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NUR 242 Exam: Medical-Surgical Nursing – Complete Study Guide with Questions & Correct Answers | Latest Update | Tested & Approved

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Excel on NUR 242 Medical-Surgical Nursing Exam with this comprehensive study guide featuring questions and correct answers. Covering essential medical-surgical topics including gastrointestinal disorders (ulcerative colitis, Crohn's disease, diverticulitis, GERD, hiatal hernia, gastritis, peptic ulcer disease, gastric cancer, irritable bowel syndrome, intestinal obstruction, appendicitis, cholelithiasis, hepatitis), nutritional disorders and enteral/parenteral nutrition, ostomy care, bariatric surgery, respiratory disorders (asthma, COPD, sleep apnea, pneumonia, tuberculosis, SARS, lung cancer, pulmonary emphysema, sarcoidosis), oxygen therapy and breath sounds, chest drainage systems, and postoperative care. Perfect for nursing students mastering medical-surgical nursing concepts and preparing for NUR 242 exam success.

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NUR 242 EXAM
QUESTIONS AND CORRECT ANSWERS,
COMPLETE
STUDY GUIDE LATEST UPDATE TESTED
AND APPROVED




Stoma pouch is emptied at intervals and always before it is - ANS✔✔-
--half full. Apply a skin barrier directly to stoma prior to application
of pouch system Ulcerative Colitis involves only the - ANS✔✔---
large intestine.

Hemorrhages and abscess occur in - ANS✔✔---ulcerative colitis

Blood, mucous, and pus can be noted in the stools of the patient with -
ANS✔✔---ulcerative colitis as well as an urgent sensation to defecate

Ulcerative colitis patients report - ANS✔✔---weight loss, anorexia,
fatigue, and weakness

The patient with ulcerative colitis may experience a - ANS✔✔---fever
Page 1 of 32

,Pain is in the lower left quadrant (LLQ) in - ANS✔✔---ulcerative
colitis

Ulcerative colitis Diagnostic studies include a - ANS✔✔---CBC to assess
for anemia, leukocytosis from inflammation and abscess formation.
Serum albumin and folic acid levels which may be low due to
malabsorption. Stool examinations for blood and stool cultures are
ordered to rule out infections

Diverticulitis occurs when - ANS✔✔---one or more diverticula become
inflamed or infected.

Diverticula are - ANS✔✔---small, bulging pouches that can form
anywhere in the digestive system, including the esophagus, stomach,
small intestine, and most commonly in the large intestine

Diverticulitis medical treatment includes a - ANS✔✔---liquid or low-
fiber diet and antibiotics. Rest is also needed. Over-the-counter pain
reliever, such as acetaminophen (Tylenol) may be taken.

Diverticulitis: Opioids are avoided if possible as the tend to be -
ANS✔✔--- constipating and may aggravate the problem

Diverticulitis patients should void the use of - ANS✔✔---over-the-
counter (OTC) laxatives to prevent constipation, monitor for signs of
bleeding, and limit intake of dietary fat

Page 2 of 32

,Hepatitis is a widespread inflammation of the - ANS✔✔---liver that
results in degeneration and necrosis of liver cells

Hepatitis A has an incubation period of - ANS✔✔---15 to 50 days

Hepatitis A is spread via the - ANS✔✔---fecal-oral route by
fecal contamination either from person-to-person contact or by
consuming contaminated food or water

Hepatitis a is more common in countries with - ANS✔✔---poor
sanitation (handwashing) are most at risk

The hepatitis B virus is spread through - ANS✔✔---unprotected
sexual intercourse with an infected partner, sharing needles,
accidental needle sticks, and hemodialysis. Use standard precautions
when caring for a client who has hepatitis HBV.

Hepatitis C is caused by a - ANS✔✔---single-stranded RNA virus, has
an incubation period of 7 weeks, and is transmitted via blood to blood

Hepatitis C is usually spread by - ANS✔✔---sharing needles, needle
sticks, unsanitary tattoo equipment, and sharing of intranasal cocaine
paraphermalia

Cholelithiasis, or gallstones, develop due to the inflammation of the -

ANS✔✔---gallbladder, the inflammation is called cholecystitis


Page 3 of 32

, Cholelithiasis: The nursing assessment will include dietary preferences
focusing on consumption of - ANS✔✔---fatty foods in relation to pain
developing

Patients with acute cholecystitis present with - ANS✔✔---
abdominal pain, although clinical manifestations vary in intensity
and frequency Cholecystectomy is removal of the - ANS✔✔---
gallbladder

The laparoscopic cholecystectomy is the - ANS✔✔---gold standard and
is preformed far more often than the traditional open approach

Gall Bladder Disease: Patient education for patients with biliary
disorders includes - ANS✔✔---diet teaching. Tell the patient to not
skip meals and to exercise regularly. Foods not well tolerated include
eggs, pork, onions, poultry, milk, coffee, oranges, corn, beans, and
nuts.

Complications associated with malnutrition in adults include -
ANS✔✔--- muscle wasting, lethargy, intolerance to cold, edema, dry
skin, or dermatitis, poor wound healing, infection, and possible death

Socioeconomic factors can have a negative effect on nutritional status
the assessment should include details on - ANS✔✔---social isolation,
access to food, depression, substance abuse, and poverty.


Page 4 of 32

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