NUR 121 – Nursing Program – 2024/2025 –
Complete Exam 2 Study Guide –
Comprehensive Question and Answer Review
Introduction:
This document provides a comprehensive review for NUR 121
Exam 2, focusing on neurological and gastrointestinal
disorders. It covers stroke types and management, traumatic
brain injuries, dementia, Parkinson’s disease, intestinal
disorders, inflammatory bowel diseases, cirrhosis, and related
assessments, diagnostics, and interventions.
The material is organized in a structured question-and-answer
format to support active recall and NCLEX-style exam
preparation. It serves as a complete and detailed study
resource for targeted exam review.
Exam Questions and Answers:
Colorectal Cancer Treatment ---Correct Answer---Colon
resection or colectomy; chemo/radiation
Colostomy Teaching ---Correct Answer---Stoma: pink and
moist
,how to measure/apply bag, where to get appliances, body
image considerations, avoid odorous foods
Post-op colostomy: If dressing comes off, what do you do? ---
Correct Answer---cover with petroleum jelly dressing w/
gauze over stoma
IBS ---Correct Answer---most common digestive disorder;
caused by env, genetic, hormonal, stress factors; women>men
S/S: bowel motility/pattern changes
IBS-C ---Correct Answer---constipation
IBS-D ---Correct Answer---diarrhea
*dehydration, fluid vol loss
IBS-A ---Correct Answer---alternating diarrhea and
constipation
IBS-M ---Correct Answer---mix of diarrhea/constipation
IBS Assessment ---Correct Answer---Hx: GI infections
,weight change, fatigue, LLQ abd pain, changes in stool/pattern,
n/v (meals or defecation), gas, bloating
Diet: carbonated, fructose, caffeine, sweeteners
IBS Diagnostics ---Correct Answer---CBC, Albumin ↓ (bad
food), ESR as rule out,
Hydrogen Breath Test: test overgrowth of bacteria in GI
IBS-C Meds ---Correct Answer---Psyllium hydrophilic mucilloid
(metamucil)
Lubiprostone: Lax approved for women
Linaclotide: promotes bowel transit time
IBS Interventions ---Correct Answer---Symptom Diary, AVOID
trigger foods. eat regular meals chewing slowly, 8-10 cups
fluids/dy
Med: amitriptyline (pain is pc) --> take 30-45min before meals
Herbal: peppermint, ginger
Stress management
IBS-D Meds ---Correct Answer---Loperamide, Psyllium
, Herniation ---Correct Answer---segment of bowel protrudes
out; seen in postop wound infections, obesity, muscle
weakness, ↑ abd pressure
Types: indirect/direct inguinal (can strangulate), femoral,
umbilical
*strangulation = emergency!!
S/S of Strangulated Hernia ---Correct Answer---abdominal
distention, N&V, severe pain, fever, tachycardia, no bowel
sounds
Herniation Interventions ---Correct Answer---Truss Pad: when
surgery is not option for large hernias; helps keep hernia in
place
Herniorrhaphy (repair) --> Hernioplasty w/ mesh patch
Herniorrhaphy PostOp Interventions ---Correct Answer---Rest,
no lifting 10lbs>, shower 24-36hrs post, deep breathe,
ambulation, ↑ fluids
Monitor s/s infections: temp, drainage, redness, swelling
NO coughing
Meds: analgesics, stool softeners
Complete Exam 2 Study Guide –
Comprehensive Question and Answer Review
Introduction:
This document provides a comprehensive review for NUR 121
Exam 2, focusing on neurological and gastrointestinal
disorders. It covers stroke types and management, traumatic
brain injuries, dementia, Parkinson’s disease, intestinal
disorders, inflammatory bowel diseases, cirrhosis, and related
assessments, diagnostics, and interventions.
The material is organized in a structured question-and-answer
format to support active recall and NCLEX-style exam
preparation. It serves as a complete and detailed study
resource for targeted exam review.
Exam Questions and Answers:
Colorectal Cancer Treatment ---Correct Answer---Colon
resection or colectomy; chemo/radiation
Colostomy Teaching ---Correct Answer---Stoma: pink and
moist
,how to measure/apply bag, where to get appliances, body
image considerations, avoid odorous foods
Post-op colostomy: If dressing comes off, what do you do? ---
Correct Answer---cover with petroleum jelly dressing w/
gauze over stoma
IBS ---Correct Answer---most common digestive disorder;
caused by env, genetic, hormonal, stress factors; women>men
S/S: bowel motility/pattern changes
IBS-C ---Correct Answer---constipation
IBS-D ---Correct Answer---diarrhea
*dehydration, fluid vol loss
IBS-A ---Correct Answer---alternating diarrhea and
constipation
IBS-M ---Correct Answer---mix of diarrhea/constipation
IBS Assessment ---Correct Answer---Hx: GI infections
,weight change, fatigue, LLQ abd pain, changes in stool/pattern,
n/v (meals or defecation), gas, bloating
Diet: carbonated, fructose, caffeine, sweeteners
IBS Diagnostics ---Correct Answer---CBC, Albumin ↓ (bad
food), ESR as rule out,
Hydrogen Breath Test: test overgrowth of bacteria in GI
IBS-C Meds ---Correct Answer---Psyllium hydrophilic mucilloid
(metamucil)
Lubiprostone: Lax approved for women
Linaclotide: promotes bowel transit time
IBS Interventions ---Correct Answer---Symptom Diary, AVOID
trigger foods. eat regular meals chewing slowly, 8-10 cups
fluids/dy
Med: amitriptyline (pain is pc) --> take 30-45min before meals
Herbal: peppermint, ginger
Stress management
IBS-D Meds ---Correct Answer---Loperamide, Psyllium
, Herniation ---Correct Answer---segment of bowel protrudes
out; seen in postop wound infections, obesity, muscle
weakness, ↑ abd pressure
Types: indirect/direct inguinal (can strangulate), femoral,
umbilical
*strangulation = emergency!!
S/S of Strangulated Hernia ---Correct Answer---abdominal
distention, N&V, severe pain, fever, tachycardia, no bowel
sounds
Herniation Interventions ---Correct Answer---Truss Pad: when
surgery is not option for large hernias; helps keep hernia in
place
Herniorrhaphy (repair) --> Hernioplasty w/ mesh patch
Herniorrhaphy PostOp Interventions ---Correct Answer---Rest,
no lifting 10lbs>, shower 24-36hrs post, deep breathe,
ambulation, ↑ fluids
Monitor s/s infections: temp, drainage, redness, swelling
NO coughing
Meds: analgesics, stool softeners
