-
ANSWER-
GALEN NUR 242 EXAM 3 STREB MED
SURG GALEN
COLLEGE OF NURSING - NUR 242 MS
EXAM
Inflammatory bowel disease refers to two chronic diseases
that cause - inflammation of the intestines:Ulcerative colitis
and Crohn's ANSWER- disease. Both have similar symptoms but are
different in the manner in which they affect the digestive tract.
When providing patient education for the patient who
has had an ostomy the nurse needs to include - many things.
The nurse should discussdietary ANSWER-
modifications related to nutritional status and provide referral to
dietitian for diet planning (lean meats, legumes, water). Teach the
importance of maintaining a high fluid intake and manifestations to
recognize dehydration
Inflammatory Bowel Disease: The treatment is considered
to have been effective if - the patient has a decrease indiarrhea,
increases their ANSWER- nutritional intake and gains weight,
pain is reduced or eliminated, complication do not occur, and they
effectively manage stress.
Crohn's disease involves all - of theintestines
ANSWER-
Ulcers and fissures develop - inCrohn's disease
ANSWER-
In Crohn's disease the pain is in - thelower
right quadrant of the abdomen ANSWER-
New therapies are beginning to be utilized for patients with
Crohn's - disease includingimmune response modifiers such as
ANSWER- therapeutic monoclonal antibody certolizumab pegol
(Cimzia) and Adalimuab (Humira)
, While taking certolizumab pegol (Cimzia) and Adalimuab
- (Humira) Patients should reportcold-like symptoms or
sore ANSWER- throat, avoid public places while taking this medication,
understand abdominal pain, nausea, and vomiting are common side
effects of this medication, and learn to give self injection
Crohn's disease: The patient who is acutely ill may - need to
havetotal bowel rest and receive parenteral nutrition. ANSWER- This
usually is through hyperalimentation.
Crohn's disease: - Anxiety iscommon for newly diagnosed
patients and ANSWER- therapeutic communication about the
disease is critical to treatment
When medical management for Ulcerative colitis is
not successful surgical intervention will - result in the patient
having anostomy ANSWER-
A stoma is created on the abdomen where an appliance is -
applied to retain stool ANSWER-
Stoma pouch is emptied at intervals and always - before it
ANSWER-
ishalf full. Apply a skin barrier directly to
-
stoma prior to application of pouch system Ulcerative Colitis
ANSWER-
involves only thelarge intestine.
Hemorrhages and abscess - occur inulcerative colitis
ANSWER-
Blood, mucous, and pus can be noted in the -
stools of the patient with ulcerative colitis as well as an ANSWER-
urgent sensation to defecate
Ulcerative colitis patients - reportweight loss, anorexia,
fatigue, and weakness ANSWER-
The patient with ulcerative colitis may - experience afever
ANSWER-
, Pain is in the lower left quadrant - (LLQ) inulcerative colitis
ANSWER-
Ulcerative colitis Diagnostic - studies include
aCBC to assess for anemia, leukocytosis from ANSWER- inflammation
and abscess formation. Serum albumin and folic acid levels
which may be low due to malabsorption. Stool examinations for blood
and stool cultures are ordered to rule out infections
Diverticulitis occurs - whenone or more diverticula become
inflamed or infected. ANSWER-
Diverticula - aresmall, bulging pouches that can form
anywhere in ANSWER- the digestive system, including the esophagus,
stomach, small intestine, and most commonly in the large
intestine
Diverticulitis medical treatment - includes aliquid or low-
fiber diet and antibiotics. Rest is ANSWER- also needed. Over-the-
counter pain reliever, such as acetaminophen (Tylenol)
may be taken.
Diverticulitis: Opioids are avoided if possible as the -
tend to be constipating and may aggravate the ANSWER-
problem
Diverticulitis patients should void the - use ofover-the-counter
(OTC) laxatives to prevent ANSWER- constipation, monitor
for signs of bleeding, and limit intake of dietary fat
Hepatitis is a widespread inflammation - of theliver that results
in degeneration and necrosis of liver ANSWER- cells
Hepatitis A has an incubation - period of15 to 50 days
ANSWER-
Hepatitis A is spread via thefecal- - oral route by fecal
contamination either from person-to- ANSWER- person contact or
by consuming contaminated food or water
Hepatitis a is more common in - countries withpoor
sanitation (handwashing) are most at ANSWER- risk
ANSWER-
GALEN NUR 242 EXAM 3 STREB MED
SURG GALEN
COLLEGE OF NURSING - NUR 242 MS
EXAM
Inflammatory bowel disease refers to two chronic diseases
that cause - inflammation of the intestines:Ulcerative colitis
and Crohn's ANSWER- disease. Both have similar symptoms but are
different in the manner in which they affect the digestive tract.
