NRSG 337 EXAM 4 QUESTIONS WITH COMPLETE
SOLUTIONS
Abdominal Assessment:
Pain (mild to sever) BS, distention
Frequency and characteristics of stool
bloody- non-bloody, etc
fever
wt loss
Diagnostic Tests
Hgb/Hct and
WBC for inflammation
Erythrocyte sedimentation rate and
C-reactive protein typically elevated with inflammation
hemoccult for blood loss
Colonoscopy and biopsy are the gold standard
Barium enema and x-ray (takes 30-60 minutes) will show any
damage.
____________ of stress ulcers is key Correct Answer
Prevention
______1______of obstruction determines extent of fluid,
electrolyte, and acid-base imbalances. ________ bowel
obstructions dehydrate quickly, while __________ bowel
obstructions have late dehydration. Correct Answer 1.
location
2. Small
,3. Large
At what ages does Ulcerative colitis peak? Correct Answer *2
different age groups*
15-25 years of age
15-80
Difference between gastric and duodenal ulcers:
Gastric:
-epigastic pain
-ulcer in stomach
Duodenal:
-epigastric pain
-antacids relieve pain
-night dyspepsia
-N&V after eating
-ulcer in intestines Correct Answer
Does pancreatic cancer with pancreatitis have a good prognosis?
Correct Answer NO, extremely poor prognosis high morbidity
and mortality
GERD is considered a _____________with a
______________of symptoms Correct Answer syndrome
pattern
Give 3 examples of Osmotic laxatives Correct Answer -Milk
of Magnesia
-Miralax
-Phosphosoda
,Give 4 examples of stimulant laxatives Correct Answer -
Biscodyl
-Dulcolox
-Senna
-Castor oil
Given that 5HT is a neurotransmitter involved in intestinal
motility: What occurs to the 5HT with diarrhea? Correct
Answer the spasms increase the 5HT
Given that 5HT is a neurotransmitter involved in intestinal
motility: What occurs with constipation? Correct Answer the
decreased motility decreases 5HT
How are ulcers classified? Correct Answer -acute and chronic
-location of ulcer
-extent of inflammation
How can we decrease a patients pain who has PUD? Correct
Answer -provide medication to relieve pain
-avoid irritating foods
-eat small frequent meals
How can we promote self-management of a patient with PUD?
Correct Answer Educate them about: diet, and aggregating
factors
How do immunosuppressants work?
*In general* Correct Answer -reduce inflammation
throughout the body
-decreases immune response by suppressing immune system
, How do these people present when they have Cholelithiasis /
Cholecystitis and consume a high fat/greasy meal? Correct
Answer -gassy/and in pain
*occurs from the gallbladder trying to force the stones out*
How do ulcers develop in the mouth? Correct Answer -a cut
creates an opening for bacteria to invade the unintact skin which
may result in a canker sore
How does 'colon stroke' create a mass/ barrier that leads to
diverticulitis? Correct Answer blood supply cut off (barrier),
which causes death of colon tissue
How does a laparoscopy cholecystectomy work? Correct
Answer the gallbladder is completely moved, but prior to the
removal they fill the entire abdomen with gas so all the organs
are visible
How does a stricture create a mass or a barrier that leads to
diverticulitis? Correct Answer the dilation of the anastomosed
stricture
How does Barrett's esophagus affect a patients ability to eat?
Correct Answer results in difficulty eating, chewing, and
altered nutrition
How does Cholethiasis develop? Correct Answer the
formation of gallstones occurs from the clumping of cholesterol
SOLUTIONS
Abdominal Assessment:
Pain (mild to sever) BS, distention
Frequency and characteristics of stool
bloody- non-bloody, etc
fever
wt loss
Diagnostic Tests
Hgb/Hct and
WBC for inflammation
Erythrocyte sedimentation rate and
C-reactive protein typically elevated with inflammation
hemoccult for blood loss
Colonoscopy and biopsy are the gold standard
Barium enema and x-ray (takes 30-60 minutes) will show any
damage.
____________ of stress ulcers is key Correct Answer
Prevention
______1______of obstruction determines extent of fluid,
electrolyte, and acid-base imbalances. ________ bowel
obstructions dehydrate quickly, while __________ bowel
obstructions have late dehydration. Correct Answer 1.
location
2. Small
,3. Large
At what ages does Ulcerative colitis peak? Correct Answer *2
different age groups*
15-25 years of age
15-80
Difference between gastric and duodenal ulcers:
Gastric:
-epigastic pain
-ulcer in stomach
Duodenal:
-epigastric pain
-antacids relieve pain
-night dyspepsia
-N&V after eating
-ulcer in intestines Correct Answer
Does pancreatic cancer with pancreatitis have a good prognosis?
Correct Answer NO, extremely poor prognosis high morbidity
and mortality
GERD is considered a _____________with a
______________of symptoms Correct Answer syndrome
pattern
Give 3 examples of Osmotic laxatives Correct Answer -Milk
of Magnesia
-Miralax
-Phosphosoda
,Give 4 examples of stimulant laxatives Correct Answer -
Biscodyl
-Dulcolox
-Senna
-Castor oil
Given that 5HT is a neurotransmitter involved in intestinal
motility: What occurs to the 5HT with diarrhea? Correct
Answer the spasms increase the 5HT
Given that 5HT is a neurotransmitter involved in intestinal
motility: What occurs with constipation? Correct Answer the
decreased motility decreases 5HT
How are ulcers classified? Correct Answer -acute and chronic
-location of ulcer
-extent of inflammation
How can we decrease a patients pain who has PUD? Correct
Answer -provide medication to relieve pain
-avoid irritating foods
-eat small frequent meals
How can we promote self-management of a patient with PUD?
Correct Answer Educate them about: diet, and aggregating
factors
How do immunosuppressants work?
*In general* Correct Answer -reduce inflammation
throughout the body
-decreases immune response by suppressing immune system
, How do these people present when they have Cholelithiasis /
Cholecystitis and consume a high fat/greasy meal? Correct
Answer -gassy/and in pain
*occurs from the gallbladder trying to force the stones out*
How do ulcers develop in the mouth? Correct Answer -a cut
creates an opening for bacteria to invade the unintact skin which
may result in a canker sore
How does 'colon stroke' create a mass/ barrier that leads to
diverticulitis? Correct Answer blood supply cut off (barrier),
which causes death of colon tissue
How does a laparoscopy cholecystectomy work? Correct
Answer the gallbladder is completely moved, but prior to the
removal they fill the entire abdomen with gas so all the organs
are visible
How does a stricture create a mass or a barrier that leads to
diverticulitis? Correct Answer the dilation of the anastomosed
stricture
How does Barrett's esophagus affect a patients ability to eat?
Correct Answer results in difficulty eating, chewing, and
altered nutrition
How does Cholethiasis develop? Correct Answer the
formation of gallstones occurs from the clumping of cholesterol
