Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing > Adult Health - Module 9 > Flashcards

Adult Health - Module 9 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Lack of Peristalsis

A

Absent bowel sounds for 5 minutes in each quadrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sunken abdomen indicates

A

Malnutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Rebound tenderness indicates

A

Peritoneal irritation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

RUQ pain indicates

A

Acute cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Upper middle pain indicates

A

Acute pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

RLQ pain indicates

A

Acute appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

LLQ pain indicates

A

Acute diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GI Labs

A 
CMP (Complete metabolic panel)
CBC
Liver Enzymes
Pancreatic Enzymes
Stool culture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CMP

A

Complete metabolic panel. Check K+, Na+, Mg+, BUN, Creatinine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Liver Enzymes

A

AST, ALT, alkaline phosphatase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pancreatic enzymes

A

Amylase/Lipase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Normal lab values for Liver Enzymes

A

AST: 0-35 units/L
ALT: 4-36 units/L
ALP: 30-120 units/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Normal lab values for Pancreatic Enzymes

A

Amylase: 6.6-35.2 units/kg
Lipase: 0-160 units/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Stool culture purpose

A

Assess blood, mucus, WBC, or parasites in feces.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which disease is diagnosed with stool sample?

A

C-dif.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Upper GI diagnostic tests

A

Fluoroscopy and X-ray.

Interventions: Contrast Medium and patient should be NPO for 8 hours. Educate that stool may be white for 72 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lower GI diagnostic tests

A

Fluoroscopy of colon and X-ray to find polyps, tumors, and lesions.
Interventions: Uses Contrast medium and administer laxatives/Barium enemas to clear the bowels. Elderly/Immobile do not tolerate this type of test well.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Abdominal Ultrasound

A

Identify size/configuration of organs, gallstones, and appendicitis.
Interventions: NPO for eight hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

CT scan

A

Combo of X-ray machines/diff depth exposure.
Interventions: Iodine sensitivity and educate patient that contrast will make them warm and feel like they peed their pants.

20
Q

MRI

A

Noninvasive and uses radiofrequency and magnetic waves to detect metastasis, bleeding, and distinguish tumors.
Interventions: SCREEN FOR METAL. obtain screening form

21
Q

Endoscopy tests

A

EGD/Colonoscopy. Patients receive MAC

22
Q

EGD

A

Gives direct visualization of Esophagus Gastrium Duodenum (EGD).
Interventions: Signed consent, educate about anesthetic in throat/sedation to insert scope. After procedure, NPO until gag reflex returns and check vitals (sudden spike of temp indicates perforation which is LIFE THREATENING)

23
Q

Colonoscopy

A

Direct visualization of the colon.
Interventions: Laxatives/enemas, NPO, and educate about sedation with scope inserted in rectum. After procedure, Check rectal bleeding, perforation, and vitals.

24
Q

PUD

A

Peptic ulcer disease. Erosion of the mucosal surface and 80% are duodenal.

25
Q

PUD causes

A

H. Pyloria and NSAIDs-induced injury

26
Q

PUD assessment

A

Anxiety, tenderness, pain, N/V and possible bleeding

27
Q

PUD diagnosis

A

Endoscopy. CBC, Liver enzymes (amylase), stool studies

28
Q

PUD interventions

A

DO NOT TAKE ASPIRIN/NSAIDS

29
Q

PUD meds

A

Analgesics, H2 receptors, Antacids, Sulcralfate (short term use to protect stomach lining), and antibiotics (ONLY if caused by H. pylori)

30
Q

GERD symptoms

A

Dyspepsia, heartburn, hypersalivation, chest pain

31
Q

GERD diagnosis

A

Barium swallow, endoscopy

32
Q

GERD meds

A

Anti-ulcer, PPI/H2RA

33
Q

GERD diet

A

Avoid fatty foods, chocolate, alcohol, mints, and citrus.

34
Q

Nissen Fundoplication

A

Antireflux surgery in GERD to restructure the stomach. Uses fundus to wrap around.

35
Q

Hiatal hernia

A

Distorted intrathoracic pressure causing reflex

36
Q

Hiatal hernia diagnosis

A

Barium swalow, Upper GI X-ray (visualize lower esophagus). 90% are sliding hiatal hernias in which the stomach slides into the thoracic cavity.

37
Q

Hiatal hernia symptoms

A

similiar to GERD. Heartburn, pain

38
Q

Hiatal hernia meds

A

Antiulcer, PPI’s, H2RA, and antacids (to remove ulcers).

39
Q

Hiatal hernia diet

A

Same as GERD. Avoid fatty foods, chocolate, alcohol, but adding on CAFFEINE.

40
Q

Upper GI bleed symptoms

A

Hematemesis (vomiting blood/coffee ground), Hematochezia (bright red stool with unstable VS) and Melena (black, tarry, foul-smelling stool).

41
Q

Upper GI bleed diagnosis

A 
H/H not best indicator even though its bleeding.  
Instead, primary source is endoscopy
occult blood stool testing, 
increased BUN (from blood digestion)
CBC, PT/INR
Serum electrolytes
Liver Enzymes
Type and Cross Match
42
Q

Upper GI bleed interventions

A

IV/blood products for volume loss, NG tube to monitor. Monitor I/O, ECG, and mucous membrane assessment. AVOID ASPIRIN/NSAIDS

43
Q

Rolling hernia

A

Fundus forms pocket/esophagus.

44
Q

Mechanical vs Nonmechanical Obstruction

A

Mechanical: Occlusion of intestinal lumen (hernia/tumor)
Nonmechanical: Neuromuscular disorder (Paralytic illeus, peritonitis)

45
Q

Antibiotic meds for Small bowel obstruction

A

Flagyl/Cipro

46
Q

Small bowel obstruction Interventions

A

NPO, Ng tube to empty stomach, antibiotics (Flagyl/Cipro), Surgery, antiemetics, AMBULATION

Nursing (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions