NUR170 Exam 4
Questions And Revised Correct Answers & Rationales ()
100% Guaranteed Pass ||Complete A+ Guide
What are the symptoms for GERD or a Hiatal Hernia? - CORRECT ANSWER --Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - CORRECT ANSWER --
Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - CORRECT ANSWER --Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - CORRECT ANSWER -Aspiration
Can a patient have GERD and not have a hernia? - CORRECT ANSWER -Yes
,Can a patient have a hernia and not have GERD? - CORRECT ANSWER -No
If a patient has GERD, how should they lay in bed? - CORRECT ANSWER -On their right side or
with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - CORRECT ANSWER -- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - CORRECT ANSWER -- 2-4L of oxygen
nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis? - CORRECT ANSWER -Boardlike abdomen
What are the vital signs for a patient with an active bleed? - CORRECT ANSWER -Low BP, High
pulse
What part of the body does Crohns disease affect? - CORRECT ANSWER -"Gum to Bum"= Mouth
all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - CORRECT ANSWER -Rectum/ Sigmoid
colon
, Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER -Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER -Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - CORRECT ANSWER -- Bloody/ Mucus
stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - CORRECT ANSWER --Steatorrhea (fatty
and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - CORRECT ANSWER -Crohns disease
What is the surgical intervention for Ulcerative Colitis? - CORRECT ANSWER -Removal of the
colon resulting in a ileostomy
What is the surgical intervention for Crohns? - CORRECT ANSWER -There is none. Only surgery is
performed if something is wrong (perforations, strictures, or fistulas)
Questions And Revised Correct Answers & Rationales ()
100% Guaranteed Pass ||Complete A+ Guide
What are the symptoms for GERD or a Hiatal Hernia? - CORRECT ANSWER --Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? - CORRECT ANSWER --
Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - CORRECT ANSWER --Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what? - CORRECT ANSWER -Aspiration
Can a patient have GERD and not have a hernia? - CORRECT ANSWER -Yes
,Can a patient have a hernia and not have GERD? - CORRECT ANSWER -No
If a patient has GERD, how should they lay in bed? - CORRECT ANSWER -On their right side or
with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - CORRECT ANSWER -- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - CORRECT ANSWER -- 2-4L of oxygen
nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis? - CORRECT ANSWER -Boardlike abdomen
What are the vital signs for a patient with an active bleed? - CORRECT ANSWER -Low BP, High
pulse
What part of the body does Crohns disease affect? - CORRECT ANSWER -"Gum to Bum"= Mouth
all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - CORRECT ANSWER -Rectum/ Sigmoid
colon
, Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER -Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - CORRECT ANSWER -Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - CORRECT ANSWER -- Bloody/ Mucus
stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease - CORRECT ANSWER --Steatorrhea (fatty
and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas? - CORRECT ANSWER -Crohns disease
What is the surgical intervention for Ulcerative Colitis? - CORRECT ANSWER -Removal of the
colon resulting in a ileostomy
What is the surgical intervention for Crohns? - CORRECT ANSWER -There is none. Only surgery is
performed if something is wrong (perforations, strictures, or fistulas)
