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