PN2 Module 3- Exam 1 Study guide 1
PN2 Module 3- Exam 1 Study guide
1. Diet for swallowing disorders
a. Elevate the patient's head to allow easier swallowing and prevent aspiration
b. Small, frequent meals
c. Usually a soft diet and thick, cold fluids, such as milk shakes, are tolerated more
easily. (p.871 in medsurg book)
d. start with mechanical soft diet
2. Chief complaint for hiatal hernia
a. *heartburn is the major complaint
3. Pt teaching for hiatal hernia to reduce symptoms (s/s are similar to GERDs)
a. sit upright for at least 30 mins after meal
b. no spicy foods, carbonated beverages ( such as coffee, tea, and cola), no acidic
foods or drinks
c. limit citrus fruits, Tomatoes and tomato products, Peppermint, spearmint,
Alcohol, Calcium channel blockers, nitrates
4. Expected labs on appy (appendicitis)
a. elevated WBC (infection), U/A, CT abdomen/pelvis
5. Symptoms of peptic ulcer disease (PUD)
a. burning pain in epigastric region
b. nausea, abdominal pain, abdominal distention, recurrent pain in epigastric region,
weight loss, poor appetite, bloating, vomiting
6. Plan of care for oral ulcers (p.543 in medsurg)
a. rinse the mouth with normal saline every 4 hours while awake or as often as the
patient desires
b. Avoid using glycerin swabs or mouthwash that contains alcohol for oral care
because these products dry the mouth, change its pH, and promote bacterial
growth
c. Instead use a sponge tooth cleaner or soft-bristle toothbrush moistened in water
for mouth care.
d. Apply lip balm or water-soluble jelly to prevent cracked lips and promote comfort
e. Examine the mouth for changes in tissue integrity
, PN2 Module 3- Exam 1 Study guide 2
f. offering patient or family member to perform mouth care allows participation in
care and increases self-esteem.
7. How is diverticular disease diagnosed
a. by a CT scan of the abdomen/pelvis
8. Manifestation of diverticulitis
a. diarrhea, high fever, acute pain, drawing the knees up to the chest, tachycardia,
diaphoresis
b. peritonitis= a potential complication
9. Signal primary complaint gearing you to dx of colon cancer***
a. belly pain???
10. Annual test for colorectal cancer
a. fecal occult blood test (FOBT), (not colonoscopy)
11. How do we treat diarrhea associated w/IBS, what meds
a. antispasmodics, herbals, bulk agents
12. Life threatening complication of ulcerative colitis
a. UC is a idiopathic chronic relapsing inflammatory bowel disorder that affects
both the mucosa and submucosa of the colon and rectum.
b. s/s= diarrhea, abd pain in lower left quadrant, rectal bleeding, edema,more severe
cases the diarrhea may increase to as many as 10-20 bloody stools each day
c. bleeding and electrolyte loss
13. Symptoms of lower UTI
a. dysuria, frequency, urgency, cloudy urine, low grade fever, hematuria
14. Symptoms of UTI in elderly
a. **CONFUSION is #1 s/s (changes in mental status), along with s/s of lower UTI
15. Pt teaching for prevention of UTI
a. wipe front to back (females)
b. urinate before and after intercourse
c. drink at least 6-8 oz glasses of water/ day
d. take showers, avoid tube soaking
e. drink cranberry juice
f. complete entire course of antibiotics even if pt feels better**
PN2 Module 3- Exam 1 Study guide
1. Diet for swallowing disorders
a. Elevate the patient's head to allow easier swallowing and prevent aspiration
b. Small, frequent meals
c. Usually a soft diet and thick, cold fluids, such as milk shakes, are tolerated more
easily. (p.871 in medsurg book)
d. start with mechanical soft diet
2. Chief complaint for hiatal hernia
a. *heartburn is the major complaint
3. Pt teaching for hiatal hernia to reduce symptoms (s/s are similar to GERDs)
a. sit upright for at least 30 mins after meal
b. no spicy foods, carbonated beverages ( such as coffee, tea, and cola), no acidic
foods or drinks
c. limit citrus fruits, Tomatoes and tomato products, Peppermint, spearmint,
Alcohol, Calcium channel blockers, nitrates
4. Expected labs on appy (appendicitis)
a. elevated WBC (infection), U/A, CT abdomen/pelvis
5. Symptoms of peptic ulcer disease (PUD)
a. burning pain in epigastric region
b. nausea, abdominal pain, abdominal distention, recurrent pain in epigastric region,
weight loss, poor appetite, bloating, vomiting
6. Plan of care for oral ulcers (p.543 in medsurg)
a. rinse the mouth with normal saline every 4 hours while awake or as often as the
patient desires
b. Avoid using glycerin swabs or mouthwash that contains alcohol for oral care
because these products dry the mouth, change its pH, and promote bacterial
growth
c. Instead use a sponge tooth cleaner or soft-bristle toothbrush moistened in water
for mouth care.
d. Apply lip balm or water-soluble jelly to prevent cracked lips and promote comfort
e. Examine the mouth for changes in tissue integrity
, PN2 Module 3- Exam 1 Study guide 2
f. offering patient or family member to perform mouth care allows participation in
care and increases self-esteem.
7. How is diverticular disease diagnosed
a. by a CT scan of the abdomen/pelvis
8. Manifestation of diverticulitis
a. diarrhea, high fever, acute pain, drawing the knees up to the chest, tachycardia,
diaphoresis
b. peritonitis= a potential complication
9. Signal primary complaint gearing you to dx of colon cancer***
a. belly pain???
10. Annual test for colorectal cancer
a. fecal occult blood test (FOBT), (not colonoscopy)
11. How do we treat diarrhea associated w/IBS, what meds
a. antispasmodics, herbals, bulk agents
12. Life threatening complication of ulcerative colitis
a. UC is a idiopathic chronic relapsing inflammatory bowel disorder that affects
both the mucosa and submucosa of the colon and rectum.
b. s/s= diarrhea, abd pain in lower left quadrant, rectal bleeding, edema,more severe
cases the diarrhea may increase to as many as 10-20 bloody stools each day
c. bleeding and electrolyte loss
13. Symptoms of lower UTI
a. dysuria, frequency, urgency, cloudy urine, low grade fever, hematuria
14. Symptoms of UTI in elderly
a. **CONFUSION is #1 s/s (changes in mental status), along with s/s of lower UTI
15. Pt teaching for prevention of UTI
a. wipe front to back (females)
b. urinate before and after intercourse
c. drink at least 6-8 oz glasses of water/ day
d. take showers, avoid tube soaking
e. drink cranberry juice
f. complete entire course of antibiotics even if pt feels better**
