NUR170 Exam 4
What are the symptoms for GERD or a Hiatal Hernia? - Answer--Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - Answer--Lifestyle changes
(diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - Answer--Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - Answer-Aspiration
Can a patient have GERD and not have a hernia? - Answer-Yes
Can a patient have a hernia and not have GERD? - Answer-No
,If a patient has GERD, how should they lay in bed? - Answer-On their right side or with the head of the
bed at 30 degree angle
What are common causes of peptic ulcer disease? - Answer-- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - 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? - Answer-Boardlike abdomen
What are the vital signs for a patient with an active bleed? - Answer-Low BP, High pulse
What part of the body does Crohns disease affect? - Answer-"Gum to Bum"= Mouth all the way through
the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - Answer-Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - Answer-Ulverative Colitis
, Which disease is more immune?
--Ulcerative Colitis
-- Crohns - Answer-Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - Answer-- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - Answer--Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - Answer-Crohns disease
What is the surgical intervention for Ulcerative Colitis? - Answer-Removal of the colon resulting in a
ileostomy
What is the surgical intervention for Crohns? - Answer-There is none. Only surgery is performed if
something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - Answer-Watery. Located on the right side of body
Describe the stool of a colostomy? - Answer-Formed. Located on the left side of the body
If a colostomy is not draining, what should be done? - Answer-- Moist warm towels on abdomen
- Hot tea
What are the symptoms for GERD or a Hiatal Hernia? - Answer--Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - Answer--Lifestyle changes
(diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - Answer--Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - Answer-Aspiration
Can a patient have GERD and not have a hernia? - Answer-Yes
Can a patient have a hernia and not have GERD? - Answer-No
,If a patient has GERD, how should they lay in bed? - Answer-On their right side or with the head of the
bed at 30 degree angle
What are common causes of peptic ulcer disease? - Answer-- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - 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? - Answer-Boardlike abdomen
What are the vital signs for a patient with an active bleed? - Answer-Low BP, High pulse
What part of the body does Crohns disease affect? - Answer-"Gum to Bum"= Mouth all the way through
the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - Answer-Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - Answer-Ulverative Colitis
, Which disease is more immune?
--Ulcerative Colitis
-- Crohns - Answer-Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - Answer-- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - Answer--Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - Answer-Crohns disease
What is the surgical intervention for Ulcerative Colitis? - Answer-Removal of the colon resulting in a
ileostomy
What is the surgical intervention for Crohns? - Answer-There is none. Only surgery is performed if
something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - Answer-Watery. Located on the right side of body
Describe the stool of a colostomy? - Answer-Formed. Located on the left side of the body
If a colostomy is not draining, what should be done? - Answer-- Moist warm towels on abdomen
- Hot tea
