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LSPIIIgastro

QuestionAnswer
Because the small intestine needs bile only a few times a day, bile is stored and concentrated in the Chapter 6 Quiz GASTRO pancreas GALLBLADDER liver small intestine
Although food is digeested throughout the alimentary canal, up to 90% of digestion takes place Chapter 6 Quiz GASTRO gall bladder mouth SMALL INTESTINE large intestine
The exit from the stomach is called the Chapter 6 Quiz GASTRO caridac sphincter PYLORIC SPHINCTER lesser curvature greater curvature
***Know this The intrinsic factor is a secretion necessary for the intestinal absorption of vitamin Chapter 6 Quiz GASTRO b1 B12 c k
**Know this **Know this Which organ manufactures heparin, prothombin, and fibrinogen Chapter 6 Quiz GASTRO gallbladder LIVER pancreas salivary glands
**KNOW this The digestive enzyme present in saliva is called Chapter 6 Quiz GASTRO PTYALIN sucrase lipase trypsin
**Know this In preparing the patient for endoscopic examination of the upper GI tract, the patients pharynx is anesthetized with Xylocaine. Nursing interventions include: Chapter 6 Quiz GASTRO Chapter 6 Quiz GASTRO 1. allowing fluids up to 4 hours befor examination 2. withholding anticholinergic medications 3. prohibiting smokiing before the test 4. KEEPING PT. NPO UNTIL GAG REFLEX RETURNS
Mr. Jones is a 35 year old, has been admitted with a diagnosis of peptic ulcers. The nurse recognizes which drugs as the most commonly used in patients to decrease acid secretions Chapter 6 Quiz GASTRO maalox and kayexalate TAGAMET AND ZANTAC erythromycin and flagyl diazide and carafate
**Know this Mrs. Powel is scheduled in the morning for a hemicolectomy for removal of a cancerous tumor of the ascending colon. The physician has ordered intestinal antibiotics preoperatively to Chapter 6 Quiz GASTRO decrease the bulk of the colon contents REDUCE THE BACTERIA CONTENT OF THE COLON soften the stool prevent pneumonia
Mrs. Bailey is a 78 year old female who was admitted during the evening shift with a tentative diagnosis of cancer of the esophagus. The nurse in her initial assessment finds the patient's major complaint is Chapter 6 Quiz GASTRO DYSPHAGIA malnutrition pain regurgitation of food
Knowledge deficit is a commonly used nursing diagnosis when patient's needinformation regarding their conditions and diagnostic tests. Before a gastroscopy, the nurse should inform the patient that Chapter 6 Quiz GASTRO FASTING FOR 6 - 8 HOURS IF NECESSARY BEFORE THE EXAMINATION a general anesthetic will be used after gastroscopy, she may eat or drink immediately it is necessary to be an inpatient in the hospital
In evaluating the care of Mrs. K, a young execuive admitted with bleeding ulcer, the nurse focuses on nursing interventions. A nursing intervention associated with this type of patient is Chapter 6 Quiz GASTRO checking the BP and pulse rate each shift frequently monitoring arterial blood levels OBSERVING VOMITUS FOR COLOR, CONSISTENCY AND VOLUME checking the patients low-residue diet
Mr. Lavern, the staff nurse on the surgical floor is aware of pulmonary cmplications that frequently follow upper abdominal incisions. These are most frequently related to Chapter 6 Quiz GASTRO aspiration pneumothorax if the chest cavity has been entered SHALLOW RESPIRATIONS TO MINIMIZE PAIN not forcing fluids
Which of the following tests can distinguish between peptic ulcer disease and gastric malignancy Chapter 6 Quiz GASTRO radiographic GI series breath test for H. pylori serum test for H. pylori antibodies ENDOSCOPY WITH BIOPSY
Primarily found in the small intestine Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
The patient suffers from malnutrition Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
usually inolves the colon and rectum Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter ulcerative colitis
Has about 3 semisolid stools a day Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
Usually has about 10-20 diarrhea stools/day Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter ulcerative colitis
Perianal fissures and fistulas present Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohns disease
cobblestone appearance Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohns disease
Sools contain mucous and pus no blood Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
stools have excess fat (steatorrhea) Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
**KNow this Stools are very watery, bloody and have pus Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter ulcerative colitis
Increase incidence of colo-rectal cancer Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter ulcerative colitis
major complication of toxic megacolon Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
Known for exacerbations and remissions Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter both
