Table of Content

• You are a part three nursing students planning to give tutorials on pancreatitis to your junior students in the school. Explain this inflammatory process in your teaching session using the following topic guides (a). Three differences between acute and chronic pancreatitis 3marks (b) List 10 predisposing factors of pancreatitis 5marks (c) Describe the Pathophysiology of pancreatitis 4marks (d) Enumerate medical management strategies that will be directed towards relieving symptoms and preventing or treating complications 8marks

• Question 2 (a) What are the general nursing responsibilities for a patient undergoing Gastro-intestinal assessment 5marks (b) Briefly describe each of the following objective assessment of Gastro-intestinal function, with particular emphasis on the associated nursing responsibilities. i. Upper Gastrointestinal Tract Study ii. Lower Gastrointestinal Tract Study iii. Fiber optic Colonoscopy (5marks each)

• Question 3 Blockage to the normal flow of intestinal contents through the intestinal tract can pose a threat to the health of individual and becomes life-threatening if not promptly managed. a) What are the two types of processes that can impede intestinal flow? 4 marks b) Discuss the Pathophysiology of intestinal obstruction 3 marks c) Identify four (4) common causes each of small and large bowel obstruction 4 marks d) List six (6) clinical manifestations of intestinal obstruction 3 marks e) Outline the medical and nursing management of a patient with intestinal obstruction

• Question 4 The nurse has just admitted a 35-year-old female client who has Haemoglobin content estimation of 9g/dl and PCV of 20. A diagnosis of anaemia was made. (a) Briefly describe the types of anaemia as broadly categorized into (i) impaired erythrocyte production and (ii) increased erythrocyte loss. 10 marks