GI

Question 1

4 nursing interventions for hiatal hernia

Answer 1

sit up while eating and 1 hr after, small frequent meals, eliminate foods as needed

Question 2

three categories of meds for PUD

Answer 2

antacids, H2 receptor blockers, mucosal healing agents, PPI

Question 3

symptoms of upper and lower GI bleed

Answer 3

Upper GI - melena, hematemesis, tarry stools. Lower GI - bloody stools, tarry stools, common to both, tarry stools

Question 4

what bowel sound disruptions occur with an intestinal bleed

Answer 4

early mechanical obstruction: high pitched sounds. late mechanical obstruction: diminished or absent bowel sounds

Question 5

interventions for postop colostomy care

Answer 5

irrigate daily at same time, use warm water. Wash around stoma with mild soap and water after each ostomy bag change, ensure puch opening extends at least 1/8 inch around stoma

Question 6

common manifestations of jaundice

Answer 6

scleral icterus (yellow), dark urine, chalky or clay colored stools

Question 7

common food intolerances for cholelithiasis

Answer 7

fried, spicy, fatty

Question 8

5 symptoms of colon cancer

Answer 8

rectal bleeding, change in bowel habits, sense of incomplete evacuation, abdominal pain with nausea, weight loss

Question 9

with cirrhosis, it is imperative to prevent further bleeding and observe for bleeding tendancies. 6 interventions

Answer 9

avoid injections, use small bore needs for IV, maintain pressure for 5 minutes on all venipuncture sites, use electric razor, soft toothbrush, check stools and emesis for occult blood

Question 10

main SE of lactulose, which is used to reduce ammonia levels with cirrosis

Answer 10

diarrhea

Question 11

4 groups at risk for Hep

Answer 11

homo males, IV drug users, recent piercing and tattoos, HC workers

Question 12

how to admin pancreatic enzymes

Answer 12

give with meals or snacks. power forms should be mixed with fruit juices