When providing patient education for the patient who
has had an ostomy the nurse needs to include - many things.
The nurse should discussdietary ANSWER-
modifications related to nutritional status and provide referral to
dietitian for diet planning (lean meats, legumes, water). Teach the
importance of maintaining a high fluid intake and manifestations to
recognize dehydration
Inflammatory Bowel Disease: The treatment is considered
to have been effective if - the patient has a decrease indiarrhea,
increases their ANSWER- nutritional intake and gains weight,
pain is reduced or eliminated, complication do not occur, and they
effectively manage stress.
Crohn's disease involves all - of theintestines
ANSWER-
Ulcers and fissures develop - inCrohn's disease
ANSWER-
In Crohn's disease the pain is in - thelower
right quadrant of the abdomen ANSWER-
New therapies are beginning to be utilized for patients with
Crohn's - disease includingimmune response modifiers such as
ANSWER- therapeutic monoclonal antibody certolizumab pegol
(Cimzia) and Adalimuab (Humira)
, While taking certolizumab pegol (Cimzia) and Adalimuab
- (Humira) Patients should reportcold-like symptoms or
sore ANSWER- throat, avoid public places while taking this medication,
understand abdominal pain, nausea, and vomiting are common side
effects of this medication, and learn to give self injection
Crohn's disease: The patient who is acutely ill may - need to
havetotal bowel rest and receive parenteral nutrition. ANSWER- This
usually is through hyperalimentation.
Crohn's disease: - Anxiety iscommon for newly diagnosed
patients and ANSWER- therapeutic communication about the
disease is critical to treatment
When medical management for Ulcerative colitis is
not successful surgical intervention will - result in the patient
having anostomy ANSWER-
A stoma is created on the abdomen where an appliance is -
applied to retain stool ANSWER-
Stoma pouch is emptied at intervals and always - before it
ANSWER-
ishalf full. Apply a skin barrier directly to
-
stoma prior to application of pouch system Ulcerative Colitis
ANSWER-
involves only thelarge intestine.
Hemorrhages and abscess - occur inulcerative colitis
ANSWER-
Blood, mucous, and pus can be noted in the -
stools of the patient with ulcerative colitis as well as an ANSWER-
urgent sensation to defecate
Ulcerative colitis patients - reportweight loss, anorexia,
fatigue, and weakness ANSWER-
The patient with ulcerative colitis may - experience afever
ANSWER-
, Pain is in the lower left quadrant - (LLQ) inulcerative colitis
ANSWER-
Ulcerative colitis Diagnostic - studies include
aCBC to assess for anemia, leukocytosis from ANSWER- inflammation
and abscess formation. Serum albumin and folic acid levels
which may be low due to malabsorption. Stool examinations for blood
and stool cultures are ordered to rule out infections
Diverticulitis occurs - whenone or more diverticula become
inflamed or infected. ANSWER-
Diverticula - aresmall, bulging pouches that can form
anywhere in ANSWER- the digestive system, including the esophagus,
stomach, small intestine, and most commonly in the large
intestine
Diverticulitis medical treatment - includes aliquid or low-
fiber diet and antibiotics. Rest is ANSWER- also needed. Over-the-
counter pain reliever, such as acetaminophen (Tylenol)
may be taken.
Diverticulitis: Opioids are avoided if possible as the -
tend to be constipating and may aggravate the ANSWER-
problem
Diverticulitis patients should void the - use ofover-the-counter
(OTC) laxatives to prevent ANSWER- constipation, monitor
for signs of bleeding, and limit intake of dietary fat
Hepatitis is a widespread inflammation - of theliver that results
in degeneration and necrosis of liver ANSWER- cells
Hepatitis A has an incubation - period of15 to 50 days
ANSWER-
Hepatitis A is spread via thefecal- - oral route by fecal
contamination either from person-to- ANSWER- person contact or
by consuming contaminated food or water
Hepatitis a is more common in - countries withpoor
sanitation (handwashing) are most at ANSWER- risk
