Adult Health I- Test 3

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Assessment of GI System and Care of Patients with GI Disorders
updated 7 years ago by Boosh_75
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1

Obesity

DM II

Family Hx

Alcohol

Nicotine

Low fiber diet

High fat diet

Processed foods

Risks for colon cancer

2

Withhold foods and liquids for 8 hours

Hold opioid and antincholinergics 24 hours

Instruct on preparations of opaque fluid and to drink at least 16 ounces

Explain the purpose of the rotating table

Teaching for barium studies

3

Stools may what what color following a barium study?

Chalky white

4

A patient should be advised to drink plenty of fluids after a barium study to assist in expelling the barium and prevent a _________________.

Intestinal obstruction

5

Check vital signs every 30 minutes until sedation wears off

Raise patient side rails

Patient NPO until gag reflex returns

No driving for patient after procedure

Lozenges may be used for hoarseness

Nursing interventions following EGD

6

What is a visual examination of the esophagus, stomach, and duodenum?

Esophagogastroduodenoscopy (EGD)

7

A continuing trend of ____________ may be related to oral cancer metastasis.

Weight loss

8

Maintain airway

Protect surgical incision site to avoid infection

Pain relief

Nutrition promotion

Ensure predetermined methods of communication is available

Nursing interventions for post-op radical neck resection

9

Give 1 hour before meals, 2-3 hours afters meals

Observe for constipation or diarrhea

Suggest combination or alternating use

Nursing interventions for Mylanta and Maalox

10

Tomato-based, mixed vegetable juices should not be taken with _________ as it may make the drug less potent.

Axid (nizantidine)

11

Patients should be advised to report and neurologic or psychotropic side effects, such as restlessness, anxiety, ataxia, or hallucinations when taking ___________.

Reglan (metoclopramide)

12

______________ can be opened and the granules mixed with applesauce or apple juice for those with dysphagia or a nasogastric tube.

Prevacid (lansoprazole)

13

____________ and _____________ should not be taken with any other IV drugs.

Protonix IV (pantoprazole) Nexium (esomeprazole)

14

___________ should not be given with digoxin, rabeprazole, or iron salts.

Nexium

15

Stay upright after eating

Eat semi-soft to soft foods

Thickened liquids

Suck on lollipop for tongue strength

Patient teaching for those that have dysphagia or choking during meals

16

Heartburn

Chest pain

Dysphagia

Occult bleeding

Belching

Indigestion

Regurgitation

Worsening symptoms after eating or sitting in the recumbent position

Symptoms of hiatal hernia

17

A patient with esophageal diverticula should be advised to eat _______, small meals.

Soft

18

Meticulous oral/nasal hygiene every 2-4 hours

Check for patency and yellow/green drainage

If bright red blood 2nd day post op report immediately

Do not irrigate or reposition without request

Nursing interventions for post op NG tube

19

Provide information regarding informed consent

Diet restrictions

Specific preparations for surgery

Exercises post surgery

Plans for pain management

National Patient Safety Goals

20

H. pylori, salmonella, streptococci, staphlococci, E. coli

Family history

Prolonged use of NSAIDS or corticosteroids

Excessive stress, alcohol, smoking, caffeine use

Bile reflux disease

Autoimmune disease

Advanced age

Radiation therapy

Causes of gastritis

21

Epigastric pain located at the midline between the umbilicus and the xiphoid process that radiates to the back may indicate a _____________ of a gastric ulcer.

Perforation

22

Treatment for ___________ may include proton pump inhibitors, metronidazole and tetracycline, or clarithromycin and amoxicillin.

H. pylori

23

Patients undergoing testing for H. pylori should be advised to __________ medications such as bismuth, misoprostol, sucralfate, histamine2antagonists(Zantac, Pepcid, Axid), as these may interfere with the testing.

Discontinue

24

Hematemesis is a medical ____________ and should be treated promptly.

Emergency

25

___________ is a rapid emptying of food into the small intestines, which shifts fluid into the gut causing abdominal distension.

Dumping syndrome

26

H2 blockers should be taken at __________ to suppress nocturnal acid production.

Bedtime

27

A patient with ____________ should be advised to eat a high fiber diet, and stay away from potential triggers such as caffeine, alcohol, dairy, eggs, wheat products, and beverages that contain sorbitol or fructose.

Irritable Bowel Syndrome (IBS)

28

Lab finds for a patient with partial bowel obstruction will show increased BUN/Cr due to dehydration and metabolic ____________.

Alkalosis

29

Constant, diffuse discomfort
Abdominal distention
Decreased to absent bowel sounds
Vomiting
Obstipation

Signs of nonmechanical obstruction

30

Midabdominal pain or cramping
Vomiting
Obstipation
Diarrhea
Alteration in bowel pattern and stool
Abdominal distention
Borborygmi
Abdominal tenderness (Rebound)

Signs of mechanical obstruction

31

Explosive diarrhea, mucositis, leukopenia, mouth ulcers, and peripheral neuropathy are all common side effects of ___________.

FOLFOX

32

Normal appearance of the stoma
Signs and symptoms of complications
Measurement of the stoma
Choice, use, care, and application of appropriate appliance to cover stoma
Measures to protect the skin
Dietary measures to control gas and odor
Resumption of normal activities

Care of colostomy

33

Stool is ____________ immediately after surgery but becomes more solid depending on where in the colon it comes from.

Liquid

34

Stool from a colostomy in the _____________ colon is liquid.

Ascending

35

Stool from a colostomy in the ____________ colon is pasty.

Transverse

36

Stool from a colostomy in the _____________ colon is more solid.

Transcending

37

Protocol for finding a polyp during a colonoscopy is a _____________.

Polypectomy

38

Encourage fluid replacement

Daily weight

Orthostatic BP and other VS

0.45% Sodium chloride IV

Strict I&O

Alternate rest and activity

Interventions for acute viral gastroenteritis

39

Ampicillin and ____________ are both the preferred antibiotics for salmonellosis.

Ciprofloxin

40

Wheat bran, whole-grain breads and cereals

Fresh fruits and vegetables with high fiber content

Bulk forming laxatives (Metamucil)

Eliminate undigestable materials such as seeds, nuts, corn, popcorn, cucumbers, tomatoes, figs, and strawberries

Food choices for diverticular disease

41

Distention, masses, or visible peristalsis

Ulcerations, fissures, or fistulas in the perianal area

Decreased or absent bowel sounds

Muscle guarding, rigidity, or tenderness

Expected assessment findings in Crohn's disease

42

Loose, dark green liquid, with some blood in stool, and may have little odor or a sweet odor.

Effluent expectations of an ileostomy

43

____________ can be administered orally, followed by 2mg after each loose stool, up to 16mg daily.

Loperamide

44

___________ is an anitdiarrheal opiate agonist schedule IV drug that should not be used to treat colitis, diarrhea that causes electrolyte imbalances or is caused by organisms that penetrate the intestinal mucosa or. It can be administered for up to 48 hours only.

Lomotil

45

Increase fluids by 500mL or more to prevent dehydration

There may be burning during bowel elimination due to gastric acid not being absorbed

Avoid foods that cause odor or gas such as cabbage, asparagus, and beans

Avoid foods that are not well digested such as nuts and corn

Interventions for instructing the new patient on their ileostomy

46

High-caloric, high-protein, high-vitamin, low-fiber meals and supplements such as Ensure or Vivonex PLUS will help in the healing of a ___________ development in a Crohn's patient.

Fistula

47

Salmonella, Staphylococcus, Escherichia coli, Shigella, and Botulism all cause _____________.

Food poisening