Final Exam: NR341 / NR 341 (Latest
Update 2025 / 2026) Complex Adult Health | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
What do you hang if you do not have TPN or PPN?
Answer:
D10
Question:
Portal Vein gets blood from what?
Answer:
gets venous blood from GI which perfuses liver too
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Question:
Upper GI bleeds
Answer:
duodenal/gastric ulcers, esophageal/gastric varices, Mallory-Weiss Tear
Question:
Lower GI bleeds
Answer:
polyps, inflammation, diverticulitis, cancer, ectasias, hemorrhoids
Question:
Upper GI Bleeds: PUD
Answer:
break in mucosa that damages blood vessels and bleeding results -- perforate into GI wall -Duodenal and Gastric are most common --H. pylori, NSAIDS, smoking and alcohol
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Question:
Stress Ulcers
Answer:
accompany severe illness, trauma or neuro injury
Question:
Mallory Weiss Tear
Answer:
a longitudinal tear in mucosal membrane of the GEJ. Occur from a sudden powerful or prolonged force due to coughing, vomiting, seizures, prolapse of the stomach into the esophagus or CPR.
, Tx: usually heals on it's own (stop NSAIDs, alcohol, reduce
vomiting/coughing) -fluids/blood transfusions -endoscopic treatment > epi injection, cautery, compression (endoclip/band) -surgery is rare
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Question:
Interventions for Variceal Bleed
Answer:
causes massive upper GI blood loss -somatostatin/octreotide and vasopressin
-endocscopic band ligation: rubber band over varix
-TIPS procedure: place shunt between hepatic and portal veins to decrease
portal pressure
Question:
Esophagogastric Tamponade
Answer:
balloon inside esophagus
Question:
Cirrhosis
Answer:
end stage liver disease, degeneration/destruction of liver cells: fibrosis and
nodules
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