Question

In: Nursing

1- In order to give the bowel a rest in a patient with inflammatory bowel disease,...

1- In order to give the bowel a rest in a patient with inflammatory bowel disease, which procedure would be recommended?

A- An ostomy

B- Barium enema

C - Sigmoidoscopy

2- Inflammatory bowel disease includes which of the following conditions? (mark all that apply)

A-Diverticulitis

B- Colonic polyps

C-Ulcerative colitis

D- Crohn's disease

3- A 56-year old man has long standing gastroesophogeal reflux disease (GERD). Which condition is he at risk for?

A- Heartburn

B- Stomach ulcers

C- Barrett's esophagus  

D- Colon cancer

4- Benign Neoplasms (mark all that apply):

A- Are usually easier to remove than malignant neoplasms

b- Usually resemble the cells from where it originated

C- Metastasize through the lymph nodes

D- Are slow growing

5- You are doing a presentation on the differences between promoters of cancer and protectors of cancer. Which of the following are true (check all that apply).

A- If you have a genetic tendency towards cancer, lifestyle factors do not play a role. In other words, your genes are your destiny.

B- Immunotherapy drugs work by harnessing our body's ability to fight cancer, limiting both the initiation and promotion of cancer.

C- Stress-management, anti-inflammatory foods, exercise, and proper immune system functioning can all protect you from cancer, even if you have a genetic tendency.

D- Promoters of cancer are heavily influenced by lifestyle and a Western lifestyle

6- Mammograms:

A- Should be completed every year for females after age 45

B- Catch breast cancer early enough that treatment can begin

C- Prevent breast cancer from occurring  

D- Always lead to a decrease in mortality if breast cancer is caught early enough

7- Unintentional injuries are the leading cause of death for:

A- Adults age 85 and older

B- Adolescents age 12-19

C- Adults age 45-65

D- Children less than 1 year of age

Solutions

Expert Solution

1  A- An ostomy which is a surgically created opening between an internal organ and the body surface. Ostomies are often created as a part of intestinal surgery when there must be a new way for intestinal waste to leave the body and is recommanded to give the bowel a rest in a patient with inflammatory bowel disease.Barium enema is an x-ray imagng procedure to examine the lower intestinal tract. Sigmoidoscopy is a way to view the lower 20 inches of a patient's sigmoid colon and rectum.

2.C&D: Ulcerative Colitis and  Crohn's disease are related to severe inflamation of the digestive tract or inflammatory bowel disease.Diverticulitis is the infection of pouches in wall of colon while the Colonic polyps are a fleshy growth on the inside the colon.

3.C:Barrett's esophagus a condition where the lining of the esophagus is replaced by tissue simillar to the intestinal tissue and is One major complication which occurs in about 10% to 15% of people with chronic or longstanding GERD.Heartburn is symptom of GERD and stomach ulcer are a type of peptic ulcer disease. Peptic ulcers are any ulcers that affect both the stomach and small intestines.

4.B&D :Benign Neoplasms Are slow growing and Usually resemble the cells from where it originated . Metastasize through the lymph nodes occurs in case of malignant tumors.

5.C&D:Stress-management, anti-inflammatory foods, exercise, and proper immune system functioning can all protect you from cancer, even if you have a genetic tendency. Promoters of cancer are heavily influenced by lifestyle and a Western lifestyle as the cancerous cells can aggrevate with relation to those factors.

6. Mammograms are x-ray picture of breast and usually used to check for breast cancers in women with no signs and symptoms of disesae option A,B&D are correct about mammogram,while option C is not valid because by doing mammogram breast cancer cannot be prevented rather early detection and right intervention can be planned and implemented.

7.B:Adolescents age 12-19 years are more likely for unintentional injuries as this is a period where they are most rectless at experimental stage and curious about certain ways of behaviours .Unintentional injury is responsible for nearly half (45.9%) of all deaths to adolescents, here defined as those ages 10–19, killing and crippling young people in the prime of their lives.


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