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Advanced Medical Surgical Nursing Exam 4 | NUR
265 EXAM 4 | 2025 update|comprehensive questions
and verified answers (complete solutions) ASSURED
SUCCESS|GRADE A+!!
ulcerative colitis (UC) - (ANSWER)- disease characterized by inflammation of the
colon with the formation of ulcers, which can cause bloody diarrhea
Crohn's disease - (ANSWER)- a chronic autoimmune disorder that is most often
found in the ileum & in the colon
Hepatitis prevention - (ANSWER)- avoid alcohol & meds that are toxic to the liver
- good hand hygiene (fecal-oral)
- avoid risky behavior
- vaccinations (hep a & hep b)
laprascopic cholecystectomy - (ANSWER)◦ Minimally invasive/gen anesthesia
◦ Decrease in complications
◦ Bile duct injuries rare
◦ Quicker recovery
◦ Less postop pain
◦ Pt may c/o discomfort from 3-4 L of CO2 used to inflate abd during surg
◦ Usually discharged same day
◦ Return to work sooner
, 2
traditional cholecystectomy - (ANSWER)◦ Abd incision/gen anesthesia
◦ Pain controlled with opoids-PCA pump
◦ Usually have JP drain to prevent fluid accumulation
◦ Antiemetics
◦ NPO-can be advanced as soon as abd peristalsis returns
◦ Discharged 3-7 days after surgery
- T tube may be placed in common bile duct when there is exploration of common
bile duct during surgery
How is viral hepatitis transmitted? - (ANSWER)- fecal-oral (Hep A&E)
- blood & body fluids (Hep B,C,D,&G)
Risk factors for development of liver cancer - (ANSWER)- colon cancer
metastasizes to liver
- chronic infection with hep B or C
- alcohol consumption
hepatitis b needle stick action - (ANSWER)- Wash needlesticks & cuts with soap
and water
- Flush splashes to the nose, mouth, or skin with water
- Irrigate eyes with clean water, saline, or sterile irrigates
- Report the incident to your supervisor
, 3
- receive HBIG & hepatitis B vaccine w/in 24hrs
- Immediately seek medical treatment
Obstructed bile duct - (ANSWER)- clay colored stools.
- dark & foamy urine (tea) d/t excess bilirubin circulation
- jaundice
What do you monitor in a patient with liver failure? - (ANSWER)- ammonia ,
biliruibin, & albumin
- I&O
- potassium levels
- BM
Highest priority to monitor for patient with liver failure - (ANSWER)- LOC
manifestations of acute pancreatitis - (ANSWER)- Severe abd pain in mid-
epigastric area or LUQ
- Often sudden onset & radiates to back, L flank or L shoulder
- Usually very deep & very sharp and more intense within minutes of eating high
fat food.
- Worse when supine-pt often assumes fetal position
- Assess for jaundice, gray-blue discoloration of the periumbilical area (Cullen's
sign), due to leakage of pancreatic enzymes to the cutaneous tissue
Advanced Medical Surgical Nursing Exam 4 | NUR
265 EXAM 4 | 2025 update|comprehensive questions
and verified answers (complete solutions) ASSURED
SUCCESS|GRADE A+!!
ulcerative colitis (UC) - (ANSWER)- disease characterized by inflammation of the
colon with the formation of ulcers, which can cause bloody diarrhea
Crohn's disease - (ANSWER)- a chronic autoimmune disorder that is most often
found in the ileum & in the colon
Hepatitis prevention - (ANSWER)- avoid alcohol & meds that are toxic to the liver
- good hand hygiene (fecal-oral)
- avoid risky behavior
- vaccinations (hep a & hep b)
laprascopic cholecystectomy - (ANSWER)◦ Minimally invasive/gen anesthesia
◦ Decrease in complications
◦ Bile duct injuries rare
◦ Quicker recovery
◦ Less postop pain
◦ Pt may c/o discomfort from 3-4 L of CO2 used to inflate abd during surg
◦ Usually discharged same day
◦ Return to work sooner
, 2
traditional cholecystectomy - (ANSWER)◦ Abd incision/gen anesthesia
◦ Pain controlled with opoids-PCA pump
◦ Usually have JP drain to prevent fluid accumulation
◦ Antiemetics
◦ NPO-can be advanced as soon as abd peristalsis returns
◦ Discharged 3-7 days after surgery
- T tube may be placed in common bile duct when there is exploration of common
bile duct during surgery
How is viral hepatitis transmitted? - (ANSWER)- fecal-oral (Hep A&E)
- blood & body fluids (Hep B,C,D,&G)
Risk factors for development of liver cancer - (ANSWER)- colon cancer
metastasizes to liver
- chronic infection with hep B or C
- alcohol consumption
hepatitis b needle stick action - (ANSWER)- Wash needlesticks & cuts with soap
and water
- Flush splashes to the nose, mouth, or skin with water
- Irrigate eyes with clean water, saline, or sterile irrigates
- Report the incident to your supervisor
, 3
- receive HBIG & hepatitis B vaccine w/in 24hrs
- Immediately seek medical treatment
Obstructed bile duct - (ANSWER)- clay colored stools.
- dark & foamy urine (tea) d/t excess bilirubin circulation
- jaundice
What do you monitor in a patient with liver failure? - (ANSWER)- ammonia ,
biliruibin, & albumin
- I&O
- potassium levels
- BM
Highest priority to monitor for patient with liver failure - (ANSWER)- LOC
manifestations of acute pancreatitis - (ANSWER)- Severe abd pain in mid-
epigastric area or LUQ
- Often sudden onset & radiates to back, L flank or L shoulder
- Usually very deep & very sharp and more intense within minutes of eating high
fat food.
- Worse when supine-pt often assumes fetal position
- Assess for jaundice, gray-blue discoloration of the periumbilical area (Cullen's
sign), due to leakage of pancreatic enzymes to the cutaneous tissue
