NUR 170 Exam 4 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What are the symptoms for GERD or a Hiatal Hernia? - CORRECT ANSWER -Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - CORRECT
ANSWER -Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - CORRECT ANSWER -Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - CORRECT ANSWER Aspiration
Can a patient have GERD and not have a hernia? - CORRECT ANSWER Yes
Can a patient have a hernia and not have GERD? - CORRECT ANSWER No
If a patient has GERD, how should they lay in bed? - CORRECT ANSWER On their right
side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - CORRECT ANSWER - H. Pylori
,- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - CORRECT ANSWER - 2-4L of
oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis? - CORRECT ANSWER Boardlike abdomen
What are the vital signs for a patient with an active bleed? - CORRECT ANSWER Low
BP, High pulse
What part of the body does Crohns disease affect? - CORRECT ANSWER "Gum to
Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - CORRECT ANSWER Rectum/
Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER Crohns
, Describe the diarrhea in a patient with Ulcerative Colitis - CORRECT ANSWER -
Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - CORRECT ANSWER -
Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - CORRECT ANSWER Crohns disease
What is the surgical intervention for Ulcerative Colitis? - CORRECT ANSWER Removal
of the colon resulting in a ileostomy
What is the surgical intervention for Crohns? - CORRECT ANSWER There is none. Only
surgery is performed if something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - CORRECT ANSWER Watery. Located on the right
side of body
Describe the stool of a colostomy? - CORRECT ANSWER Formed. Located on the left
side of the body
If a colostomy is not draining, what should be done? - CORRECT ANSWER - Moist
warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
Exam Questions and CORRECT Answers
What are the symptoms for GERD or a Hiatal Hernia? - CORRECT ANSWER -Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - CORRECT
ANSWER -Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - CORRECT ANSWER -Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - CORRECT ANSWER Aspiration
Can a patient have GERD and not have a hernia? - CORRECT ANSWER Yes
Can a patient have a hernia and not have GERD? - CORRECT ANSWER No
If a patient has GERD, how should they lay in bed? - CORRECT ANSWER On their right
side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - CORRECT ANSWER - H. Pylori
,- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - CORRECT ANSWER - 2-4L of
oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis? - CORRECT ANSWER Boardlike abdomen
What are the vital signs for a patient with an active bleed? - CORRECT ANSWER Low
BP, High pulse
What part of the body does Crohns disease affect? - CORRECT ANSWER "Gum to
Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - CORRECT ANSWER Rectum/
Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER Crohns
, Describe the diarrhea in a patient with Ulcerative Colitis - CORRECT ANSWER -
Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - CORRECT ANSWER -
Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - CORRECT ANSWER Crohns disease
What is the surgical intervention for Ulcerative Colitis? - CORRECT ANSWER Removal
of the colon resulting in a ileostomy
What is the surgical intervention for Crohns? - CORRECT ANSWER There is none. Only
surgery is performed if something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - CORRECT ANSWER Watery. Located on the right
side of body
Describe the stool of a colostomy? - CORRECT ANSWER Formed. Located on the left
side of the body
If a colostomy is not draining, what should be done? - CORRECT ANSWER - Moist
warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
