GI Flashcards
With diverticular disease, nurses should expect the client to have abdominal pain in the lower _____quadrant of the abdomen. The disease is usually found in the _______colon, where high pressure to move fecal contents from the rectum causes pouch formation.
left, sigmoid
Clients with diverticulitis should be advised to eat ___ fiber diets due to inflammation. Fresh vegetables and starchy vegetables are ____ in fiber, while meats are ___ in fiber.
low, high, low
A paralytic ileus in a postoperative client is indicated by the _______ of bowel sounds, abdominal distention, and the client passing no ______ or flatus. It is often caused by bowel handling during surgery and ________ analgesic use.
absence, flatulence (gas), opoids
The greatest risk associated with ulcerative colitis is injury from ________ function of cardiac or respiratory muscles; therefore, the first action (*When you see this, it means that all the answers could be correct, but there is one option that should be done first) the nurse should take is to review the client’s ____________ values. The client might have ___ sodium, potassium, and chloride from frequent diarrhea.
impaired, electrolyte, low
Both ulcerative colitis and Crohn’s disease processes are an __________ process of the gastrointestinal tract. Ulcerative colitis begins in the _______ and proceeds toward the cecum, Crohn’s disease if found primarily in the _______, with scattered lesions throughout the bowel. Surgical interventions with ulcerative colitis are not as ________ as with Crohn’s disease.
inflammatory, rectum, ileum, common
With Crohn’s disease low lactose, ___, and fiber are recommended.
low fat
Chronic cholecystitis occurs following several bouts of _______ cholecystitis. The repeated episodes of ____________ result in a fibrotic and contracted gallbladder. Because of inflammation in the gallbladder, bile needed to absorb fat and fat-soluble vitamins is unable to enter the bowel, resulting in steatorrhea (_______ _____).
acute, inflammation, fatty stools
Foods high in ________, such as creams and cheese should be avoided for clients with cholecystitis.
fat
Peptic ulcer disease can result in hematemesis, which indicates massive bleeding and requires ________________ attention. Hint: this could be a priority question.
immediate
A client with gastroesophageal reflux disease should maintain a ___-fat diet, avoid carbonated beverages, eat small frequent meals, and ______ eating within 2 hrs. of bedtime.
low, avoid
To rest the pancreas and ________ secretion of pancreatic enzymes, NPO status must be initiated and maintained during the acute phase of pancreatitis. This is the ________intervention to address after the client’s pain has been treated. When food is allowed clients should avoid foods high in ___, such as cheese.
reduce, priority, fat
The nurse should anticipate a provider’s prescription for a proton pump inhibitor to _______gastric acid production, which ultimately ________ pancreatic secretions.
decrease, decreases
The greatest risk to the client’s safety following an EGD is __________. Until the client’s _____ reflex returns, the nurse must keep the client NPO and prepare to intervene to keep the airway open and unobstructed.
aspiration, gag
During a sigmoidoscopy, increased flatulence can occur due to the instillation of ___during the procedure. The client will be NPO after ___________the night before the procedure. The left side is the best position for this procedure. General _________ is not used for this procedure.
air, midnight, anesthesia
