Hondros NUR 212 Final Exam Questions With Answers Latest 2024 (GRADED A+)

Hondros NUR 212 Final Exam Questions With Answers Latest 2024 (GRADED A+)Inflammatory bowel Disease - Answer -Diarrhea -Weight loss -Abdominal Pain -fever -Faitiguw Crohn's disease - Answer -Diarrhea -abdominal cramping -abdominal pain -weight loss occurs from inflammation of the small intestine causing malabsorption rectal bleeding may occur sometimes clinical manifestations: ulcerative colitis - Answer -Bloody diarrhea -abdominal pain -pain may very from the lower abdominal cramping associated w/ diarrhea to severe constant pain Mild manifestation: of ulcerative colitis - Answer Diarrhea may consist of no more than 4 semi formed stools daily that contain small amounts of blood Moderate manifestation: of ulcerative colitis - Answer The pt has an increased stool out UP TO 10 Stools a day, increased bleeding, systemic symptoms, fever malaise, mild anemia, anorexia) Severe ulcerative colitis - Answer Diarrhea is bloody, contains mucus, and occurs 10-20n times a day inflammatory bowel disease GI complications - Answer -Hemorrhaging -Strictures -perforation -abscesses -fistula -CDI(c-diff infections) -colonic dilation (toxic megacolon inflammatory bowel disease complications - Answer High risk for colorectal infections -cd increased risk for small intestinal cancer -Systemic complications- Joint, eye, mouth, bone , vescular, and skin problems -Circulating Cytokines triggers inflammation -Liver failure -Sclerosing Cholangitis Blood studies - Answer -CBC -Serum Electrolyte levels stool examination - Answer -pus Hondros Nur 212 Exam 2 Questions With Answers (Solved 100%) Latest 2023/2024 -bood -mucus stool cultures -serum protein levels Diagnostic Studies- imaging studies - Answer - double- contrast barium enema studies -small bowl series -transabdominal ultrasonography -CT -Mri -Colonoscopy Interprofessional care- goals of treatment of ibd - Answer -rest the bowel -control inflammation -combat infection -correct malnutrition -alleviate stress -relieve symptoms -improve quality of life drug therapy for ibd - Answer -Aminosalicylates -antimicrobials -corticosteroids -immunosuppressants -biological and target therapy medications containing 5-asa (5- aminosalicylic acid) - Answer -mainstay in achieving and preventing flare ups of IBD. -sulfasalazine (azulfidine) -new generation of sulfa free drugs include 1. Olsalazine (dipentum) 2.Mesalamine (Pentasal) Corticosteroids - Answer -decrease inflammation -use to achieve remission -helpful for acute flare ups Immunosupressants - Answer - suppress immune response -Maintain remission after corticosteroid induction therapy -require CBC monitoring Nutrition Therapy- goals of dietary management - Answer -provide adequate nutrition without exacerbating symptoms -Correct and prevent malnutrition -replace fluid and electrolyte loss -prevent weight loss Nutritional deficiencies are due to - Answer -decreased oral intake -blood loss -malabsorption of nutrients what supplements should be given to someone taking sulfasalazine? - Answer folic acid What supplements should be given to someone who is taking corticosteroids - Answer Calcium supplements- to prevent osteoporosis potassium supplements what is a common vitamin deficiency? - Answer Vitimin D Inflammatory bowel disease exacerbations - Answer -regular diet may not be tolerated -liquid enteral feedings are preferred -high in calorie and nutrition Foods that trigger exacerbation of inflammatory bowel disease - Answer -lactose intolerance -high fat foods -cold foods -high fiber foods exacerbations of inflammatory bowel disease - Answer -massive bleeding -perforation -strictures and or/ obstruction -Tissue changes such as dysplasia or carsinoma Ulcerative colitis procedures - Answer -total proctocolectomy -ileal pouch/anal anastomosis -total proctocolectomy with permanent ileostomy -can be performed laparoscopically Most commonly used therapy for Ulcerative Colitis - Answer -Total Proctocolectomy with ileal pouch/ anal anastomosis (IPAA) -A diverting Ileostomy is performed -An ileal pouch is created ana anastomosed directly to the anus IPPA Surgery - Answer Most commonly used for ulcerative colitis -combination of two procedures -performed 8-12 weeks apart -Pt able to resume control of defecation at the anal sphincter -major complications: acute and chronic pouchitis Total proctocolectomy with permanent ileostomy for ulcerative colitis - Answer one stage surgery -removal of colon, rectum and anus with closure :( -Continence is not possible Crohn's disease surgical therapy - Answer -resection of the diseased segment the remaining intestine is reanastomated -commonly performed for complications such: bleeding, Obstructions, Bleeding, Fistula -most pt eventually require surgery -Disease often occurs at anastomosis site Short bowel syndrome (Crohn's disease) - Answer -too little small intestine surface area to maintain normal nutritional and hydration from disease or surgery -lifetime fluid boluses and parenteral nutrition may be needed strictureplasty for crohn's disease - Answer Opens up narrowed areas obstructing bowles - reduces the risk of developing short bowel syndrome Post operative care of stoma for ileostomy - Answer -Output may be as high as ML per 24 hr Observe for -Fluid and electrolyte imbalance -hemorrhage -Abdominal Abscess -Small bowl obstruction -Dehydration ==Initial drainage will be liquid =Transient incontinence of mucus from manipulation of anal cancer =kegel exercise =Perianal skin care Ileostomy Care - Answer -Tend to odor control -prevent skin breakdown -monitor I and o -weigh them daily - assess bowel sounds -consult with dietitian Nursing teaching for crohn's disease - Answer - how to manage chronic illness -importance of rest and diet management -perineal care -drug action and side effects -symptoms of recurrent disease -when to speak to medical care - ways to reduce stress nocturia - Answer excessive urination at night oliguria - Answer scanty production of urine polyuria - Answer excessive urination