NUR 339 Exam 10
- Manifestations of Chron's disease?
Answer diarrhea, camping RLQ, weight loss, F&E and nutritional imbalances, low grade fever, fistulas, strictures
- bicarbonate
Answer reduces acidity
- Bile duct & pancreatic duct structure
- Share an opening into the duodenum o Can cause issues if gallstones present such as
Answer
pancreas digesting itself
- cerebral cortex
Answer anticipatory N/V
5. CTZ
Answer hormones
- sensory organ
Answer sighs and smells
- vestibular apparatus
Answer motion
- Client teaching for GERD 1 / 4
Answer void large meals, don't lie or bend after eating, weight reduction, avoid aggravating foods, sleep with head elevated, cessation of smoking, decrease in ETOH
- Causes of PUD?
- pylori, stress, major trauma, severe medical illness, NSAIDS, aggregating foods
Answer
- Manifestations of PUD?
Answer burning, gnawing or cramp-like pain in epigastric region that may radiate to back or shoulder, relieved by food or antacids
- Client teaching for PUD?
Answer take full dose of antibiotics, small frequent meals, drinking between metals, reduce stress
- Nursing Implications for PUD?
Answer Check for blood in stool and emesis, fever
- Treatment for PUD?
Answer cauterize, antibiotics
- Complications of PUD?
Answer hemorrhage, obstruction, perforation
- Causes of IBS
Answer heredity, psychosocial stress, high fat diet, irritating foods, smoking
- Manifestations of IBS 2 / 4
Answer vary widely, constipation & diarrhea, S&S relieved by abd pain, bloating, cramping, altered bowel function
- Treatment of IBS
Answer avoid aggravating foods, manage S&S, stress reduction
- Client teaching for IBS
Answer increase fiber, avoid aggravating foods, stool softeners, bulking agents
- Diagnostic tests for IBS
Answer H & P, S&S for 12 wks, pain relief defecation, pain w/ changes in bowel function & change look of stool
- Chron's disease causes?
Answer autoimmune
- Treatment for Chron's disease?
Answer surgery to repair fistulas, structures, drain abscesses, remove diseased bowel, ileostomy
- Client teaching for Chron's disease?
Answer avoid aggravating foods, try to correct F&E imbalance
- Diagnostic tests for Chron's disease?
Answer colonoscopy
- Manifestations of ulcerative colitis? 3 / 4
Answer diarrhea w/ blood and mucus, abd pain, anorexia, fatigue weakness, fever, high ESR, anemia, continuous inflammation
- Treatment of ulcerative colitis
Answer corticosteroids, surgery
- Client teaching for ulcerative colitis?
Answer avoid aggravating foods, stay hydrated, take meds regularly
- Diagnostic tests for ulcerative colitis
Answer stool sample, colonoscopy,
- Causes of diverticulitis
Answer occurs when there is an inflammation of the divertic- ula, a MAJOR cause is constipation
- Manifestations of diverticulitis
Answer pain in left lower quadrant, tenderness, nau- sea, vomiting, elevated white count, fever
- Treatment of diverticulitis
Answer liquid diet or NPO, antibiotics, surgery, pain control
- Complications of diverticulits
- / 4
Answer perforation, peritonitis, hemorrhage, bowel ob- struction, fistulas