Hondros NURS 212 Exam 2 Questions
and Answers 2026
IBS (irritable bowel syndrome)
syndrome that can be reversed
IBD (inflammatory bowel disease)
autoimmune disease like crohns and UC
Where is Crohn's disease located?
anywhere in the GI tract. segmental
Where is ulcerative colitis found?
in the colon only. affects mucosal layer
Crohn's disease symptoms
diarrhea, abd cramping, wt loss, decreased absorption, rectal bleeding
meds contraindicated with crohns
NSAIDs and contraceptives
ulcerative colitis symptoms
bloody diarrhea, abd cramping (mild), acute perforations, rectal blood, intestine
may tear open
Mild UC
4 stools/day. semi formed with small amount of blood
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Moderate UC
up to 10 stools/day, bleeding, systemic symptoms
(fever, malaise, mild anemia, anorexia)
Severe UC
up to 20 stools/day. bloody, mucous, fever, rapid wt loss (10% of total body wt),
anemia, tachycardia, dehydration
IBD complications
hemorrhage, strictures, perforation, fistulas, abcesses, c diff, toxic megacolon
strictures
nothing goes through intestine
fistula
abnormal passageway
cancer risk with crohns disease
GI, colorectal, small intestine cancer
systemic complications of IBD
circulating cytokines trigger inflammation. joint, eye, mouth, kidney, bone,
vascular, skin, liver failure
IBD/IBS diagnostic tests
hx & phys, labs, stool sample, culture
imaging for IBD/IBS
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double contrast barium enema study, small bowel series, trans abdominal
ultrasonography, CT/MRI, colonoscopy
IBD/IBS possible lab findings
anemia, decreased electrolytes, increased WBCs, low albumin, high ESR and c-
reactive protein
what does high esr and c reactive protein indicate
inflammation
goals for IBD/IBS
rest bowel, control inflammation, combat infxn, fix malnutrition, alleviate stress,
relieve symptoms, increase quality of life
drugs used to induce/maintain remission (ibd/ibs)
antimicrobials, steroids, biologics, aminosalicylic acids
What are antimicrobials used for
infection
what are steroids used for
decrease inflammation
Aminosalicylic acid drugs
sulfa drugs. dont go in the sun. turns things orange
Steroids for IBD
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