GI Flashcards
What diet does a patient with pancreatitis eat?
NPO
What do we teach a patient about gastritis?
Healthy diet, avoid caffeine & alcohol, take a protein pump inhibitor
If a patient with GERD is bloated, what are we worried about?
Wheezing, could be aspirating on bile
What should be done if a patient going into surgery does not have adequate knowledge?
Get the surgeon to talk to the patient before surgery
What medicine does a nurse prepare to administer to a patient with SOB and a HR of 46?
Atropine
What patients are more likely to develop pancreatitis?
African American, males, smoking history, older (50-60)
What is the purpose of a patient having an NG tube?
Decompression, medicine, food, suction
What is decreased platelet called?
Thrombocytopenia
What does Sucralfate do for patients with peptic ulcer disease?
Protects the stomach lining
What acid-base imbalance do we look for in a patient with morphine OD?
Respiratory acidosis
What assessments are found in colorectal cancer?
Rectal bleeding, change in bowel consistency, anemia
What is the mechanism of action of CCB for HTN?
Relaxes your blood vessels
Why does a patient with a family history of colon cancer need a colonoscopy?
Need to screen for colon cancer, it’s a concern
What diet should a patient follow 24 hours before a colonoscopy?
Clear liquid diet
How many liters of GoLytely will the patient drink?
2L
What is expected after drinking GoLytely?
Watery stools
What lab report is critical if a patient is readmitted with abdominal pain after a procedure?
H&H. Could have a bowel perforation
What do we teach a patient about colostomy care?
How to care for it and the patient needs to return the demonstration
What does lactulose do for hepatic encephalopathy?
Decreases ammonia in the body by excreting it through stool
Which Hepatitis is caused by fecal-oral transmission?
Hep A
What should we say if a patient has liquid stools after ascending colon surgery?
This is normal
What are symptoms of large bowel obstruction?
Upper abdominal distention, lower abdominal cramps, minimum to no vomiting, no major electrolyte changes
What assessment requires immediate intervention post-op bariatric surgery?
Increased abdominal and back pain, could indicate a leak
What diet should a patient with Celiac disease follow?
Gluten free
What factor causes elevated AST with acute pancreatitis?
Bile flow destruction
What actions should a patient with a hernia repair take?
Apply ice, ambulate, deep breath, DON’T COUGH, do not lift more than 10 pounds
What are post-op instructions for laparoscopic cholecystectomy?
Persistent abdominal pain or fever
What labs are run for a patient with RUQ tenderness after traveling?
AST, ALT
What screening is sent out if liver enzymes are elevated?
Hep A
What color would urine be if the sclera is yellow and stools are clay colored?
Tea colored
What do we do for a patient suspected of small bowel obstruction with severe upper abdominal pain?
NGT to rest the abdomen
What is the next step after inspecting the abdomen?
Auscultate
What do patients need to know about proton pump inhibitors?
Suppresses the secretion of acid in the stomach
What complications can patients with Crohn’s develop?
Fistulas, malabsorption, anemia, weight loss, abscess formation, fatty stools
What is an appropriate plan of care for a patient with Hep B&C?
Monitor for confusion, skin breakdown, limit sodium, soft toothbrush, daily weights
What symptoms indicate right-sided heart failure?
JVD, edema, ascites, weight gain
What do we check immediately for esophageal varices?
BP and Pulse
Which patient must go to RN for teaching on a low sodium diet?
The one who needs teaching on low sodium diet
Which patient should be assessed first on a med-surg unit?
Patient with parathyroidectomy
What disorders are classified as acute inflammatory bowel disorders?
Gastroenteritis, appendicitis, pararenitis
What should be done for a patient diagnosed with appendicitis who begins to vomit?
Call doctor
What nursing interventions are needed for a hemorrhoidectomy?
Stool softeners, no straining or vasovagal responses, high fiber diet
What must we look for after a patient has an EGD?
Gag reflex
What is the most frequent complication of an ileostomy?
Fluid and electrolyte imbalances
What deficiency is associated with chronic gastritis?
B12
What are clinical manifestations of ulcerative colitis?
Frequent watery stools with blood and mucus
What is bright red blood in stool called?
Hematochezia
What organ is associated with prolonged PT time?
Liver
What finding is a risk factor for pancreatitis?
Autoimmune diseases, alcoholism, hyper triglycerides
What procedure is performed for esophageal varices?
EGD
What teaching is required after receiving IV antibiotics for ammonia?
Show me how to clean the site (teach it back)
