Adult GI Flashcards
a) guaiac test
b) fulminant hepatic failure, what procedures should be needed?
c) tube feeding, what action is needed?
d) pt’s feeding bag should change every?
a) blood in stool
b) liver transplant
liver cells are injured and die
c) HOB at least 30.
d) 24hr
colorectal cancer prevention
primary, secondary, tertiary
a) smoking cessation
b) a diet high in cruciferous vege
c) new types of ostomy appliances
d) importance of colonoscopy screening starting at age 50 Y
a) primary(action that prevents the development of disease)
b) primary
c) tertinary(action that minimizes the effects of long-term disases or disability)
d) secondary(action that promoto erly detaction of disease)
a) recovered from acute diverticulitis, which food should inc when inflammation subsides(less severe)?
b) perforation of peptic ulcer.s/s?
b) dumping syndrome.what teach?
a) cabbage and peaches
high fiber, wheat bran,whole-grain, and fresh fruits and Vege
b) boardlike abdomen
severe pain
c) maintain supine after meal
eat contains protein
eat low carbohydrate diet
avoid drinking during a meal
avoid contains sugar food
a) pt who has cirrhosis, what action?
obtain PT and INR
administer lactulose 30ML po q4
obtain daily weight and abdominal girth measurements
administer daily multivitamin
need rich in protein,vege protein
liver produces clotting factors,so cirrhosis places pt at risk of hemorrhage.
PT and INR are usually prolonged.
they cannot eliminate ammonia so lactulose should be administered
a) hypoglycemia s/s
b) spleen,role of in the bosy
c) post-ope adenocarcinoma, why NG tube?
d) care for cholelithiasis?
a) diaphoresis
palpitations
shakiness
tachycardia
deep, rapid,kussmaul respirations
b) destroys old blood cells
c) prevent excessive pressure on sture lines
d) dec fat intake
ca doesn’t need to restrict that for kidney stone
Cholelithiasis=Gallstones
a) ulcerative colitis, bed rest with bathroom privileges why?
b) bleeding duodenal ulcer, what to expect?
c) colostomy ways to reduce flatus and odor?
a) helps slow down the activity in your intestines
(prevent diarrhea,GI bleeding etc)
b) emesis with a coffee-ground appearance
low BP,melena stools(tarry or dark in color and sticky)
c) eat crackers and yogurt regularly
cranberry juice and buttermilk
function
a) protein
b) Fat
c) acute diverticulitis. while active inflammation, which food?
a) building and repairing body tissues
transport fat and fat-soluble vitamins to the body
b) regulate body temp
c) white bread and plain yogurt
should be low-fiber
a) hx of cirrhosis, which lab indicates excessive alcohol use?
b) end-stage liver failure, what lab expect?
c) acute pancreatitis, what lab should return to normal range on 72hr?
a) GGT
b) inc PT time
inc lactate dehydrogenase
dec serum albumin
inc serum ammonia
c) amylase
lipase will return within 14days
a) enzyme digest protein
b) amylase
c) lipase
d) steapsin
a) pepsin
b) carbohydrate
c) fats
d) fat
a) exacerbation of Crohn’s disease. action?
b) Crohn’s disease?
c) s/s?
a) ensure bowel rest
(NPO)
No caffeine and no stool softner
b) A chronic inflammatory bowel disease that affects the lining of the digestive tract.
c) Fever
Fatigue.
weight loss.
Feeling that you need to pass stools, even though your bowels are already empty. It
Watery diarrhea, which may be bloody.
colostomy care
empty bag when it is one-third to half full
cut skin barrier opening a little larger then the ostomy
(avoid pressure to the stoma)
wash the skin with mild soap and water
antimicrobial is not necessary
apply skin barrier when skin dry
a) complete intestinal obstruction. EF?
b) what esophagogastroduodenoscpy(EGD) for?
c) GERD what food should avoid?
a) hyperactive bowel sounds above the obstruction
unable to pass the stool(partial intestinal obstruction except diarrhea)
b) esophagus, stomach, duodenum
c) Oranges and tomatoes
alcohol, caffeine, chocolate,fatty foods,citrus fruits,peppermint
a) what gallbladder do?
b) esophagogastric balloon tampnade, teaching?
c) hep A, teaching?
a) storing bile
b) placing on mechanical ventilation
the tube inserted nose or mouth into the stomach
c) encourage intake carb and calories
do not take acetaminophen or any other OTC
there is no med for hep A
a) liver biopsy, what lab findings nurse monitor before the procedure?
b) sigmoid colon resection with colostomy, teaching?
c) stop TPN for physical therapy, what to should be monitored?
a) Prothrombin time
b) can quickly return to a regular diet
c) diaphoresis(d/t hypoglycemia)
Portal vein?
blood to the liver from the spleen, stomach, pancreas, intestines.
a) Crohn’s disease
b) ulcerative colitis(UC)
a) inflammation anywhere GI tract
fever, steatorrhea
diarrhea 5 times
b) inflamation in large intestine
15-20 diarrhea with blood
a) Hep C what test should be positive?
b) Advanced cirrhosis, which s/s identify hepatic encephalopathy?
a) EIA
b) change in orientation
asterixis
NO anorexia and ascites
duodenum
the first part of the small intestine immediately beyond the stomach
