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NURS 341 EXAM 4 (CH 17, 19-20, 23, 52-55, 60) QUESTIONS AND VERIFIED ANSWERS

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NURS 341 EXAM 4 (CH 17, 19-20, 23, 52-55, 60) QUESTIONS AND VERIFIED ANSWERS2

Institution
NURS 341
Course
NURS 341

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What is the assessment with type 1 hypersensitivity reactions?


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Assessment
- Feelings of uneasiness, apprehension, doom
- Generalized itching
- Erythema, angioedema
- Wheals or hives
- Congestion, rhinorrhea
- Dyspnea, respiratory distress, restricted airway

Stridor is always an emergency and a bad bad sign




What are some notes about PPIs and rebound effect?


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, PPI's and rebound effect: The findings provide the best evidence yet that
withdrawal from acid-blocking proton pump inhibitor (PPI) therapy is
associated with a clinically meaningful increase in acid production above
pre-treatment levels, researchers say




What are the different methods of transmission for microorganisms


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Contact (direct or indirect and is the most common)

Airborne (particles in the air for the long time)
- TB, measles, and chicken pox are different types

Vehicle/droplets (indirect method where nasal, oral, or conjunctiva is used
to get infections
- influenza, mumps, pertussis, or meningitis are different types
---May cough and spread to different person in specified area (around 3
feet and particles dont hang in air like airborne)

Vector borne (bite from infected animal/insect)




What is an overview of the GI tract


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page 1062-1064 has info about the overview of GI tract




What is the treatment for GI bleeds?


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, The patient who is actively bleeding has a life-threatening emergency and
requires supportive therapy to prevent hypovolemic shock (S/s of
hypovolemia: increased heart rate, decreased bp, res rate increases, o2 is
gonna drop, loc will be decreased,) and possible death.


The first priority for care of the patient with upper GI bleeding is to
maintain airway, breathing, and circulation (ABCs).

Provide oxygen and other ventilatory support as needed.
Start two large-bore IV lines for replacing fluids and blood.
Monitor vital signs, hematocrit, and oxygen saturation.




What are some notes about PPIs and C-diff?


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•PPI's and C-diff: After adjustment for other independent predictors of
recurrence, patients with continuous PPI use remained at elevated risk of
CDI recurrence. We suggest that the cessation of unnecessary PPI use
should be considered at the time of CDIFF diagnosis.




What is the nursing info with sialadenitis/xerostomia


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Examine for dehydration/dry mouth

Offer the patient
- hydration
- application of warm compresses
- massage of the gland
- use of saliva substitute
- use of sialagogues, lemon slices, fruit candy

, More info on page 1085




What is inflammation?


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Any natural protective feature of person
Provides immediate protection against effects of tissue injury and foreign
proteins
- Critical to health and well-being
Causes visible symptoms and can rid body of harmful organisms
- Tissue damage may result from excessive response




What is the patho of stomach diseases?


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diseases of the stomach that are serious and can even be life threatening
include: gastritis, peptic ulcer disease, and gastric cancer




What is the stress ulcer pathology/details?


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Stress ulcer, which occurs with acute and chronic diseases or major trauma;
bleeding resulting from gastric erosion is the principal manifestation, and
multiple lesions occur in the proximal portion of the stomach, beginning
with the area of ischemia and evolving into erosions.

Supralfate is given as a prophylactic to prevent these. DON'T GIVE
HEMATEDINE

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Institution
NURS 341
Course
NURS 341

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