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NURSl 201/l NURS201l Quizl 4l –l Medicall Surgicall Nursing|l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Nursingl managementl forl GIl bleed
Answer:
-Thel assessmentl includesl thel patient'sl levell ofl consciousness,l vitall signs,l skinl color,l andl capillaryl refill.-checkl thel abdomenl forl distention,l Gardine,l andl peristalsis -signsl andl symptomsl ofl shockl includel lowl BP,l rapid,l weakl pulses,l increasedl thirst,l cold,l clammyl skin,l andl restlessness.-Monitorl vitall signsl everyl 15l tol 30l minutesl andl informl thel HCPl ofl anyl significantl changes.
IMPLEMENTATION:
-alwaysl considerl thel patientl withl al historyl ofl chronicl gastritis,l cirrhosisl orl PUDl atl highl risk -teachl thel patientl whol takesl regularl dosesl ofl drugsl thatl causedl G.I.l toxicity,l suchl asl corticosteroidsl andl NSAIDs,l aboutl thel riskl forl bleeding.l -theyl madel needl tol receivel long-terml treatmentl withl al PPI,l H2l receptorl blocker,l orl misoprostol.l l -takingl hisl drugsl withl mealsl orl snacksl lessonsl orl directl irritation -teachl thel atl riskl patientl tol avoidl knownl gastricl yourl intent,l suchl asl alcoholl smoking,l andl tol takel onlyl prescribesl medications.-overl thel counterl drugsl canl bel harmfull becausel theyl mayl containl ingredientsl suchl asl aspirinl thatl increasel thel riskl forl bleeding.-severel coughingl orl sneezingl canl increasel pressurel onl thel alreadyl fragilel varicesl andl mayl resultl inl massivel hemorrhage
Q:l Stress-relatedl mucosall diseasel (SRMD)
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Answer:
anl acutel ulcerl thatl developsl afterl al majorl physiologicl insultl suchl asl traumal and/orl surgery;l alsol knownl asl al physiologicl stressl ulcer
Q:l Cholelthiasis
Answer:
gallbladderl stones -Thel gallstonesl mayl largel inl thel neckl ofl thel gallbladderl orl inl thel cysticl duct.-gallstonesl arel morel commonl inl women,l especiallyl multiparousl womenl andl womenl overl 40l yearsl ofl age -theyl developl whenl thel balancel thatl keepsl cholesterol,l bilel salts,l andl calciuml inl solutionl isl changel sol thatl thesel substancesl precipitate.
Q:l Riskl factorsl forl cholelithiasis
Answer:
-Obesity -Women -Weightl fluctuations -Estrogenl therapy -Cysticl fibrosis -Diabetesl mellitus -orall contraceptives -cholesteroll production -Familyl tendency -sedentaryl lifestyle
Q:l Manifestationsl ofl Cholecystitis
Answer:
indigestion,l painl andl tendernessl inl rigidl upperl quandrantl thatl mayl bel referredl tol rightl shoulderl andl scapula,l rightl upperl quandrantl tenderness,l abdominall rigidity,l jaundice,l fever,l chills,l andl pain.
COMPLICATIONS:l 2 / 3
-gangrenousl cholecystitisl -subphrenicl abscess -pancreatitisl -cholangitisl (inflammationl ofl biliaryl ducks) -biliaryl cirrhois -fistulal -rupturel ofl thel gallbladder
Q:l Inter-professionall Care:l Galll stones
Answer:
-duringl anl acutel episode,l treatmentl focusesl onl painl control,l controll infectionl withl antibiotics,l andl maintainingl fluidl andl electrolytel balance.
Surgicall therapy:
-laparoscopicl cholecystectomyl isl thel treatmentl ofl choicel forl symptomaticl gallstones l -thisl isl wherel al cameral attached,l andl graspingl forl stepsl arel insertedl intol thel abdomenl throughl thel punctures.-Mostl patientsl havel minimall postoperativel painl inl ourl dischargel thel dayl ofl surgeryl orl thel dayl after.l -Theyl canl usuallyl resumel normall activitiesl andl returnl tol workl withinl onel week.
Q:l Cholecystitis
Answer:
Inflammationl ofl thel cholecystl (gallbladder)
Q:l arthritis
Answer:
inflammationl ofl al joint -therel arel manyl differentl typesl ofl arthritisl thatl includel osteoarthritis,l rheumatoidl arthritis,l fibromyalgia,l systemicl lupusl erythematpsusl andl gout
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