Exam 2: NSG123/ NSG 123 (Latest 2024/ 2025 Update) Med Surg 1| Guide with Questions and Verified Answers| 100% Correct- Herzing

Exam 2: NSG123/ NSG 123 (Latest 2024/

2025 Update) Med Surg 1| Guide with

Questions and Verified Answers| 100%

Correct- Herzing

Q: What is an abdominal x-ray used for?

Answer:

Useful for determining the cause of symptoms. Free air in the peritoneum and bowel dilation or

obstruction should be excluded as a source of the presenting symptoms.

Q: Ulcerative Colitis Assessment Findings

Answer:

The stool is positive for blood

Laboratory test results reveal low hematocrit and hemoglobin levels, elevated white blood cell

count, low albumin levels, and an electrolyte imbalance. C-reactive protein levels are elevated.

Elevated antineutrophil cytoplasmic antibody levels are common. Careful stool examination for

parasites and other microbes is performed to rule out dysentery caused by common intestinal

organisms, especially Entamoeba histolytica, C. difficile and Campylobacter, Salmonella,

Shigella, and Cryptospora species.

Q: Crohn's Disease Assessment Findings

Answer:

A CBC is performed to assess hematocrit and hemoglobin levels (which may be decreased) as

well as the white blood cell count (may be elevated). The erythrocyte sedimentation rate (ESR) is

usually elevated. Albumin and protein levels may be decreased, indicating malnutrition.

Q: Definite Diagnostic Study for Ulcerative Colitis

Answer:

Colonoscopy

Q: What is an abdominal MRI used for?

Answer:

It is highly sensitive and specific in terms of identifying pelvic and perianal abscesses and

fistulae.

Q: What surgery can cure Ulcerative Colitis?

Answer:

Proctocolectomy (removal of colon and rectum)

Q: Describe a Strictureplasty

Answer:

Blocked or narrowed sections of the small intestine are widened, leaving the intestines intact.

Q: Describe an Intestinal Transplant

Answer:

A newer surgical procedure developed for patients with severe Crohn's disease is intestinal

transplant. This technique is now available to children and to young and middle-aged adults who

have lost intestinal function from disease. It may provide improvement in quality of life for some

patients.

Q: Describe a Total Colectomy

Answer:

Excision of the entire colon

Q: S/S of Perforation

Answer:

Acute increase in abdominal pain

Rigid abdomen

Vomiting

Hypotension

Q: S/S of Toxic Megacolon

Answer:

Abdominal distention

Decreased or absent bowel sounds

Change in mental status

Fever

Tachycardia

Hypotension

Dehydration

Electrolyte imbalances

Q: Patient teaching about diet for IBD

Answer:

There are no universal food triggers for IBD, but some may find that certain foods cause

diarrhea.

A food diary helps to identify problem foods to avoid.

Because many patients with IBD are lactose intolerant, avoiding milk and milk products

improves symptoms. Lactose-intolerant patients can use yogurt as a substitute.

High-fat foods, cold foods, and high-fiber foods may trigger diarrhea.

Q: Nursing Interventions for a Patient with IBD

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