NSG 555 Exam 2 module 3 GI/GU
(Newest Update): Nurse
Practitioners in Primary Care I |
Questions and Certified Answers |
100% Correct | Grade A - Wilkes
Terms in this set (197)
_____________Quiz____________?
cranial nerve function -
Answer✓✓
Reflects brainstem function
Pupil response, eye movement, cough/gag/corneal reflexes
_____________Quiz____________?
external vs internal hemorrhoids s/s -
Answer✓✓
external: usually asymptomatic unless a small thrombus , then acutely painful and itchy and
edema
internal: painless bright red blood with BMs and occ. a reducible prolapse.
1
,_____________Quiz____________?
hemorrhoids definition -
Answer✓✓
increased pressure-->vascular engorgement-->trauma to vessels-->pain and prolaps of tissue
_____________Quiz____________?
4 degrees of internal hemorrhoids -
Answer✓✓
1. painless bleeding, bulge but no prolapse
2. prolapse during defacation, reduce spontaniously, bleeding/itching
3. prolapse with defacation+manual reduction needed. pain
4th degree: permanently prolapsed and not reducible.
_____________Quiz____________?
diagnostics of hemorrhoids -
Answer✓✓
clinical one. further testing not needed but if pt over 50 or concern re cancer should get
colonoscopy.
_____________Quiz____________?
management of hemorrhoids -
Answer✓✓
high fiber diet, increased fluid. fiber 20-30 g/day
2
,sitz baths
stool softeners (not laxatives, can make it worse because of variable consistency)
topical analgescis reduce inflammation.
vasoconstrictive preps cnan help too
can do rubber band ligation if still symptomatic after dietary/lifestyle change
_____________Quiz____________?
complications of hemorrhoids -
Answer✓✓
4th degree can be at risk for strangulation and can become gangrenous and need surgery. use
rubber band ligation.
s/s perianal sepsis: urinary retention and fever after rubber band ligation
_____________Quiz____________?
anal fissure -
Answer✓✓
painful linear cracks common in kids and middle age adults.
if present <6 weeks it's acut if >6 weeks it's chronic
caused by trauma from constipationor diarrhea which causes a chemical burn or anal stenosis
3
, _____________Quiz____________?
anal fissure that is NOT posterior midline -
Answer✓✓
suspect STI, TB, HIV, infection, UC, crohns, malignant neoplasm, etc REFER THESE PTS
_____________Quiz____________?
s/s and PE of anal fissure -
Answer✓✓
tearing with passing stool, pain, small amounts of blood on TP.
_____________Quiz____________?
differential dx anal fissure -
Answer✓✓
anal cancer, perianal abscess, thrombosed hemorrhoid
RED FLAG s/s: anal carcinoma hx, persistent anorectal pain/bleeding, bloody diarrhea, wt loss
_____________Quiz____________?
management of anal fissures -
Answer✓✓
usually resolve without tx.
Inc fiber, stool softeners, sitz baths, supps or foam antiinflammatory agents
lidocaine gel before BMs
4
(Newest Update): Nurse
Practitioners in Primary Care I |
Questions and Certified Answers |
100% Correct | Grade A - Wilkes
Terms in this set (197)
_____________Quiz____________?
cranial nerve function -
Answer✓✓
Reflects brainstem function
Pupil response, eye movement, cough/gag/corneal reflexes
_____________Quiz____________?
external vs internal hemorrhoids s/s -
Answer✓✓
external: usually asymptomatic unless a small thrombus , then acutely painful and itchy and
edema
internal: painless bright red blood with BMs and occ. a reducible prolapse.
1
,_____________Quiz____________?
hemorrhoids definition -
Answer✓✓
increased pressure-->vascular engorgement-->trauma to vessels-->pain and prolaps of tissue
_____________Quiz____________?
4 degrees of internal hemorrhoids -
Answer✓✓
1. painless bleeding, bulge but no prolapse
2. prolapse during defacation, reduce spontaniously, bleeding/itching
3. prolapse with defacation+manual reduction needed. pain
4th degree: permanently prolapsed and not reducible.
_____________Quiz____________?
diagnostics of hemorrhoids -
Answer✓✓
clinical one. further testing not needed but if pt over 50 or concern re cancer should get
colonoscopy.
_____________Quiz____________?
management of hemorrhoids -
Answer✓✓
high fiber diet, increased fluid. fiber 20-30 g/day
2
,sitz baths
stool softeners (not laxatives, can make it worse because of variable consistency)
topical analgescis reduce inflammation.
vasoconstrictive preps cnan help too
can do rubber band ligation if still symptomatic after dietary/lifestyle change
_____________Quiz____________?
complications of hemorrhoids -
Answer✓✓
4th degree can be at risk for strangulation and can become gangrenous and need surgery. use
rubber band ligation.
s/s perianal sepsis: urinary retention and fever after rubber band ligation
_____________Quiz____________?
anal fissure -
Answer✓✓
painful linear cracks common in kids and middle age adults.
if present <6 weeks it's acut if >6 weeks it's chronic
caused by trauma from constipationor diarrhea which causes a chemical burn or anal stenosis
3
, _____________Quiz____________?
anal fissure that is NOT posterior midline -
Answer✓✓
suspect STI, TB, HIV, infection, UC, crohns, malignant neoplasm, etc REFER THESE PTS
_____________Quiz____________?
s/s and PE of anal fissure -
Answer✓✓
tearing with passing stool, pain, small amounts of blood on TP.
_____________Quiz____________?
differential dx anal fissure -
Answer✓✓
anal cancer, perianal abscess, thrombosed hemorrhoid
RED FLAG s/s: anal carcinoma hx, persistent anorectal pain/bleeding, bloody diarrhea, wt loss
_____________Quiz____________?
management of anal fissures -
Answer✓✓
usually resolve without tx.
Inc fiber, stool softeners, sitz baths, supps or foam antiinflammatory agents
lidocaine gel before BMs
4
