Galen NUR 242 Exam 3 Streb Med Surg Exam 3 Complete study guide|Galen College of Nursing - NUR 242 MS Exam 3 with Complete Solutions 2024 Updated

Gastroenteritis: The major clinical manifestations are - ANSWERS,diarrhea resulting in hypokalemia and abdominal pain and cramping Gastroenteritis Associated clinical manifestations are - ANSWERS,nausea, vomiting, fever, anorexia, distention, tenesmus, and borborygmi Gastroenteritis: Rapid propulsion of intestinal contents through the small bowels may lead to a serious - ANSWERS,fluid volume deficit and electrolyte imbalance Gastroenteritis: Treatment should focus on - ANSWERS,intravenous fluids and monitoring for cardiac dysrhythmias Inflammatory bowel disease refers to two chronic diseases that cause inflammation of the intestines: - ANSWERS,Ulcerative colitis and Crohn's disease. Both have similar symptoms but are different in the manner in which they affect the digestive tract. When providing patient education for the patient who has had an ostomy the nurse needs to include many things. The nurse should discuss - ANSWERS,dietary modifications related to nutritional status and provide referral to dietitian for diet planning (lean meats, legumes, water). Teach the importance of maintaining a high fluid intake and manifestations to recognize dehydration Inflammatory Bowel Disease: The treatment is considered to have been effective if the patient has a decrease in - ANSWERS,diarrhea, increases their nutritional intake and gains weight, pain is reduced or eliminated, complication do not occur, and they effectively manage stress. Crohn's disease involves all of the - ANSWERS,intestines Ulcers and fissures develop in - ANSWERS,Crohn's disease In Crohn's disease the pain is in the - ANSWERS,lower right quadrant of the abdomen New therapies are beginning to be utilized for patients with Crohn's disease including - ANSWERS,immune response modifiers such as therapeutic monoclonal antibody certolizumab pegol (Cimzia) and Adalimuab (Humira) While taking certolizumab pegol (Cimzia) and Adalimuab (Humira) Patients should report - ANSWERS,cold-like symptoms or sore throat, avoid public places while taking this medication, understand abdominal pain, nausea, and vomiting are common side effects of this medication, and learn to give self injection Crohn's disease: The patient who is acutely ill may need to have - ANSWERS,total bowel rest and receive parenteral nutrition. This usually is through hyperalimentation. Crohn's disease: Anxiety is - ANSWERS,common for newly diagnosed patients and therapeutic communication about the disease is critical to treatment When medical management for Ulcerative colitis is not successful surgical intervention will result in the patient having an - ANSWERS,ostomy A stoma is created on the abdomen where an appliance is applied to - ANSWERS,retain stool Stoma pouch is emptied at intervals and always before it is - ANSWERS,half full. Apply a skin barrier directly to stoma prior to application of pouch system Ulcerative Colitis involves only the - ANSWERS,large intestine. Hemorrhages and abscess occur in - ANSWERS,ulcerative colitis Blood, mucous, and pus can be noted in the stools of the patient with - ANSWERS,ulcerative colitis as well as an urgent sensation to defecate Ulcerative colitis patients report - ANSWERS,weight loss, anorexia, fatigue, and weakness The patient with ulcerative colitis may experience a - ANSWERS,fever Pain is in the lower left quadrant (LLQ) in - ANSWERS,ulcerative colitis Ulcerative colitis Diagnostic studies include a - ANSWERS,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 - ANSWERS,one or more diverticula become inflamed