:
1.t ______-t inhibitst prostaglandins,t decreaset inflammation.t 2t drugst are?
2.t _____-t decreaset inflammation.t assesst fort hyperBS,t taper.t whatt drug?
3.t _____-t alterst immunet response.t workst bettert int combinationt w/steroid.t whatt drugs?
4.t _____-t reducest activityt oft TNF,t reducet inflammation,t decreaset immunet system,t
baselinet TBt testing.t whatt drugs?
Answer:
1.t aminosalicylates,t (sulfasalazinet &t mesalamine)
2.t corticosteroids,t (prednisone)
3.t immunomodulators,t (mercaptopurine,t methotrexate)
4.t biologicalt therapies,t (infliximab,t adalimumab)
QUESTION
functionalt GIt disordert thatt causest chronict ort recurrentt diarrhea,t constipationt ort both,t
abdt paint &t bloating,t mostt commont digestivet disorder,t spastict colon,t psycht issuet
(depression,t anxiety)
Answer:
irritablet bowelt syndrome
QUESTION
RFt oft IBS
Answer:
1.t caffeine/carbonation,t dairy,t rawt foods,t roughaget
2.t whitet women,t bacterialt overgrowth,t
3.t stress/behavioralt issuest (depression/anxiety)
QUESTION
CMt oft irritablet bowelt syndrome