pernicious anemia may result from the decreased absorption in the small intestine Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter crohn's disease
**Know this The disease responds well to anti inflammatory sulfasalazine Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter both
Corticosteroids are used if no response to anti inflammatory Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter both
The cause is unknown Crohn's disease or ulcerative colitis or both LSIII Gastro Chapter both
**Know this Saliva contains the enzyme ??? that aids in digestion LSIII Gastro Chapter6 amylase (pytalin)
**Know this What is necessary for the absorption of vitamin B12 LSIII Gastro Chapter 6 Intrinsic factor
*Know this What is gastrin LSIII Gastro Chapter 6 controls gastric acidity
**Know this You are inspecting the skin for color, abnormalities, contour and tautness. Inspectiing for distention of the abdomen, auscultat for bowel sounds, an palpate for tenderness what are you the nurse doing LSIII Gastro Chapter 6 Abdominal assessment
**Know this What is the procedure where you insert an endoscopic instrument through the esophagus to stomach & upper portion of the sm intest to visulize the mucosal lining known as LSIII Gastro Chapter 6 Gastroscopy
**Know this Post procedure to Gastroscopy you monitor for what LSIII Gastro Chapter 6 Gag reflex
**Know this Pre procedure to a colonoscopy what bowel prep is usually prescribed LSIII Gastro Chapter 6 Golytely goal is to clear stools
**Know this Your patient has a colon perforation is this a problem LSIII Gastro Chapter 6 Yes a perforation is a medical emergency
**Know this Wht is an EGD LSIII Gastro Chapter 6 esophagogastroduodenoscopy
**Know this Patient is preprocedure for gallbladder series tomorrow what is important to do LSIII Gastro Chapter 6 A low fat meal on the evening prior to the test and then fasting at midnight the day before the test
**KNow this Your patient has had a liver biopsy post procedure it is important to do LSIII Gastro Chapter 6 Place the client n the RIGHT SID for 1 -2 hours to decrease the risk fo hemorrhage
**Know this What is the description transabdominal removal of fluid from the peritonela cavity for anaylsis of electrolytes, RBS, WBCm bacterial and viral cultures and cytology studies known as LSIII Gastro Chapter 6 paracentesis
**Know this What is normal PT time value LSIII Gastro Chapter 6 Normal value is 9.6 11.8 seconds
**Know this Esophageal Varices is caused by what LSIII Gastro Chapter 6 Portal Hypertension
**Know this What is dumping syndrome LSIII Gastro Chapter 6 common after gastric bypass surgery that won't allow body to eat certain foods can't process so it gets rid of them
**Know this What meds are given for a peptic ulcer LSIII Gastro Chapter 6 Acid blockers eg cimetidine, ranitdine or famotidine Proton pump inhibitors eg omeprazole or Prilosec pump inhibitors eg
**Know this What meds re: peptic ulcer protect the tissue lining like sucralfate LSIII Gastro Chapter 6 CARAFATE
**Know this What med in re to pepetic ulcer help protect the lining and kill the bacteria How much do you give LSIII Gastro Chapter 6 Bismuth
What does a vagotomy do? LSIII Gastro Chapter 6 Vagotomy is the surgical cutting of the vagus nerve to reduce acid secretion in the stomach.
**Know this What is characterized by various periods of remissions and exacerbations LSIII Gastro Chapter 6 Ulcerative Colitis
**Know this What data needs collected if ulcerative colitis is suspected? LSIII Gastro Chapter 6 Severe diarrhea that may contain blood and mucous, Tenesmus, dehydration, electrolyte imbalances, anemia, vitain K deficiency
**Know this What antidiarrheal medications are used for ulcerative colitis? Lomotil, immodium
**Know this What anti inflammatory is used for Ulcerative Colitis LSIII Gastro Chapter 6 Azulfidine it has some antimicrobial activity
**Know this Wha do you need to be concerned with a patient whom has a Ileostomy LSIII Gastro Chapter 6 Worry about skin irritations
**KNOw this Post operatively from a colostomy you need to monitor the stoma for what LSIII Gastro Chapter 6 Acid
**Know this Post op from a colostomy what foods need to be avoided LSIII Gastro Chapter 6 Foods that cause excess gas and odor
Chapter 6 Young adults age 15 - 35
**Know this In regards to an Intestinal Tumor Dark black or tarry looking blood indicate the tumor is where LSIII Gastro Chapter 6 Higher or upper GI
**Know this Redder looking blood indicate the tumor is where LSIII Gastro Chapter 6 Lower or lower GI
**KNow this Diverticulitis is NPO why LSIII Gastro Chapter 6 To rest the colon
**Know this After patient has an acute divertiulitis attack what kin of diet are they put on LSIII Gastro Chapter 6 High Fiber Diet
**Know this What is Volvulus LSIII Gastro Chapter 6 Abnormal twisting of the intestine which can impair the blood flow to the intestine.
