G.I. Assessment

Question 1

What are some G.I. changes related to aging?

Answer 1

Gastric mucosa atrophy
Decreased peristalsis
Dulled nerve impulses
Distention and dilation of pancreatic ducts
decrease in hepatic cells
disruption of microbial balance

Question 2

What does PQRST stand for?

Answer 2

Provocation /palliation
Quality/quantity
Region/radiation
Severity scale
Timing

Question 3

What organs are located in RUQ?

Answer 3

Most of liver
gallbladder
duodenum
head of pancreas
hepatic flexure of colon
part of ascending and transverse colon

Question 4

What organs are located in LUQ?

Answer 4

Left lobe of liver
stomach
spleen
body and tail of pancreas
splenic flexure of colon
part of transverse and descending colon

Question 5

What organs are in the RLQ?

Answer 5

Cecum
appendix
right ureter
right ovary and fallopian tube
Right spermatic cord

Question 6

What organs are in LLQ?

Answer 6

Part of descending colon
Sigmoid colon
left ureter
Left ovary and fallopian tube
left spermatic cord

Question 7

What is the order of a abdominal assessment?

Answer 7

Inspect
Auscultate
Palpate

Question 8

Dyspepsia

Answer 8

heartburn

Question 9

Jaundice

Answer 9

yellow skin due to bilirubin pigments

Question 10

Borborygmus and when do you usually hear them?

Answer 10

increased high pitched bowl sounds
diarrhea and gastroenteritis

Question 11

What does elevation of amylase or lipase may indicate?

Answer 11

acute pancreatitis

Question 12

What is the normal range for ALT?

Answer 12

4-36

Question 13

Albumin range

Answer 13

3.5-5.0

Question 14

AST range

Answer 14

0.35

Question 15

Bilirubin range

Answer 15

0.3-1.0

Question 16

Amylase range

Answer 16

30-220

Question 17

Lipase range

Answer 17

0-160

Question 18

Patient education for a EGD?

Answer 18

NPO 6-8 hours prior
avoid anticoagulants
Atropine may be given to dry secretions
local anesthetic is sprayed to inactivate gag reflex

Question 19

Nursing interventions after an EGD

Answer 19

Vital signs q 15-30 min
keep bed rails raised
NPO until gag reflex in returned
Monitor signs of perforation

Question 20

Signs of perforation

Answer 20

bleeding
pain
fever

Question 21

What is an Endoscopic retrograde cholangiopancreatography (ERCP)?

Answer 21

a visual and examination of liver, gallbladder, bile ducts, and pancreas

Question 22

What is the purpose of an ERCP?

Answer 22

can remove gallstones