exam 3 NR 324 2023 with verified questions and answers

due to h pylori autoimmune sym; anorexia,n,v,d, fullness infection = antibiotics gastritis hydrochloric acid & pepsin are the cause can be gastric or duodenal due to NSAIDS & asprin 3 complications; hemorrhage, perforation & gastric outlet obstruction if perforation occurs; stop spillage & resotre blood volume surgical; partial gastreotomy & pylorplasty peptic ulcer disease non specific mucousal injury as a result of h, pylori infections autoimmune related or repeated exposure to irritant like ;;;; tobacco, bile & obesity spreads to other organs symp; weight loss, lack of appetite, abd pain, indigestion & symptoms of anemia tx; depends on location & stage detect pt. w/ pernicious anemia @ greater risk goal; minimal discomfort, optimal nutrition, maintain degree of well being appropriate to disease stage stomach cancer cause & treatment through exam, labs, endoscopy, surgical becomes when bleeding continuous regardless of what you do for it upper GI bleed cause; ecoli, bacteria nonspecific can come from contaminted foods large part of prevention is teaching uncooked meats n,v,d food borne illness periumbilical pain, continuous & consistent localize @ mc Burneys point tx; surgical removal, antibiotics & rest appendicitis organism or chemicals enter peritoneal cavity, during dialysis when perforates it is an emergency rebound tenderness & increased pain w/ movement electrolyte imbalance & septic shock drain fluid & repair damage. IV fluids, antibiotics, NG tube peritonitis outpouching of mucosa that is INFLAMMED causing bleeding symp;abd pain, bloating & changes in bowel habits teach pt about high fiber diet & decrease fat & red meat diverticulitis abnormal side pockets in the intestinal wall diverticulosis osteo, rheumatoid, & gout tx; NSAIDS b/c inflammed of synovial joint symp; fatiuge, fever, want to manage pain & prevent disability manage w/ rest, heat & cold & excersie DO NOT DO ROM! arthritis systemic disease w/ inflammation of connective tissue of synovial joints fatigue, wt loss, & gen stiffness, pain limited ROM & inflammation stiff after activity, progresses to muscle athrophy & around joints tx; reduce inflammation & manage pain & joint function & correction of deformity RA acumulation of URIC ACID obesity, diuretic use, excessive alcohol use tx; drug theraphy caused by foods that are high in pruine red & organ meats need to be avioded support inflammed joint gout 30yr old pt w/ lupus what is the most important lab for RN to know about or to communicate to MD- elevated BUN pt comes in w/ joint sweling & pain , they are being tested for lupus which test would give most specific findings anti nuclear antibody pt has reddened rash over nose & face butterfly (facial) rash defines lupus immune deficiency- which one of the statements would you indicate further teaching eating sushi pt comes into clinic who has AIDS who has a decreased CD4 count, the nurse should recognize that the client is most likely to have which opportunistic infection pneymocystitis pneumonia how is HIV transmitted sexual contact, blood, semen, vaginal secretions, sharing toothbrushes, in order from earliest to latest; how a wound heals vascular, cellular,exudate & healing you have an older pt that has been lying on their back for 3hrs when RN repositions which bony prominence is of most concern? heels, sacrum & back of the head pt asks what is the function of the spleen, thymus, and lymph nodes? immunitiy innate immunity what type of immunity is present at birth paper cut heals through this method primary stage stage 3 ulcer secondary suturing tertiary how are wounds classified by depth, color, cause risk factors for osteaoarthritis age, genetics, & lack of excersie need to educate client about gout when he says reducing meat is not important goal of immune supression is to decrease rejection of organ common health care associated infection in older adults uti what acronym is used to describe scleroderma CREST genetic disorder can be caused by mutation of single or multipule genes can be inherited damage to chhromosome myofascial pain syndrome treatment includes massage, physical therapy, acupuncture, anestheisa to trigger points pt with anaphylactic reaction medical emergency pt who has been getting an antibiotic & has anaphylactic reaction what to do? rapid response pt w/ abdominal wound, blood work shows an increased WBC, what is the next thing you have to do wound culture pt confined to bed has stage 2 pressure ulcer, need to teach family to prevent further tissue damage change pt position every 2 hours pt who has been npo for treatment of nausea, vomiting, caused by gastric irritation, MD wants pt to start oral intake what to give the pt? lemon jello pt who uses smokeless tobacco has signs of oral cancer red velvety patches on buccal mucosa pt has order for nexium,RN explains this drug treats gastroesophageal disease by decreasing stomach acid production after teaching pt about GERD include diet choice for a snack before bedtime lemon gelatin, & fruit NEVER GIVE BECAUSE IT INCREASES ACID peppermint oil pt comes into clinic & has frequent heartburn PPI proton pump inhibitor pt who is vomiting blood streaked fluid & admitted for acute gastritis what is one thing to ask pt as a possible risk factor NSAIDs use pt that comes in vomiting coffee ground material which test do you anticipate pt going for endoscopy pt after 12hr of a gastroduodenal ostomy; no bowel sounds and 200ml bright red drainage what would be appropriate action contact the surgeon most common side effect of GI problem nausea and vomiting most common safety for elderly aspiration what aids in identifying emesis in source of bleeding color what drug is used to treat nausea and vomiting zofran & reglan what is one thing with prolonged vomiting dehydration w/ electrolyte imbalances who is at greatest risk for life threatening dehydration elderly and children what is most important to prevent oral infections good oral hygine where do most malignant lesions occur lip one risk factor for oral cancer smoking,alcohol,diet , poor dental hygine & HPV what is the most effective treatment for oral cancer surgery what is the #1 goal for oral cancer air way first, communication, nutrition one predisposing condition of GERD hiatal hernia and incompetent lower esophageal sphincter what is berets esophagus precancerous lesion that increases risk for esophageal cancer what is a vegan diet plant food what are vegans lacking B12 what is malnutrition deficit, excess or imbalance of essential components of balanced diet manifestations of malnutrition hair loss , emaciation one risk factor for malnutrition dietary, economic, psycho social, and physiologic name one condition where pt will get eternal feedings facial trauma name one eating disorder bulimia, anorexia what is the most common nutritional problem in the US obesity name one surgery that has possibility to correct obesity sleeve, gastric bypass what term applies to feeling of discomfort and conscious desire to vomit nausea what color of emesis does identify presence of bleeding red what is a concern when vomiting occurs in a pt who is elderly and unconscious pulmonary aspiration umbrella term for cancers of the oral cavity, pharynx head & neck squamous cell carcinoma what is a term for syndrome with chronic symptoms GERD what is a complication of GERD berets esophagus what is a herniation of portion of stomach opening to diaphragm hiatal hernia what are dilated veins in lower esophagus esophageal varices what is inflammation of gastric mucosa gastritis what is the most common infection in stomach or small intestine h pylori what is a condition characterized erosion of GI mucosa of digestive action of hydrochloric acid and pepcid peptic ulcer disease complication of peptic ulcer disease hemorrhaging what is the most common procedure to diagnose peptic ulcer lesions endoscopy for PUD