Nursing 3100 Final Exam Questions With Complete
Solutions
Absorption of what nutrients are impaired in people take PPIs?
Why? Correct Answer Vitamin B12 because there is a
reduced amount of acid made by your stomach
Adverse drug reaction (ADR) Correct Answer unintended
reaction to a drug that is administered in standard doses by the
proper route
Compare and contrast characteristics, etiology, and
complications of duodenal versus gastric ulcers. Correct
Answer Duodenal Ulcers:
- increased # parietal cells and increased gastrin secretion cause
increased acid secretion
- pancreatic secretion cannot neutralize excess acid
- eradication of H. pylori prevents recurrence
Gastric Ulcer:
- in benign ulcers, normal amounts of acid secreted; decreased
synthesis of mucosal prostaglandins
- H. pylori colonization common
Compare and contrast the mechanisms and nursing
considerations of H-2 blockers, antacids, proton pump
inhibitors, bismuth, and sucralfate. Correct Answer a) block
histamine
b) neutralize acid made by stomach
c) reduce the amount of acid made by your stomach
d) used as an antacid
e) minimal systemic absorption
, Differentiate between cholelithiasis and cholecystitis (acute vs.
chronic). Correct Answer - Cholelithiasis: accumulation of
gall stones in the gall bladder
- Cholecystitis: inflammation of the cystic duct coming off of
the gall bladder
Differentiate between irritable bowel syndrome (alternating
diarrhea/constipation) and inflammatory bowel disease. Correct
Answer - irritable bowel syndrome: alternation
diarrhea/constipation
- inflammatory bowel disease: inflammation of the bowel
Differentiate between mechanical and nonmechanical bowel
obstructions. Correct Answer Mechanical:
- Extrinsic (tumors, torsion, fibrosis, hernia, intussusception)
- Intrinsic (tumors, gallstones, foreign bodies, fiber
Nonmechanical:
- intraabdominal (reflex inhibition of peristalsis, trauma or
inflammation, bowel ischemia
- extraabdominal (spine or pelvic fracture, metabolic, Rx)
Differentiate between open cholecystectomy and laproscopic
cholecystectomy. Correct Answer - open cholecystectomy:
abdomen is opened to remove the gallbladder
- laproscopic cholecystectomy: several small incision cuts used
to remove the gallbladder instead of one large one
Differentiate between ulcerative colitis and Crohn's disease in
terms of site, inflammation and mucosal appearance. What are
the pharmacological and dietary treatments for each? Correct
Solutions
Absorption of what nutrients are impaired in people take PPIs?
Why? Correct Answer Vitamin B12 because there is a
reduced amount of acid made by your stomach
Adverse drug reaction (ADR) Correct Answer unintended
reaction to a drug that is administered in standard doses by the
proper route
Compare and contrast characteristics, etiology, and
complications of duodenal versus gastric ulcers. Correct
Answer Duodenal Ulcers:
- increased # parietal cells and increased gastrin secretion cause
increased acid secretion
- pancreatic secretion cannot neutralize excess acid
- eradication of H. pylori prevents recurrence
Gastric Ulcer:
- in benign ulcers, normal amounts of acid secreted; decreased
synthesis of mucosal prostaglandins
- H. pylori colonization common
Compare and contrast the mechanisms and nursing
considerations of H-2 blockers, antacids, proton pump
inhibitors, bismuth, and sucralfate. Correct Answer a) block
histamine
b) neutralize acid made by stomach
c) reduce the amount of acid made by your stomach
d) used as an antacid
e) minimal systemic absorption
, Differentiate between cholelithiasis and cholecystitis (acute vs.
chronic). Correct Answer - Cholelithiasis: accumulation of
gall stones in the gall bladder
- Cholecystitis: inflammation of the cystic duct coming off of
the gall bladder
Differentiate between irritable bowel syndrome (alternating
diarrhea/constipation) and inflammatory bowel disease. Correct
Answer - irritable bowel syndrome: alternation
diarrhea/constipation
- inflammatory bowel disease: inflammation of the bowel
Differentiate between mechanical and nonmechanical bowel
obstructions. Correct Answer Mechanical:
- Extrinsic (tumors, torsion, fibrosis, hernia, intussusception)
- Intrinsic (tumors, gallstones, foreign bodies, fiber
Nonmechanical:
- intraabdominal (reflex inhibition of peristalsis, trauma or
inflammation, bowel ischemia
- extraabdominal (spine or pelvic fracture, metabolic, Rx)
Differentiate between open cholecystectomy and laproscopic
cholecystectomy. Correct Answer - open cholecystectomy:
abdomen is opened to remove the gallbladder
- laproscopic cholecystectomy: several small incision cuts used
to remove the gallbladder instead of one large one
Differentiate between ulcerative colitis and Crohn's disease in
terms of site, inflammation and mucosal appearance. What are
the pharmacological and dietary treatments for each? Correct
