NUR170 Exam 4 Questions And 100% Correct Answers
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 client with an upper GI bleed treated? - ANSWER - 2-4L of oxygen nasal
canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a symptom of peritonitis? - ANSWER Boardlike abdomen
What are the vital signs for a client with an active bleed? - ANSWER Low BP, High pulse
Which part of the body does Crohns disease affect? - ANSWER "Gum to Bum"= Mouth all
the way through the digestive tract is inflammed
Which 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
Diarrhea - in a patient with Ulcerative Colitis - ANSWER - Bloody/ Mucus stools
, - 10-20 stools a day
- Urgent sensation to defecate
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 is done? - ANSWER - Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) appear? - ANSWER Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
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 client with an upper GI bleed treated? - ANSWER - 2-4L of oxygen nasal
canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a symptom of peritonitis? - ANSWER Boardlike abdomen
What are the vital signs for a client with an active bleed? - ANSWER Low BP, High pulse
Which part of the body does Crohns disease affect? - ANSWER "Gum to Bum"= Mouth all
the way through the digestive tract is inflammed
Which 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
Diarrhea - in a patient with Ulcerative Colitis - ANSWER - Bloody/ Mucus stools
, - 10-20 stools a day
- Urgent sensation to defecate
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 is done? - ANSWER - Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) appear? - ANSWER Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
