GI Flashcards
A patient is admitted to the hospital with left upper quadrant (LUQ) pain. What may be a possible source of the pain?
A Appendix
B Gallbladder
C Liver
D Pancreas
D Pancreas
Which of the following is a clinical manifestation of an age-related change (of the GI tract) that a nurse may find in an older adult?
A Increased production of gastric acid
B Intolerance to fatty foods
C Reflux of gastric content into the esophagus
D Yellowish tinge/coloring to the skin
C Reflux of gastric content into the esophagus
When providing care for a severely obese patient, which of the following is the most important action for the nurse to take?
A Avoid reference to the patient’s weight to avoid embarrassing the patient.
B Emphasize to the patient how important it is to lose weight to maintain health.
C Plan for necessary modifications in equipment and nursing techniques before initiating care.
D Recognize that an assessment of each body system might not be possible because of increase skin fold layers.
C Plan for necessary modifications in equipment and nursing techniques before initiating care.
What information should be included in the dietary teaching for a patient following Roux-en-Y gastric bypass?
A Avoid sugary food and limit fluids to prevent dumping syndrome.
B Gradually increase the amount of food ingested to reach preoperative levels.
C Maintain a long-term liquid diet to prevent damage to the surgical site.
D Consume foods high in complex carbohydrates, protein, & fiber
A Avoid sugary food and limit fluids to prevent dumping syndrome.
Which of the following patients would be a candidate for parenteral nutrition?
A A 60 year old man with a small bowel obstruction
B A 80 year old man with anorexia
C A 60 year old women with a newly placed G-tube
D A 70 year old woman whom is tolerating tube feeds
A A 60 year old man with a small bowel obstruction
Not B because it is not severe
A patient has been admitted to the hospital due to experiencing vomiting for several days. The cause of the patient’s vomiting is unknown. Which of the following interventions should be considered the nurse’s priority in providing care for this patient?
A Administration of parental antiemetics.
B Insertion of an NG tube for suction.
C IV replacement of fluid and electrolytes.
D Oral administration of broth & tea.
C IV replacement of fluid and electrolytes.
Which type of infection or inflammation of the mouth can occur as a result of chemotherapy, renal disease, or liver disease?
A Canker sores
B Oral Candidiasis
C Parotitis
D Stomatitis
D Stomatitis
When caring for a patient in the initial post-operative period after a partial glossectomy with a radial neck dissection, which of the following is the nurse’s primary concern?
A Assessing the patient’s coping.
B Maintaining a patent airway.
C Providing adequate nutrition
D Relieving the patient’s pain.
B Maintaining a patent airway.
A nurse receives in report that a male patient who had Billroth II procedure a few weeks ago is now experiencing dumping syndrome. Which of the following statements most accurately explains the pathophysiology associated with the patient’s symptoms.
A Distention of the stomach due to too much food and fluid intake
B Hyperglycemia caused by uncontrolled gastric emptying into the small intestines
C Irritation of the stomach lining by reflux of bile salts because of the removal of the pyloric sphincter
D Movement of fluid into the small bowel because food and fluids move rapidly into the intestines.
D Movement of fluid into the small bowel because food and fluids move rapidly into the intestines.
A patient is admitted to the ER with bright red emesis. What is the nurse’s first priority during the initial care of this patient?
A Establish two IV sites with large gauge catheters
B Obtain a thorough health history to assist in determining the cause of the bleeding
C Provide a focused nursing assessment of the patient’s status
D Provide a gastric lavage with cool tap water in preparation for an endoscopic procedure
C Provide a focused nursing assessment of the patient’s status
A 32 year old female presents to the ER with nausea and vomiting and vague abdominal pain for the past 2 days. The nurse’s priority intervention would be to:
A Administer anti-nausea medication intravenously.
B Encourage small sips of water or warm tea.
C Keep the patient NPO.
D Place an NG Tube
C Keep the patient NPO.
A patient is admitted to the ER with acute abdominal pain. Which nursing intervention should the nurse implement first?
A Administration of prescribed analgesics
B Assessment of the pain
C Measurement of vital signs
D Physical assessment of the abdomen
C Measurement of vital signs
A 17 year old male complains of a fever, chills, abdominal pain, & nausea and vomiting. An assessment of his abdomen reveals rebound tenderness. The nurse would suspect a diagnosis of:
A Appendicitis
B Cholecystitis
C Pancreatitis
D Peritonitis
A Appendicitis
A teenage boy’s ultrasound revealed a ruptured appendix. The nurse needs to implement several nursing interventions to properly care for this patient. The priority nursing intervention is:
A Offer the patient small sips of water
B Place an NG tube and connect it to low intermittent wall suction
C Place the patient on their left side and raise the HOB 30 degrees
D Start an IV & administer IV fluids and antibiotics as ordered
D Start an IV & administer IV fluids and antibiotics as ordered
You are explaining the differences between Crohn’s disease and Ulcerative Colitis to a 20 year old female and her parents. You explain that Ulcerative Colitis commonly presents with…
A Bloody diarrhea
B Nausea and vomiting
C Skin lesions
D Upper abdominal pain
A Bloody diarrhea
