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Nur 643E Advanced Health Assessment Final Exam Questions And Answers

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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM Questions and Answers

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NUR 643E ADVANCED HEALTH
ASSESSMENT FINAL EXAM Questions
and Answers

What are the parts of the large intestine?
Ans: Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)

In what part of the digestive system are fats and proteins broken
down?
Ans: The stomach - uses HCL and enzymes

What lines the surface of the small intestine to help absorb
nutrients?
Ans: Villi

What are the parts of the small intestine?
Ans: duodenum, jejunum, ileum

What are the parts of the stomach?
Ans: The fundus, antrum and the body

What is peristalsis?
Ans: The sequential autonomic muscular contractions that move
nutrients along the digestive tract

What part of the digestive system is responsible absorbing water,
lubricating contents, and putrefaction?
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Ans: Large intestine

What is putrefaction?
Ans: Changes produced by action of bacteria and microorganisms to
decompose undigested food, unabsorbed animo acids, cell debris, and
dead bacteria

What is the function of the gallbladder?
Ans: Concentrates and stores bile

What abdominal organ has both exocrine and endocrine
functions? What are the functions?
Ans: Exocrine - produces digestive enzymes


Endocrine - produces insulin

What is the function of the spleen?
Ans: Filter blood and help fight infections

What abdominal organ(s) is located in the retroperitoneum?
Ans: Kidneys

What part of the social history do you always want to make sure
you ask about when assessing and abdominal complaint?
Ans: Alcohol use/abuse

When you are palpating your patient's abdomen where do you
want to look for clues to the severity of their pain?
Ans: Their face

What is pyrosis?
Ans: Heartburn

What type of disease is IBS, generally?
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Ans: Functional

45 y/o female presents to your office complaining of achey,
burning epigastric pain, especially after she eats. Your cardiac
workup is negative. What is high on your differential? What
lifestyle modifications do you suggest?
Ans: GERD


Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc

Your patient comes in with loss of appetite for the last few weeks.
What chronic medical disease do you want to keep on your
differential?
Ans: Malignancy

Proton pump inhibitors can increase the risk of what infectious
disease?
Ans: C. dif

When you are working up a patient with a chief complaint of
nausea what do you want to ask them?




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Ans: Pregnant?
When nauseous?
Have you taken anything?
Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?

Your patient presents to your office
Ans:

What does projectile vomiting in an adult make you think?
Ans: Increased intracranial pressure

You are seeing a patient in your office and he tells you he has
been having long, skinny stools. What are you worried about?
Ans: Intestinal obstruction


Malignancy?

What does fatty stool indicate?
Ans: Malabsorption

What do clay colored stools indicate?
Ans: Hepatobiliary obstruction

What common medications can cause constipation?




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