NURS 190 week 6 Questions With Complete Solutions
1. Borborygmi: (stomach growling) may be due to bleeding or inflammatory bowel
disease. loud.
occurs with early bowel obstruction,
A normal finding of gastroenteritis (S/S diarrhea)
2. Hepatitis: Inflammation of the liver, usually caused by a viral infection, that causes
fever, loss of appetite, jaundice, fatigue, and altered liver function.
3. Pancreatitis (acute): Gallstones or alcohol
4. Hepatitis A vs C: Hepatitis A
- acute, self-limiting illness
- fecal-oral transmission via contaminated food/water
- sx mild and non-specific
Hepatitis C
- acute illness and can lead to chronic infection, cirrhosis of liver, liver cancer, liver
failure, and death
- drugs= blood, body fluid transmission
- First line agents: DAA combination (+ RBV if cirrhosis or not tx naive)
1/4
, 5. Cullen's sign: ecchymosis (edema and bruising) in umbilical area, seen with
pancreatitis
6. GERD (gastroesophageal reflux disease): A digestive disease in which stom-
ach acid or bile irritates the food pipe lining. (acid reflux)
- sleep on right side or elevate the head
7. Acute Kidney Injury (AKI): rapid-onset disease of the kidneys resulting in a
failure to produce urine
-benign
-Fluid loss (blood included)
8. Pyleonephritis: inflammation of the kidneys
9. CVAT (costovertebral angle tenderness): Tenderness to percussion over the
costovertebral angle; a common finding in pyelonephritis and other infections of the
kidney and adjacent structures
10. Cholecystitis: -Referred pain: shoulder pain (gallbladder->diaphragm->a
nerve)
-RUQ pain + Nausea/Vomiting
positive Murphy's sign
11. Murphey's sign: nurse palpates gallbladder (URQ), pt takes deep breath
-positive if pt c/o pain --> cholycystitis or gall bladder dx
2/4
1. Borborygmi: (stomach growling) may be due to bleeding or inflammatory bowel
disease. loud.
occurs with early bowel obstruction,
A normal finding of gastroenteritis (S/S diarrhea)
2. Hepatitis: Inflammation of the liver, usually caused by a viral infection, that causes
fever, loss of appetite, jaundice, fatigue, and altered liver function.
3. Pancreatitis (acute): Gallstones or alcohol
4. Hepatitis A vs C: Hepatitis A
- acute, self-limiting illness
- fecal-oral transmission via contaminated food/water
- sx mild and non-specific
Hepatitis C
- acute illness and can lead to chronic infection, cirrhosis of liver, liver cancer, liver
failure, and death
- drugs= blood, body fluid transmission
- First line agents: DAA combination (+ RBV if cirrhosis or not tx naive)
1/4
, 5. Cullen's sign: ecchymosis (edema and bruising) in umbilical area, seen with
pancreatitis
6. GERD (gastroesophageal reflux disease): A digestive disease in which stom-
ach acid or bile irritates the food pipe lining. (acid reflux)
- sleep on right side or elevate the head
7. Acute Kidney Injury (AKI): rapid-onset disease of the kidneys resulting in a
failure to produce urine
-benign
-Fluid loss (blood included)
8. Pyleonephritis: inflammation of the kidneys
9. CVAT (costovertebral angle tenderness): Tenderness to percussion over the
costovertebral angle; a common finding in pyelonephritis and other infections of the
kidney and adjacent structures
10. Cholecystitis: -Referred pain: shoulder pain (gallbladder->diaphragm->a
nerve)
-RUQ pain + Nausea/Vomiting
positive Murphy's sign
11. Murphey's sign: nurse palpates gallbladder (URQ), pt takes deep breath
-positive if pt c/o pain --> cholycystitis or gall bladder dx
2/4
