Chamberlain NR 511 Midterm Questions and Answers 100% Pass

Chamberlain NR 511 Midterm Questions and Answers 100% Pass What are common causes of N/V associated with gastritis? Alcohol, NSAIDs, ASA, ABX, and illicit substances What is the most common cause of nausea and vomiting? Acute Gastroenteritis (AGE) What are some manifestations of AGE? Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and borborygmus. How is the severity of AGE gauged? Dehydration secondary to profuse watery diarrhea, fever greater than 101ºF (38.3ºC), vomiting, or dysentery. What are important parts of a patient's history when AGE is suspected? Travel, dining locations, ABX history.. What happens to the pH of the stomach when antacids are taken and how does this affect bacteria? High pH can make it easier for bacteria to survive and cause and infection. How does motility of the GI tract affect bacteria colonization? Small bowel stasis as a result of obstruction, diverticulitis, or blind loop syndrome frequently develop an overgrowth of bacteria within the stagnant segment. Which immunoglobulin may protect the GI tract against invading organisms? IgA...may also help protect against a future attack by the same pathogen. Onset of N/V begin within 6 hours after exposure. Is this bacterial or viral? Bacterial: time frame suggests food poisoning resulting from the ingestion of a preformed toxin such as that of Bacillus cereus. What two indications are highly suggestive of viral AGE? Incubation periods greater than 14 hours and the initial symptom of vomiting. If a patient presents with AGE and reports bloody stools, what can be understood about the reason for blood in the stool/ Mucosal damage and inflammatory process secondary to invasive pathogens. What do frothy stools and flatus suggest? Malabsorption problem. Patients with prolonged AGE illness who are malnourished may present with edema. What is the reason? Hypoalbuminemia T or F: Chronic diarrhea usually has a noninfectious etiology. True T or F: Acute diarrhea usually is caused by infectious agents or toxins True What is the most common viral pathogen causing AGE in adults? Norovirus What is the most common viral pathogen causing AGE in pediatrics? Rotavirus. This has been greatly reduced since the introduction of the rotavirus vaccine. T or F: Stool studies are indicated in the absence of bloody diarrhea or systemic disease False T or F: A CBC will help distinguish between viral and bacterial AGE False When