Nurs550 Midterm Questions with Detailed Verified Answers

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Nurs550 Midterm Questions with
Detailed Verified Answers


Question: gallbladder disease risk factors


Ans: family hx, diet-fatty foods, female,


Question:Gallbladder disease- subjective symptoms


Ans: pain in RUQ which radiates to R Shoulder, report of N/V, subjective
fever


Question:Gallbladder disease- objective symptoms


Ans: + Murphys sign, fever, jaundice


Question:Gallbladder disease diagnostics


Ans: RUQ ultrasound (first), HIDA scan- if negative U/S but symptoms
persist, elevated liver enzymes/lipase/amylase/leukocytosis


Question:Pancreatitis risk factors


Ans: ETOH abuse, some diabetic meds, older patients, HLD, renal
transplant patients


Question:Pancreatitis subjective findings

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Ans: severe RUQ pain/or-epigastric pain and radiates to the back


Question:Pancreatitis objective findings


Ans: Abdominal tenderness, abdominal distension, hypoactive bowel
sounds. s/s-shock poor prognosis


Question:Pancreatitis diagnosed by


Ans: CBC to rule out infection, Elevated amylase (3x higher than normal),
increased lipase, if leukocytosis- draw CRP-if positive think , sometimes
elevated LFT, necrotizing pancreatitis. Upright abdominal film, CT of
abdomen


Question:normal lipase


Ans: 0-160


Question:Lipase levels in acute pancreatitis


Ans: 3-4x normal level


Question:Normal WBC count


Ans: 4,000-11,000


Question:Leukocytosis

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Ans: Abnormally high WBC count, greater than 11k


Question:AST


Ans: Typically the range for normal AST is reported between 10 to 40 units
per liter


Question:ALT


Ans: ALT between 7 to 56 units per liter.


Question:GERD (gastroesophageal reflux disease) risk factors


Ans: weak LES, obesity, NSAID


Question:GERD Subjective Data


Ans: heartburn, belching, wheezing cough


Question:GERD Objective Data


Ans: normal exam


Question:GERD diagnosis


Ans: PPI trial


Question:Peptic Ulcer Disease causes