NUR 242 MED SURG EXAM 3 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
GALEN COLLEGE OF NURSING
Gastric Cancer - ANSWER - >Stomach cancers tend to develop slowly
over many years. Before a true cancer develops, pre-cancerous changes
often occur in the inner lining (mucosa) of the stomach. These early
changes rarely cause symptoms and therefore often go undetected
The decline of stomach acids has been linked to the frequent use of
antibiotics to treat infection. Antibiotics can kill the bacteria called -
ANSWER - >Helicobacter pylori (H. pylori), which is though to be a
major cause of stomach cancer
Gastrectomy post care - ANSWER - >Administer protein and vitamin
supplements to foster wound repair and tissue building. Eat small,
frequent meals.
Stress the importance of long term vitamin B12 injections after -
ANSWER - >gastrectomy to prevent surgically induced pernicious
anemia
Irritable bowel syndrome (IBS) - ANSWER - >refers to a disorder that
involves abdominal pain and cramping, as well as changes in bowel
movements
,IBS risk factors include - ANSWER - >consuming a diet high in fats and
gas producing foods. Consuming carbonated beverages, caffeine and
alcohol contribute to the development.
IBS related factors - ANSWER - >Smoking and stress. Emotional
experiences such as anxiety and depression are also a factor as this
affects the autonomic nervous system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on - ANSWER - >education
and emotional support. Help the patient implement lifestyle changes
that reduce stress. Remind the patient about regular exercise,
Discourage smoking while encouraging the need for regular physical
examinations
Intestinal obstruction is - ANSWER - >a partial or complete blockage of
the bowel that results in the failure of the intestinal contents to pass
through
With obstruction - ANSWER - >gas and fluid accumulate proximal to and
within obstructed segment causing bowel distention
A bowel obstruction is divided into two basic categories:
- ANSWER - >Mechanical and Non-mechanical
Treatment of intestinal obstruction is directed toward - ANSWER -
>relieving symptoms, managing fluid and electrolyte imbalances,
preventing complications, and treating the cause of obstruction
Surgery may be needed to relieve the obstruction if - ANSWER - >gastric
decompression does not relieve the symptoms, or if there are signs of
, bowel necrosis. The type of surgery will depend on the type and area of
obstruction and may include intestinal resection with an anastomosis or
creation of an ileostomy or colostomy
If the small bowel obstruction is complete, the peristaltic waves
become quite vigorous, assuming - ANSWER - >revers direction,
propelling intestinal contents toward
the mouth rather than the rectum
Small bowel obstruction patient vomits - ANSWER - >stomach contents
first, then the bilious contents of the duodenum, and finally the fecal
contents of the ileum
A distended abdomen, a bloated sensation, and altered bowel sounds
may indicate a - ANSWER - >small bowel obstruction.
Patients with Ileostomy who develop distention and cramping should
apply - ANSWER - >warm, moist towels to abdomen or lightly massage
abdomen
In large bowel obstructionWhat may be the only
symptom for several days? - ANSWER - >constipation
In large bowel obstruction Barium enema may be ordered to reveal -
ANSWER - >a distended, air-filled colon. Monitor the patient for bowel
movement after a barium enema
Patients with large bowel obstructions may experience intermittent
persistent - ANSWER - >lower abdominal cramping. Severe pain may
result from strangulation or bowel perforation
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
GALEN COLLEGE OF NURSING
Gastric Cancer - ANSWER - >Stomach cancers tend to develop slowly
over many years. Before a true cancer develops, pre-cancerous changes
often occur in the inner lining (mucosa) of the stomach. These early
changes rarely cause symptoms and therefore often go undetected
The decline of stomach acids has been linked to the frequent use of
antibiotics to treat infection. Antibiotics can kill the bacteria called -
ANSWER - >Helicobacter pylori (H. pylori), which is though to be a
major cause of stomach cancer
Gastrectomy post care - ANSWER - >Administer protein and vitamin
supplements to foster wound repair and tissue building. Eat small,
frequent meals.
Stress the importance of long term vitamin B12 injections after -
ANSWER - >gastrectomy to prevent surgically induced pernicious
anemia
Irritable bowel syndrome (IBS) - ANSWER - >refers to a disorder that
involves abdominal pain and cramping, as well as changes in bowel
movements
,IBS risk factors include - ANSWER - >consuming a diet high in fats and
gas producing foods. Consuming carbonated beverages, caffeine and
alcohol contribute to the development.
IBS related factors - ANSWER - >Smoking and stress. Emotional
experiences such as anxiety and depression are also a factor as this
affects the autonomic nervous system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on - ANSWER - >education
and emotional support. Help the patient implement lifestyle changes
that reduce stress. Remind the patient about regular exercise,
Discourage smoking while encouraging the need for regular physical
examinations
Intestinal obstruction is - ANSWER - >a partial or complete blockage of
the bowel that results in the failure of the intestinal contents to pass
through
With obstruction - ANSWER - >gas and fluid accumulate proximal to and
within obstructed segment causing bowel distention
A bowel obstruction is divided into two basic categories:
- ANSWER - >Mechanical and Non-mechanical
Treatment of intestinal obstruction is directed toward - ANSWER -
>relieving symptoms, managing fluid and electrolyte imbalances,
preventing complications, and treating the cause of obstruction
Surgery may be needed to relieve the obstruction if - ANSWER - >gastric
decompression does not relieve the symptoms, or if there are signs of
, bowel necrosis. The type of surgery will depend on the type and area of
obstruction and may include intestinal resection with an anastomosis or
creation of an ileostomy or colostomy
If the small bowel obstruction is complete, the peristaltic waves
become quite vigorous, assuming - ANSWER - >revers direction,
propelling intestinal contents toward
the mouth rather than the rectum
Small bowel obstruction patient vomits - ANSWER - >stomach contents
first, then the bilious contents of the duodenum, and finally the fecal
contents of the ileum
A distended abdomen, a bloated sensation, and altered bowel sounds
may indicate a - ANSWER - >small bowel obstruction.
Patients with Ileostomy who develop distention and cramping should
apply - ANSWER - >warm, moist towels to abdomen or lightly massage
abdomen
In large bowel obstructionWhat may be the only
symptom for several days? - ANSWER - >constipation
In large bowel obstruction Barium enema may be ordered to reveal -
ANSWER - >a distended, air-filled colon. Monitor the patient for bowel
movement after a barium enema
Patients with large bowel obstructions may experience intermittent
persistent - ANSWER - >lower abdominal cramping. Severe pain may
result from strangulation or bowel perforation
