exam 6 final info - Gi 2 and repro

Question 1

what is ERCP and what does nurse do after

Answer 1

evaluate pancreas and gallbladder - test gag reflex

Question 2

5 things to do post op paracentesis

Answer 2

q 15 vitals
weight
albumin
monitor for hypovolemia
fall precautions

Question 3

intervention for NAFLD

Answer 3

heart healthy diet to decrease cholesterol and lose weight

Question 4

how to dx cirrhosis

Answer 4

liver bx

Question 5

lactulose use

Answer 5

prevent constipation in someone with cirrhosis to prevent hepatic encephalopathy because constipation = high ammonia

Question 6

neomycin/rifaximin use

Answer 6

abx for cirrhosis to dec ammonia

Question 7

diet education for cirrhosis/liver disease/hepatic encephalopathy

Answer 7

high plant protein(not animal) and low Na

Question 8

education about ascites diet

Answer 8

restrict Na

Question 9

main causes of pancreatitis

Answer 9

gallstones for women and alcohol for men

Question 10

3 main s.s of pancreatitis

Answer 10

severe, continuous, LUQ or epigastric pain
cullens sign
grey turners sign

Question 11

2 intervention for pancreatitis

Answer 11

NPO and NG tube for pancreatic rest
pain relief

Question 12

education for pancreatiis diet

Answer 12

no alcohol and low fat diet

Question 13

how is hep B transmitted

Answer 13

sexually, needle sticks, to baby

Question 14

main 2 s/s of hep A

Answer 14

jaunide, pruitis

Question 15

5 intervention for hepatitia

Answer 15

vaccine
food/fluids
rest
no alcohol
monitor for jaundice

Question 16

-vudine
-fovir

Answer 16

nucleoside analogs that inhibit vital replication in HBV to dec viral load

Question 17

pegylated interferon ed

Answer 17

monitor LFTs every 4-6 weeks

Question 18

-vir

Answer 18

direct acting antiviral
given for 12 weeks to cure HCV
use in combo therapy

Question 19

cholethiasis s/s

Answer 19

severe RUQ pain worse after eating a high fat meal

Question 20

normal t tube output

Answer 20

500ml in first 24 hours

Question 21

HRT for women with intact uterus uses

Answer 21

progesterone and estrogen replacement

Question 22

what order should nurse question for HRT and OC

Answer 22

if pt has hx of blood clots, MI, stroke, migraines, HTN

Question 23

HRT education

Answer 23

report spotting and bleeding and leg swelling

Question 24

education for OC

Answer 24

take daily for 9 months, use safe sex

Question 25

-tropins

Answer 25

stimulate follicle growth to treat ovarian dysfunction

Question 26

-relix

Answer 26

gnRH ANTagonists to prevent premature ovulation

Question 27

clomiphene

Answer 27

stims hypothalamus to increase Gn RH which stimulated ovulation

Question 28

-fil

Answer 28

for ED, take before sex, report sustained erection called “priapism”

Question 29

endometriosis education

Answer 29

can cause infertility

Question 30

GNRH agonist use

Answer 30

for endometriosis to stop mennorrhea

Question 31

what must be done before starting leuprolife

Answer 31

preg test

Question 32

pap test education

Answer 32

no period
no sex
no douche
no tampons
no cream or lotion
get it every 3 years

Question 33

STI education

Answer 33

no sex 7 days
partner tx
condoms/safe sex
get follow up tests

Question 34

how to tx HSV

Answer 34

antivirals started asap

Question 35

menopause education

Answer 35

get screened
weight bearing exercises
Ca/vit D

Question 36

how to dx PID

Answer 36

pelvic exam

Question 37

how to prevent PID

Answer 37

safe sex - prevent STIs

Question 38

cystocele tx

Answer 38

kegal exercises

Question 39

BPH s/s

Answer 39

slow urinary stream, urine stop start, dribbling

Question 40

preop TURP

Answer 40

catheter
antibiotics

Question 41

TURP post op

Answer 41

bladder irrigation
antspasmotics
monitor for hemorrhage

Question 42

education for BPH discharge

Answer 42

1. catheter care
2. monitor urine for bleeding
3. inc fluids
4. observe for infection
5. prevent contipation
6. no sex

Question 43

prostatiss tx 4

Answer 43

antibotics for 4-12 weeks
sitz bath
catheter
inc fluids

Question 44

post op prostatecetomy

Answer 44

large catheter care and avoid increasing intraabdominal pressure