NUR170 Exam 4 Questions And Answers.
Updated And Verified.
What are the symptoms for GERD or a Hiatal Hernia? - Answer✔-Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - Answer✔-Lifestyle
changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - Answer✔-Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - Answer✔Aspiration
Can a patient have GERD and not have a hernia? - Answer✔Yes
Can a patient have a hernia and not have GERD? - Answer✔No
If a patient has GERD, how should they lay in bed? - Answer✔On their right side or with the
head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - Answer✔- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - Answer✔- 2-4L of oxygen nasal canula
-Two large bore IV's
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-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis? - Answer✔Boardlike abdomen
What are the vital signs for a patient with an active bleed? - Answer✔Low BP, High pulse
What part of the body does Crohns disease affect? - Answer✔"Gum to Bum"= Mouth all the
way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - Answer✔Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - Answer✔Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - Answer✔Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - Answer✔- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - Answer✔-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - Answer✔Crohns disease
What is the surgical intervention for Ulcerative Colitis? - Answer✔Removal of the colon
resulting in a ileostomy
What is the surgical intervention for Crohns? - Answer✔There is none. Only surgery is
performed if something is wrong (perforations, strictures, or fistulas)
Describe the stool of an illeostomy? - Answer✔Watery. Located on the right side of body
Describe the stool of a colostomy? - Answer✔Formed. Located on the left side of the body
If a colostomy is not draining, what should be done? - Answer✔- Moist warm towels on
abdomen
- Hot tea
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