**Know this Your patient has appendicitis Can you give them heat or ice LSIII Gastro Chapter 6 NEVER HEAT - ICE ONLY for comfort No laxatives or enemas
**Know this I f your patient had a ruptured appendix and they get a penrose drain inserted what do you do to the drain LSIII Gastro Chapter 6 Drain q shift and document
**Know this What is a major cause of CIrrhosis LSIII Gastro Chapter 6 Chronic ETOH or alcohol ingestion
**Know this What is a complication of Cirrhosis LSIII Gastro Chapter 6 Portal hypertension
**Know this What about jaundice in reference to the patient with cirrohosis LSIII Gastro Chapter 6 Occurs because the liver is unable to metabolize the bilirubin and because the edema, fibrosi and scarring of the hepatic bile ducts interfere with normal bile and bilirubin secretion
**Know this What are some S/S of Cirrhosis LSIII Gastro Chapter 6 Dry skin and rashes (Bile salts) need to assess skin q shift and turn q 2 hours
*Know this In regards to Cirrhosis What is Lactulose (Chronulac) LSIII Gastro Chapter 6 decrease in ammonia level excrete
**Know this As a LPN what nursing intervention regarding diet do u put in to place for the the patient with cirrhosis LSIII Gastro Chapter 6 Provide a low sodium diet initially restricting daily sodium to 200 500 mg, restrict fluid intake to 1500 ml daily as prescribed and RESTRICT DAILY PROTEIN TO 50 - 60 g
**Know this As a LPN what nursing intervention regarding the patient with cirrhosis should you monitor LSIII Gastro Chapter 6 Monitor I & O Weigh client and measure abdominal girth daily monitor level of consciuosness
**Know this Pancreatitis or cholecystitis is what LSIII Gastro Chapter 6 Acute inflammation is associated with gallstones
**Know this If your pt. is suspected to have cholecystitis what information do you need to collect or will you see if you suspect biliary obstruction LSIII Gastro Chapter 6 jaundice, dark orange and foamy urine, steatorrhea and clay-colored feces, pruritus
**Know this If your patient has a T - Tube and te draingage bad is below the site what ust you do each shift LSIII Gastro Chapter 6 Measure amount each shift output and record
**Know this What is acute pancreatitis LSIII Gastro Chapter 6 occurs suddenly as one attack - Usually gallstones
**Know this In regards to pancreatitis where is the excruciating pain usually observed LSIII Gastro Chapter 6 Left upper quadrant location wit radiation to the back, relieved by sitting forward
**Knows this Pancreatitis information collected will show what lab test changed LSIII Gastro Chapter 6 Lipase and amylase elevated
**Know this medical management in regards to the patient with pancreatitis, what should you use for pain control? LSIII Gastro Chapter 6 Demerol
**Know this Your patient has pancreatitis what meds should you avoid giving them LSIII Gastro Chapter 6 Avoid morphine or codeine, which may cause spasms
**Know thi In regards to the viral hepatitis Icteric stage what might some signs and symptoms be? LSIII Gastro Chapter 6 Tea colored urine Clay colored stools jaundice Pruritus Enlarged and tender liver
**Know this What is Hepatitis A (HAV) infectious hepatitis LSIII Gastro Chapter 6 during the fall and winter, most prevalent in areas of poverty, areas with poor sanitation, Risk are contact with infected species, handling contaminated feces, eating or drinking contaminated water, milk or food, eating raw fish from contaminated H2o
**Know this How is Hepatitis A HAV transmitted LSIII Gastro Chapter 6 Fecal oral route person to person contact parenteral contaminated uncooked shellfish, fruits, nuts Poorly washed utensils
**Know this How can we prevent Hep A in infants and children LSIII Gastro Chapter 6 Give the vaccine
**Know this How is Hep C transmitted LSIII Gastro Chapter 6 Risk factors are similar to HBV since hep C is also parenterally transmitted 1 in 70 - 100 people
**Know this Hepatitis C is one of the most common causes of chronic liver disease in the U. S. today It is also the number 1 causer for liver transplantation in the US.
**Know this What are some signs and symptoms of dehydration LSIII Gastro Chapter 6 Wt. Loss, dry mucous, decrease in skin turgor, sunken eyeballs, depressed fontanels, decreased urine output, increased urine specific gravity, abscence of tears, decreased bp, tachycardiam tachypnea, excessive thirst
**Know this What is the olive shaped mass upon palpation hypertrophoic muscle an indicator of LSIII Gastro Chapter 6 Pyloric stenosis
**Know this Your patient has Pyloromyotomy post op how should you position the patient? LSIII Gastro Chapter 6 Positiion: High fowlers on right side after feedings
**Know this Waht are the signs and symptoms of Hirschsprung's Disease LSIII Gastro Chapter 6 In infants failure to thrive, toddler and olde kids chronic constipation, ribbonlike and foul smelling stools, abdominal distention, bowel obstruction, reluctance to ingest fluids, bile stained vomitus, visible peristalsis, palpable fecal mass
**Know this Your patient has Intussusception what might a distinct signs and symptom be LSIII Gastro Chapter 6 Currant jelly like stools containg blood and mucous that is the hallmark sign
Created by: gmabrender
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