Exam 3 NURS 623 100 QUESTIONS AND VERIFIED ANSWERS 2023 COMPLETE.

Exam 3 NURS 623 100 QUESTIONS AND VERIFIED ANSWERS 2023 COMPLETE. 1. What is viseral pain: viscera (organs) -pain that is caused by distention or spasm of a hollow viscus 2. How would you describe parietal pain and what abdominal disorder often causes it ?: sharp well localized pain caused by irritation of the peritoneum ; often associated with appendicitis 3. abdominal pain that is described as colicky (comes and goes) may result from ?: gallstones or renal stones 4. What is most most common cause of constipation in the US? What is recommended to help?: lack of dietary fiber; recommended amount is 30 grams daily 5. How would you treat constipation nonpharmaologically?: *slowly increases fiber 25-35 grams with 12-15 grams in the morning; exercise after meals; uninterrupted toilet time; adequate hydration 64 ounces daily 6. Celiac disease is described as a malabsorption syndrome related to ?: an immune reaction to gluten in the diet; more common in women ages 40-50 7. Gluten is found in food products that contain.....: wheat barley and rye 8. What a patient with celiac disease have a history of ?: chronic diarrhea, foul smelling stools, abdominal bloating, weakness and fatigue 9. What confirms the diagnosis of celiac disease?: distal duodenal biopsy 10. How do you treat celiac disease?: gluten free diet, and treatment of nutritional deficiencies such as iron, folate and vitamin B12 11. Epigastric discomfort, postprandial fullness, early satiety, anorexia, belching, nausea, heartburn, vomiting, bloating, borborygmi, dysphagia, and abdominal burning are symptoms of .....: dyspepsia 12. GERD is the backward flow of stomach contents into the: esophagus without associated retching or vomiting 13. What are some lifestyle modifications for GERD?: smoking cessation, avoid tight clothing, diet, exercise, dont eat 4 hours before bedtime, sleep with HOB elevated 14. The primary cause of GERD is the inappropriate, spontaneous: transient relaxation of the lower espophageal sphincter(LES) to an unknown stimulus 15. Lifestyle modification are the first line treatment for GERD, name some??- : elevating HOB, avoid large, high fat meals, avoid chocolate, alcohol, peppermint, 1 / 8 Exam 3 NURS 623 caffeine, onions garlic, citrus and tomatoes; avoid lying down 3-4 hours after meal, avoid bedtime snacks, weightloss 16. If lifestyle modifications dont work in the treatment of GERD what is the first "step up" treatment with non erosive reflux?: "tidine" :cimetidine, ranitidine, famotidine, nizatidine; if no improvement then PPIs are used 17. What is the initial therapy for patients with GERD who have erosive esophagitis or barretts esophagus: PPI's (razole) such as omeprazole once a day 30 minutes before breakfast (8 week course) 18. For a patient with GERD and complications such as erosive esophagitis or barretts esophagus who is unresponsive to treatments what would your plan of action be ?: surgical intervention: nissen fundoplication 19. GERD is a lifelong disease and patients should be evaluated on a regular basis , patients with mild to moderate symptoms should be instructed to treat how?: lifestyle modifications and antacids or OTC H2-RAs (famotidine) for 4 weeks; 20. What are the lifestyle modifications for GERD?: elevate HOB, no eating 3-4 hour before bed and no snacks, weight reducation, smoking cessation, avoid large meals, tight clothing , avoid bending or straining, advise to eat small frequent meals 21. What are the most common causes of gasteroenteritis?: bacterial, viral and parasitic 22. A stool culture should be done on any patient who has what symptoms?- : severe diarrhea, fever 101.3, bloody stools, leukocytes, lactoferrin or occult blood bc there are indications of a bacterial pathogen 23. Any patient who develops diarrhea after initiation or completion of antibiotics therapy should have a .......: tissue culture assay or an ELISA test for possible C-Diff 24. Viral gastroenteritis should be suspected in any patient with ____ as their major symptoms: vomiting; and in cases of possible food or water contamination 25. All patients who present with diarrhea should be treated with: fluid and electrolyte management; patients who can take oral replacement should be instructed to drink fluids with a sodium content 45-75 meq (pedialyte or gatorade) 26. Patients with dia