GI Inflammation Flashcards
Which is true of ulcerative colitis? Select all that apply.
a. ) Complication such as hemorrhage and nutritional deficiency
b. ) Occurs anywhere in the GI tract from anus to mouth
c. ) Weight loss rarely occurs
d. ) Granuloma may occur
e. ) Stools frequency and water with mucous and blood
A, C, E
A nurse is talking about the symptoms of a patient diagnosed with irritable bowel syndrome (IBS). Which symptom listed indicates a need for further discussion?
a. ) Sensation of incomplete evacuation
b. ) Frequent stools at onset of pain
c. ) Visual abdominal distension
d. ) Hard stools at onset of pain
D - Looser stools at onset of pain is a symptoms of IBS while this is not
Which nursing actions should a nurse perform when caring for a patient with peptic ulcer disease? Select all that apply.
a. ) Include bedtime snacks for pt.
b. ) Document and notify the HCP about symptoms of dumping syndrome
c. ) Admin PPI after meals
d. ) Admin antacids 1-3 hours after meals
e. ) Prepare the pt. for an upper endoscopy or surgery per order
B, D, E
Which diagnostic tests are used to detect an active infection with Helicobacter pylori? Select all that apply.
a. ) Radiological test
b. ) Urea breath test
c. ) Barium x-ray test
d. ) serological test
e. ) Fecal antigen test
B, D, E
The nurse is caring for a patient with a peptic ulcer. Which symptom would suggest that it is in the duodenum?
a. ) Pt. dizzy, sweating, and has palpitations
b. ) Pt. has ulcer-like pain that cannot be relieved by antacids
c. ) Pt. has burning epigastric pain, which is relieved after taking antacids
d. ) Pt. feel stomach fullness
C
A patient is hospitalized to rule out peptic ulcer disease (PUD). He asks the nurse what types of noninvasive tests the provider will perform. Which test should the nurse say is most commonly performed?
a. ) Upper-endoscopy
b. ) Liver function test
c. ) Esophagogastroduodenoscopy
d. ) Stool antigen test
D
A patient with peptic ulcer disease is being discharged on several new medications. When performing medication education, which medication should the nurse say helps block gastric secretions?
a. ) Antacids
b. ) H2-recptor antagonist
c. ) Metoclopramide
d. ) Sucralfate
B
After receiving hand-off report, the nurse begins reflecting on the possible complications that can occur in the patient with peptic ulcer disease. Which considerations should the nurse make? Select all that apply.
a. ) Ulcer crater penetrating through adjacent organs
b. ) GI contents entering the peritoneum
c. ) Edema, spasm, or contraction of scar tissue
d. ) Abdominal distention and third space
e. ) Abdomen tender when palpating
B, D, E
The nurse is creating a plan of care for a patient with peptic ulcer disease. What is important to include? Select all that apply.
a. ) Advise the pt. to refrain from caffeine intake
b. ) Advise the pt. to limit use of aspirin
c. ) Advise the pt. to limit bedtime snacks
d. ) Admin antacid 1 hour before meals
e. ) Admin PPI before breakfast
A, E
B incorrect - Pt should refrain from aspirin, limiting the use is not beneficial
C incorrect - Pt. should TOTALLY ELIMINATE bedtime snacks
A patient is diagnosed with medication-induced nonsteroidal anti-inflammatory drug (NSAID) peptic ulcer disease. Which clinical finding is the nurse most likely to find in the patient?
a. ) Decrease in pepsin secretion
b. ) Increase bicarb levels
c. ) Decrease mucus production
d. ) Increase in gastric mucosal blood flow
C - because reduce blood flow to the mucosal membrane, there will be a decrease in mucus production
Which of these will not help diagnose H. pylori in a client with PUD?
a. ) Biopsy
b. ) CT scan
c. ) Fecal sample
d. ) Blood test
B
True/False: A clinical sign of appendicitis is rebound tenderness in the LLQ called McBurney’s point.
False, should be RLQ
Which is not proper discharge teaching for pt. with recent appendectomy?
a. ) early ambulation
b. ) eat whatever you want
c. ) incentive spirometer
d. ) Take full ABX even if no fever
B
True/False: GI bleed can lead to manifestation of hypovolemic shock in pt. with PUD
True
Hypovolemic shock - Decreased BP and LOC and increased HR
True/False: Client with IBD, zinc, Mg+, K+ will be high
False - they will be low
Common age for PUD diagnosis
25-65
Risk factors for PUD
H. pylori
NSAID and Aspirin use
Smoking, alcohol, coffee
Obesity
What tool is used for diagnosis of PUD
EGD
Lab the nurse wants to assess for a pt. with PUD
CBC
Electrolyte (esp.K+)
Med that are given for PUD
PPIs
Antacids
H2 receptor antagonist
Pt. is diagnosed with PUD the off nurse says the Hgb and Hct started to drop on her shift. On assessment you see BP: 90/60 HR: 170 and the client has coffee ground emesis. What is the nurse’s priority intervention?
Large bore IV for rapid IV fluids and prepare for blood transfusion and EGD
The pt. states that his epigastric pain is better when he eats and resolves when taking antacids. The nurse suspects what?
Pt has PUD and specifically duodenal ulcer
The pt. states that his epigastric pain is worse when he eats and does not resolve when taking antacids. The nurse suspects what?
Pt. has PUD and specifically gastric ulcer
Common age for appendicitis diagnosis
10-19
