NUR 170 EXAM Package Deal Actual Exam
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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
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-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
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-Two large bore IV's
-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
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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