Exam 1: NUR2349/ NUR 2349 (New 2022/
2023) Professional Nursing I / PN I Exam
Review | Complete Guide with Verified
Solutions |100% Correct |
... [Show More] Rasmussen
QUESTION
Crohn's Disease Pathophysiology
Answer:
One of the most common types of inflammatory bowel disease - the other is Ulcerative Colitis.
Bowel inflammation, irritation and swelling. Can affect any part of the colon, both the small and
large intestines. Thickens the lining of the digestive tract causing fissures and ulcers.
QUESTION
Crohn's Disease Signs and Symptoms
Answer:
Fatigue, weakness, fever, flatulence, nausea, diarrhea, abdominal pain that usually occurs in the
right lower abdominal quadrant, weight loss.
QUESTION
Crohn's Disease Diagnosis
Answer:
CT scan, X-ray, Barium enema, Colonoscopy, Biopsy, Occult blood.
Hemoglobin (Hb), hematocrit, WBCs, erythrocyte sedimentation rate, serum potassium, calcium,
magnesium, and Hb levels
Vitamin B12 and folate deficiency may occur.
QUESTION
Crohn's Disease Medications
Answer:
Corticosteroids, Immunosuppressant, Sulfonamides, Anti-inflammatories, Antibacterials and
antiprotozoals, Antidiarrheal, Opioids, Vitamin supplements, Antispasmodics.
Surgery -- Indicated for acute intestinal obstruction colectomy with ileostomy
QUESTION
Crohn's Disease Treatment
Answer:
Stress reduction
Avoidance of foods that worsen diarrhea such as raw fruits and vegetables.
Adequate caloric, protein, and vitamin intake, parenteral nutrition, if necessary
Reduced activity
QUESTION
Crohn's Disease Complications
Answer:
Anal fistula
Perineal abscess
Fistulas of the bladder or vagina or to the skin in an old scar area
Intestinal obstruction
Perforation
Nutritional deficiencies caused by malabsorption and maldigestion
QUESTION
Ulcerative Colitis Pathophysiology
Answer:
Autoimmune disease. Ulceration of the colon that causes inflammation of the digestive tract.
Innermost lining of the large intestine that may lead to ulcers, which may bleed and interfere
with digestion.
Exact cause unknown, may be related to an abnormal immune response in the GI tract, possibly
associated with genetic factors.
QUESTION
Ulcerative Colitis Signs and Symptoms
Answer:
Liquid stools with visible pus, mucus, and blood
Possible abdominal distention
Abdominal tenderness
Perianal irritation, hemorrhoids, and fissures
Jaundice
Joint pain
QUESTION
Ulcerative Colitis Diagnosis
Answer:
Stool specimen to check for blood or pus, colonoscopy.
QUESTION
Ulcerative Colitis Treatment
Answer:
Corticotropin and adrenal corticosteroids, Sulfasalazine, Mesalamine, Antispasmodics and
antidiarrheals, Fiber supplements
Surgery --Treatment of last resort -- Proctocolectomy with ileostomy, Pouch ileostomy, Ileoanal
reservoir with loop ileostomy, Colectomy (after 10 years of active disease).
QUESTION
Ulcerative Colitis Complications
Answer:
Nutritional deficiencies, sepsis, anal fissure, anal fistula, abscesses, perforation of the colon,
hemorrhage, anemia, toxic megacolon, cancer, coagulation defects, cirrhosis, ankylosing
spondylitis, strictures, pseudopolyps, stenosis, toxemia, arthritis.
QUESTION
Ulcerative Colitis Client Teaching
Answer:
Rest periods during exacerbations
Can cause developmental delays in children.
Ileostomy care if necessary. [Show Less]