Gastrointestinal Tasks

Question 1

10-week-old infant with a history of projectile vomiting, poor weight gain, and continual hunger has a mobile, “olive-shaped” mass in the abdominal area on palpation. Which of the following is suspected?

Answer 1

Pyloric Stenosis ; It is usually diagnosed in the first 3 to 12 weeks of life

Question 2

These children present with vomiting, colicky abdominal pain, and red currant jelly stools.

Answer 2

Intussusception : bowel telescopes within itself

Question 3

Incidence peaks in the late teen years, and it is usually associated with right lower-quadrant pain.

Answer 3

Appendicitis

Question 4

Abd pain aggravated by eating or alcohol intake.

Answer 4

Pancreatitis

Question 5

Patients with acute upper GI bleeding are often treated with_________________ to decrease the risk of recurrent bleeding.

Answer 5

acid suppression therapy (such as proton pump inhibitors)

Question 6

After being involved in a motor vehicle crash, a patient complains of abdominal pain. Which diagnostic test should the emergency nurse anticipate to rapidly detect the presence of hemoperitoneum?

Answer 6

FAST exam

Question 7

Extravasation of the contrast media into surrounding tissues indicates a disruption in the integrity of the kidneys, ureters, or bladder.

Answer 7

IVP test

Question 8

Diagnostic laboratory testing for a patient suspected of having acute pancreatitis includes:

Answer 8

Amylase; Lipase, glucose elevated; DECREASED CALCIUM

Question 9

Which of the following alterations in dietary intake is recommended for a patient with irritable bowel syndrome (IBS)?

Answer 9

High Fiber diet; Keeping a journal may help

the patient determine possible factors that exacerbate the symptoms

Question 10

Education for the patient and family of a patient who has been diagnosed with ESOPHAGITIS
should include a diet of

Answer 10

Small Frequent Meals

Question 11

The education for the patient and family of a patient with gastroesophageal reflux disease
(GERD) should include

Answer 11

Small meals; avoid alcohol, caffeine, mints, and chocolate.

Question 12

Education for the patient and family of a patient diagnosed with cholecystitis should include eating

Answer 12

low-fat diet to help prevent future gallbladder attacks.

Question 13

There is palpation rigidity in the right upper quadrant (RUQ). The nurse suspects injury to what organ?

Answer 13

Liver

Question 14

Left upper quadrant pain with abdominal wall muscle rigidity, spasm, involuntary guarding,
and rebound tenderness with signs of hypovolemic shock would be indicative of _____________

Answer 14

splenic injury.

Question 15

Patients diagnosed with a common bile duct blockage will most likely describe their stools as _____(color)
:

Answer 15

Gray

Question 16

Greasy, frothy, yellow stools are called________ They may be the result of __________

Answer 16

steatorrhea; fat malabsorption.

Question 17

The most precise radiographic diagnostic tool to assist in the diagnosis of appendicitis is a(n):

Answer 17

CT scan of abdomen

Question 18

HIDA scans are used as a diagnostic radiographic tool to assist with the diagnosis of

Answer 18

cholecystitis

Question 19

Which of the following complications would be most concerning following emergent placement
of an esophagogastric balloon tamponade tube?

Answer 19

Airway Obstruction from tube dislodgement or compression of the trachea

Question 20

True or false ? The esophageal balloon may be deflated for 1 hour in a 4-hour interval and should not be inflated for more than 8 hours at a time.

Answer 20

True

Question 21

What do you do if balloon tamponade tube become dislodged?

Answer 21

cut the tube below the ports, immediately remove
the tube, and perform interventions to ensure airway patency. Scissors must be kept at the bedside at all times when the tube is in place.