NURS 142TEST BANK FINAL EXAM QUESTIONS WITH VERIFIED
ANSWERS (DETAILED AND ELABORATED) A+ GRADED LATEST
UPDATE 2025-2026 ||ACTUAL EXAM NURS 142
• Rapid physical growth and endocrine and hormonal changes
• Increased energy demands
• Increased calcium and iron requirements related to
Nutritional considerations in bone, muscle mass increase ad menarche
Adolescents • Impact of societal importance placed on physical appearance
• Body preoccupation and
disordered eating Influence
of gender
- Alcohol: Relaxes sphincter -- acid reflux or heart burn
- Coffee, tea and carbonated beverages: Relax the
Problem foods for maintaining
esophageal sphincter= keeps stomach acid confined
GI health
to the stomach; Acts as diuretics, which can lead to
diarrhea and cramping
- Improves appetite
- Increases GI tract tone= improves digestion and elimination
Exercise's affects on GI health
- Rowing, walking, swimming work abdominal muscles and help
relieve constipation
- Abdominal compressive exercises (yoga) improve irritable
bowel syndrome
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- Toothloss = poor diet intake
- Reduced saliva = dry mouth (more prone to infection)
- Decreased esophageal and gastric motility and emptying (liver
Aging and GI health and pancreas)
- Gradual decrease in digestive enzymes and intrinsic
factor (protein needed to make B12)
- Decreased intestinal absorption, motility and blood flow
What cultures have a higher Asians, Africans, jews
rate of lactose intolerant
people?
Erythematous Reddened or inflamed skin/mucous membranes
1. Perform hand hygiene and apply gloves
2. Observe existing skin barrier and pouch for leakage and length
of time in place
3. Observe amount of effluent in pouch and empty it if it
Is more than one third to 1/2 full-- measure contents;
Assessment before changing note consistency of effluent
Ostomy Bag
4. Observe stoma for type, location, colour, swelling,
presence of sutures, trauma, and healing or
irritation of peristomal skin
5. Observe abdomen for best type of pouching
system; look at contour, incisions and scars
6. Explore patients attitude toward learning self care and
identify others who will be helping patient after
leaving hospita
Stoma Outside opening of intestine
Effluent what is coming out of the Ostomy
stool is similar to bowel movement through rectum
Effluent out of large intestine
- Called colostomy
Effluent out of transverse or more liquid to semi formed stool
ascending colon - Called colostomy
effluent coming from ileum Watery or thick liquid
or small intestine - Called ileostomy
• Fecal material from colostomy or ileostomy is irritating to the
skin
Stoma and skin care • Ileostomy stool still contains digestive enzymes
• Check peristomal skin for irritation each time the appliance is
changed
• Simple skin care using warm water and dry thoroughly
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the outlet of the gastrointestinal tract, surrounded by
The Anal Canal
two concentric layers of the muscle called the
sphincters
What sphincter is under Internal
involuntary control?
What sphincter is under external (surround internal)
voluntary control?
distal portion of the large intestine, extends from the
Rectum
sigmoid colon and ends at the anal canal (12cm long)
lies in front of anterior wall of the rectum and behind the
Prostate
symphysis pubis. Surrounds the bladder necks and
urethra secretes thin milky stuff to help sperm
→ Usual bowel habits
→ Change in bowel habits
→ Rectal bleeding, blood in stool
→ Medications (laxatives, stool softeners, iron)
Subjective GI data
→ Rectal conditions (puritis (itchiness), hemorrhoids
(distended veins), fissure (deep groove; predisposes to
fistula), fistula (hole))
→ Family history
Self care behaviours
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