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NUR 220 Lower GI questions with complete solutions

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NUR 220 Lower GI questions with complete solutions

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NUR 220
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Uploaded on
October 15, 2024
Number of pages
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Written in
2024/2025
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NUR 220 Lower GI questions with complete solutions

_________ and _________ prohibit bacterial growth in the
duodenum and jejunum, but proliferation of bacteria begins to
occur in the ileum. Correct Answer - bile
- gastric acid

5-ASA has a cross-sensitivity with... Correct Answer -
furosemide
- sulfonylurea hypoglycemic agents

A dark red or purple stoma indicates... Correct Answer
inadequate blood flow

A pale colored stoma indicates... Correct Answer anemia

A rose or brick-red colored stoma indicates... Correct Answer
viable, healthy stoma

Albumin (3.5-5) and total protein (6-8) levels are typically
___________ in those with inflammatory bowel disease.
(increased or decreased) Correct Answer decreased

Bacteria convert ___________ to ammonia in the colon, which
then travels to the liver by way of the vascular system. Correct
Answer protein

Biologic therapies that inhibit the cytokine tumor necrosis factor
include... Correct Answer - adalimumab
- certolizumab pegol
- golimumab

,- infliximab

Biologic therapies that prevent migration of leukocytes from the
bloodstream into inflamed tissue (a.k.a. integrin receptor
agonists) include... Correct Answer - natalizumab
- vedolizumab

Bulk forming laxatives block the absorption of... Correct
Answer - vitamins
- omega-3 oil
- omega-6 oil

C. difficile spores can live on surfaces for up to ________ days.
Correct Answer 70

Complications of IBD may include... Correct Answer - fistula
formation (Crohn's)
- bowel obstruction (Crohn's)
- anemia
- colorectal cancer

Complications of peritonitis may include... Correct Answer -
shock
- abscesses
- ileus
- sepsis
- death

Complications of toxic megacolon include... Correct Answer -
dehydration
- shock

, - sepsis
- perforation
- death

Complications that may be a result of constipation include...
Correct Answer - hemorrhoids
- impaction
- perforated colon
- diverticulosis

Contraindications for a barium enema include. Correct Answer
- R/F or suspected bowel perforation
- inflammatory conditions (i.e. diverticulitis, appendicitis,
ulcerative colitis)

Contraindications for bulk forming laxatives include... Correct
Answer - abdominal pain
- N/V
- suspected appendicitis
- biliary tract obstruction
- acute hepatitis

Drug therapies used for IBS may include... Correct Answer -
eluxadoline
- alosetron (women only)
- loperamide
- linaclotide
- antispasmodics (i.e. dicyclomine, hyosycamine)
- antidepressants (i.e. TCAs (-triptyline & -pramine)

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