Exam 1: NUR2349/ NUR 2349 (Latest 2022/
2023) Professional Nursing I / PN I Exam
Review | Complete Guide with Verified
Solutions | Rasmussen
Q: Bone Functions
Answer:
- Enable movement
- Protect vital organs
- Store minerals
- Blood production
- Support body structure
- Provide form
Q: Aging and Muscles
Answer: - Lean muscle mass decreases
- Osteopenia – bone loss
- Muscle contraction time is decreased
- Fatigue often increased
- Endurance decreased
- Ligaments and tendons lose elasticity/resiliency
- With trauma or repetitive stress, ligaments and tendons shorten – results in stiffness, loss of
flexibility and ROM - During the reparative phase, calcium can be deposited in muscle, tendon and ligamentous
structures, creating pain and further decreasing function.
Q: Malabsorption/Celiac Disease Pathophysiology
Answer:
Autoimmune disorder that causes gluten to damage to small intestines. Gluten can be found in
wheat barley and rye.
Q: Malabsorption/Celiac Signs and Symptoms
Answer:
Diarrhea, fatigue, weight loss, bloating and anemia, Orthostatic hypotension, abdominal
distention, hyperactive bowel sounds, pallor, ecchymosis, peripheral edema.
Q: Malabsorption/Celiac Diagnosis
Answer:
If you start a gluten free diet before your test, it may alter your results. Serology testing looks for
antibodies in your blood. Elevated levels of certain antibody proteins indicate an immune
reaction to gluten.
Q: Malabsorption/Celiac Treatment
Answer:
Diet – barley, wheat and rye free
Gluten-free to stop progression of celiac disease and malabsorption
Lactose-free to treat lactase deficiency
Dietary supplementation and Vitamin B12 injections
Q: Malabsorption/Celiac Complications
Answer:
Developmental delays and cognitive impairment
Anemia
Gallstones or Kidney stones
Osteoporosis or Osteomalacia
Itchy/blistery skin rash
Damage to dental enamel or mouth ulcers
Headaches and fatigue
Nervous system injury
Joint pain
Reduced functioning of the spleen
Acid reflux and heartburn.
Q: Constipation Pathophysiology
Answer:
Constipation is broadly defined as an unsatisfactory defecation characterized by infrequent
stools, difficult stool passage or both
Q: Constipation Signs and Symptoms
Answer:
Lower abdominal discomfort
A sense of incomplete evacuation (the feeling that you still have to “go”)
Straining to have a bowel movement
Hard or small stools
Rectal bleeding and/or anal fissures caused by hard stools
Q: Constipation Diagnosis
Answer:
Sigmoidoscopy or colonoscopy
Colorectal transit studies-Colorectal transit studies are tests that show how well stool moves
through your colon.
Anorectal function tests- Anorectal function tests can show problems in your anus or rectum.
X-Ray, MRI or CT scan to check for obstructions
Q: Constipation Treatment
Answer:
Exercise, high fiber diet, drink more fluids
Medications:
Bulk-forming agents- Citrucel, FiberCon
Osmotic agents-Milk of Magnesia, Miralax
Stool softeners- Colace, docusate
Lubricants-Fleet, Zymenol
Stimulant laxative- Dulcolax
Surgery
Q: Constipation Complications
Answer:
Hemorrhoids
Anal fissures
Rectal prolapse
Fecal impaction
Q: Acute Abdominal Pain Pathophysiology
Answer:
three major pathological processes, inflammatory, obstructive, and vascular, can produce acute
abdominal pain.
Q: Acute Abdominal Pain Signs and Symptoms
Answer:
Fever.
Inability to keep food down for more than 2 days.
Any signs of dehydration.
Inability to pass stool, especially if you are also vomiting.
Painful or unusually frequent urination.
The abdomen is tender to the touch.
The pain is the result of an injury to the abdomen
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