Final Exam: NR341 NR 341 Latest

Final Exam: NR341 / NR 341 (Latest

Update 2025 / 2026) Complex Adult Health | Questions & Answers | 100% Correct | Grade A - Chamberlain

Question:

What do you hang if you do not have TPN or PPN?

Answer:

D10

Question:

Portal Vein gets blood from what?

Answer:

gets venous blood from GI which perfuses liver too

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Question:

Upper GI bleeds

Answer:

duodenal/gastric ulcers, esophageal/gastric varices, Mallory-Weiss Tear

Question:

Lower GI bleeds

Answer:

polyps, inflammation, diverticulitis, cancer, ectasias, hemorrhoids

Question:

Upper GI Bleeds: PUD

Answer:

break in mucosa that damages blood vessels and bleeding results -- perforate into GI wall -Duodenal and Gastric are most common --H. pylori, NSAIDS, smoking and alcohol

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Question:

Stress Ulcers

Answer:

accompany severe illness, trauma or neuro injury

Question:

Mallory Weiss Tear

Answer:

a longitudinal tear in mucosal membrane of the GEJ. Occur from a sudden powerful or prolonged force due to coughing, vomiting, seizures, prolapse of the stomach into the esophagus or CPR.

, Tx: usually heals on it's own (stop NSAIDs, alcohol, reduce

vomiting/coughing) -fluids/blood transfusions -endoscopic treatment > epi injection, cautery, compression (endoclip/band) -surgery is rare

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Question:

Interventions for Variceal Bleed

Answer:

causes massive upper GI blood loss -somatostatin/octreotide and vasopressin

-endocscopic band ligation: rubber band over varix

-TIPS procedure: place shunt between hepatic and portal veins to decrease

portal pressure

Question:

Esophagogastric Tamponade

Answer:

balloon inside esophagus

Question:

Cirrhosis

Answer:

end stage liver disease, degeneration/destruction of liver cells: fibrosis and

nodules

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