GI

Question 1

Colon cancer complication

Answer 1

large bowel obstruction

s/s: constipation, bloating, abdominal pain, diarrhea

Question 2

What kind of diet should we teach to someone with colon cancer?

Answer 2

high protein
high fiber
moves along faster

Question 3

upper GI bleed diagnostic procedure

Answer 3

EGD

Question 4

most common culprit of upper GI bleed

Answer 4

h.pylori which causes stomach ulcers

Question 5

lower GI bleed diagnostic test

Answer 5

colonoscopy

Question 6

EGD

Answer 6

probably be given conscious sedation
will suppress gag reflex
may have hoarse speech
fever 100 or higher call a physician

Question 7

colonoscopy

Answer 7

conscious sedation
flatulence
light bright red blood may be noted in stool or on toilet paper
notify physician if moderate to large amounts of bleeding and fever

Question 8

Upper GI bleed s/s

Answer 8

dark tarry stools
hypovolemia
vomiting bright red
epigastric tenderness
dyspepsia

Question 9

GERD

Answer 9

teach about their diet
if it hurts, don't eat it
don't lay down immediately
avoid bedtime snacks
don't eat right before bed

s/s

Question 10

gastritis

Answer 10

inflammation of the gastric mucosa

Question 11

gastritis manifestations

Answer 11

abdominal tenderness
bloating
hematemesis
bloody stool
shock
vomiting
diarrhea

Question 12

What is the patient at risk for with gastritis?

Answer 12

fluid loss which can cause hypovolemia and shock

fluid and electrolyte imbalnce

Question 13

h. pylori cause

Answer 13

gastritis

Question 14

What vital signs are associated with shock?

Answer 14

blood pressure- low

HR- high

Question 15

primary treatment of gastritis

Answer 15

identify and eliminate causative factors

Question 16

Which electrolytes can cause the most significant issues due to fluid loss?

Answer 16

Potassium

Question 17

lower GI bleed

Answer 17

brighter stools

blood drops may be in the toilet

Question 18

For any UGI disease process including gastric ulcer, hiatal hernia, GERD it is important to know

Answer 18

the proper diet
educate patients
exercise on an empty stomach
small more frequent meals, do not eat within 2 hours of laying down

Question 19

GERD s/s

Answer 19

dyspepsia
regurgitation
flatulence
hypersalivation
dysphagia 
bloating
N/V
chronic cough

Question 20

PQRST

Answer 20

precipitating or pallitative
quality and quantity
region/radiation
severity
timing

Question 21

a person with a hiatal hernia needs to avoid

Answer 21

straining and vigorous exercise

avoid nonbinding clothing

Question 22

Hiatal Hernia s/s

Answer 22

heartburn
regurgitation
Pain
dysphagia
belching
worsening symptoms after eating

Question 23

Hiatal hernia

Answer 23

protrusion of the stomach through the diaphragm

Question 24

Hiatal hernia

Answer 24

protrusion of the stomach through the diaphragm

Question 25

Upper GI diseases mimic

Answer 25

each other

Question 26

PUD

Answer 26

mucosal lesion of the stomach or duodenum caused when gastric mucosal defenses become impaired and no longer protect the epithelium from the effects of acid and pepsin.

Question 27

surgery may be required for a hiatal hernia when

Answer 27

risk for complications is high or damage from chronic reflux is severe.

Question 28

PUD s/s

Answer 28

epigastric tenderness dyspepsia sharp, burning, gnawing pain sensation of fullness or hunger

Question 29

curlings ulcer

Answer 29

burns

Question 30

cushing's ulcer

Answer 30

head injury

Question 31

PUD teaching

Answer 31

teach about proper diet Bland foods, foods that won't exacerbate the condition spices

Question 32

If a patient comes back from a procedure, what will be absent?

Answer 32

gag reflex

Question 33

PUD can cause what when eating foods that make it worse?

Answer 33

perforation pyloric obstruction hemorrhage

Question 34

Labs for pancreatitis

Answer 34

amylase and lipase

Question 35

what is the only way B12 can be absorbed if not absorbed in the stomach due to lack of intrinsic factor?)

Answer 35

IM

Question 36

colon cancer diagnostic procedure

Answer 36

colonoscopy

Question 37

Large bowel obstruction diagnostic procedure

Answer 37

x-ray ct scan colonoscopy mainly to look for tumors or other obstructions in the large bowel

Question 38

GI bleed diagnostic procedure

Answer 38

hematocrit and hemoglobin

Question 39

liver labs

Answer 39

AST, ALT, ammonia

Question 40

Ulcerative Colitis/Crohns Disease diagnostic procedure

Answer 40

Inflammatory markers such Sedimentation Rate and WBC

Question 41

All GI processes carry the risk of

Answer 41

malnutrition due to malabsorption

Question 42

All GI processes carry the risk of malnutrition due to malabsorption specifically

Answer 42

Ulcerative colitis, Crohns Disease, any form of colon cancer

Question 43

If a patient has a history of Ulcerative colitis they are at a higher risk for

Answer 43

colon cancer

Question 44

Prevention of Ulcerative colitis

Answer 44

stop using all forms of alcohol and tobacco | increase fiber

Question 45

Large bowel obstruction s/s

Answer 45

Abdominal distention Abdominal pain Absent bowel sounds (past obstruction) Constipation or diarrhea

Question 46

For patients with colostomies

Answer 46

Always assess stoma site for s/s of infection Proper care of stoma site and colostomy bag Good bowel pattern for increase in ADL’s for the patient

Question 47

Hepatitis C

Answer 47

illegal iv drug user alcoholism leading indication for liver transplant

Question 48

Hepatitis B

Answer 48

Unprotected sex, shared needles, blood transfusions, hemodialysis, maternal-fetal route commonly given to healthcare workers

Question 49

Manifestations of hepatitis

Answer 49

ascites, bruising, jaundice, rash, edema, N/V, abdominal pain, joint pain manage pain

Question 50

What may be used for fluid excess and must be used cautiously due to electrolyte imbalance specifically sodium and potassium?

Answer 50

Diuretics

Question 51

What medications should be avoided if patients have hepatitis?

Answer 51

acetaminophen

Question 52

what meds can be taken for hepatitis?

Answer 52

Antiemetics Antiviral medications immunomodulators

Question 53

gerd meds

Answer 53

antacids PPI: long term H2 antagonist: pepsid, zantac before bedtime prokinetic

Question 54

sliding hernia

Answer 54

slides up

Question 55

rolling hernia

Answer 55

protrudes outward

Question 56

gastritis and pud meds

Answer 56

sucrafate

Question 57

h.pylori meds

Answer 57

metrodizole | tetracydine

Question 58

IBS ask about what

Answer 58

weight change fatigue bowel movements

Question 59

appendicitis

Answer 59

rebound tenderness | mcgurneys point

Question 60

peritonitis

Answer 60

life threatening high fever compromised resp status rigid board like abdomen

Question 61

order of assessment

Answer 61

inspect auscultate percussion palpate

Question 62

esophageal cancer

Answer 62

barretts | smoking is number 1 cause

Question 63

ascending

Answer 63

watery

Question 64

descending

Answer 64

more formed