Finall Exam:l NRl 576l NR576l Latestl

Finall Exam:l NRl 576/l NR576l (Latestl

2026/l 2027l Update)l Differentiall Diagnosisl inl Adult-Gerontologyl Primaryl Carel Guidel |Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Crohn'sl Diseasel Riskl Factors

Answer:

NOD2,l 10-40,l smoking

Q:l Crohn'sl Diseasel Findings

Answer:

abdominall crampingl andl tenderness,l fever,l anorexia,l weightl loss,l spasm,l flatulence,l andl RLQl painl orl mass,l Stoolsl arel softl orl semiliquid,l steatorrheal (foul-smelling,l fattyl stools)

Q:l Crohn'sl Diseasel Diagnostics

Answer:

-malabsorptionl andl vitaminl andl minerall deficiencies,l elevatedl WBCl countl andl ESR,l asl welll asl al prolongedl prothrombinl time.-Colonoscopy,l CTl scan

Q:l Crohn'sl Diseasel Treatment

Answer:

sulfasalazine,l Glucocorticoids,l prednisone,l metronidazole,l 6MP

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Q:l Crohn'sl Diseasel Education

Answer:

low-residuel dietl whenl obstructivel symptomsl arel present-l avoidl alll foodsl highl inl fiber,l includingl wholel grainl breadsl andl cereals,l alll freshl fruitsl andl vegetables,l andl seedsl andl nuts

Q:l Ulcerativel Colitisl Riskl Factors

Answer:

10-40,l genetics

Q:l Ulcerativel Colitisl Findings

Answer:

-mild:l fourl orl fewerl loosel bowell movements/dayl associatedl w/abdominall crampsl relievedl withl defecation,l smalll amountsl ofl bloodl andl mucusl inl thel stool,l andl sometimesl tenesmus.-moderate:l fourl tol sixl loosel stools/l dayl containingl morel bloodl andl mucus,l tachycardia,l mildl fever,l andl weightl loss -Severe:l morel frequentl bloodyl bowell movementsl (sixl tol 10/day);l abdominall painl andl tenderness;l andl symptomsl ofl anemia,l hypovolemia,l andl impairedl nutrition

Q:l Ulcerativel Colitisl Diagnostics

Answer:

sigmoidoscopy,l colonoscopy

Q:l Ulcerativel Colitisl Treatment

Answer:

-5-aminosalicylicl acidl (5-ASA),l Corticosteroids -Lomotil,l loperamide,l codeine -mesalaminel orl hydrocortisone 2 / 4

-Immunosuppressivel (immunomodulating)l agents—azathioprinel (Imuran),l cyclosporine,l andl metabolitel 6-mercaptopurinel (6MP)

Q:l Ulcerativel Colitisl Education

Answer:

blandl dietl thatl isl highl inl caloriesl andl proteinl yetl lowl inl fat,l parenterall nutritionl orl orall supplementationl forl malnutritionl mayl bel necessary

Q:l IBDl Findings

Answer:

(1)l gradual,l withl vaguel abdominall discomfort,l malaise,l cramping,l andl bloody,l mucopurulentl stools;l (2)l abrupt,l withl frequentl periodsl ofl bloodyl diarrhea,l anorexia,l fever,l andl weightl loss;l andl (3)l abruptl andl fulminating,l withl sudden,l violentl diarrheal occurringl nocturnally,l highl fever,l intensel abdominall cramping,l signsl ofl peritonitis,l weightl loss,l andl anorexia.l Stoolsl mayl containl blood,l mucus,l and/orl pus.

Q:l IBDl Treatment

Answer:

immunosuppressantsl and/orl biologics

Q:l Colorectall Cancerl Riskl Factors

Answer:

increasingl agel (45+l andl 65+),l males,l familyl hx,l polyps,l barrett'sl esophagus

Q:l Colorectall Cancerl Findings

Answer:

-mostl arel asymptomatic melena,l changel inl bowell habits/l stooll caliberl (narrowedl orl ribbonlike) 3 / 4

Q:l Colorectall Cancerl Diagnostics

Answer:

CBC,l LFT,l carcinoembryonicl antigenl (CEA),l colonoscopy

Q:l Colorectall Cancerl Treatment

Answer:

Staging,l Surgicall resection,l chemotherapy,l Radiation

Q:l Colorectall Cancerl Education

Answer:

prevention:l stressingl al dietl thatl isl lowl inl fatl andl refinedl carbohydratesl andl highl inl fiber,l fruits,l vegetables,l andl complexl carbohydrates.l Becausel obesityl andl al sedentaryl lifestylel arel riskl factors,l patientsl shouldl bel assistedl inl pursuingl weightl lossl andl exercise.l Thel risk/benefit/costl ratiol makesl thesel preventivel measuresl worthl suggesting.

Q:l PUDl Riskl Factors

Answer:

H.l Pylori,l NSAIDs,l Genetics,l bloodl type,l personality,l smoking

Duodenal:l 30-55

Gastric:l 55-70

Q:l PUDl Findings

Answer:

burningl orl gnawingl (hunger)l sensationl orl painl (dyspepsia)l oftenl relievedl byl foodl orl antacids,l nocturnall pain

Duodenal:l reductionl inl painl afterl eating

Gastric:l morel intensel painl afterl eating

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