GI JOE

Question 1

When administering enema (soapsuds) then abdominal cramping occurs, what do you do?

Answer 1

This is common. Temporarily stop enema, allow cramp to ease then start again.

Question 2

What is achalasia?

Answer 2

Loss of peristalsis in the lower portion of esophagus

Question 3

How often do you change tube in tube feeding?

Answer 3

24 hours

Question 4

The relation between enema, glaucoma, and ICP?

Answer 4

Enema is contraindicated for glaucoma cause it may increase pressure, same with increased intracranial pressure

Question 5

Antacids and pregnancy?

Answer 5

No antacids during pregnancy

Question 6

Urea breath test, what is nursing responsibilities.

Answer 6

Npo midnight before test.

Question 7

When flushing PICC line

Answer 7

Use 10 ml water before and after. Flush with 5 ml Heparin only when PICC is not actively used. Replace dressing every 7 days or when soiled

Question 8

Good sources of fiber?

Answer 8

Raw vegetables and fruits

Question 9

Difference between melena and hematochezia and occult

Answer 9

Melena is black tarry stool from digested blood, hematochezia is bright red blood, and occult is undetectable without testing

Question 10

Antacid and interaction with other oral medication

Answer 10

When taking antacids, like aluminum hydroxide, wait an hour before taking other oral meds.

Question 11

Use of vasopresin

Answer 11

Can be used to constrict arterials and reduce inflow to portal vein

Question 12

Heparin antidote

Answer 12

Protamine sulfate

Question 13

Expected IRON range

Answer 13

Female is 60 to 160, Male is 80 to 180

Question 14

Metoclopramide: if the dose is missed? Side effects? Notify if what happens?

Answer 14

Take a dose as soon as remembered unless close to the next dose.

Sedation.

Notify doc if facial involuntary and repetitive movements occur.

Question 15

What does urea breath test for?

Answer 15

H. Pylori or peptic Ulcers

Question 16

Serum amylase increases when?

Answer 16

Pancreatitis

Question 17

In TPN solutions, how long can that be hung?

Answer 17

24 hours, after which you should replace

Question 18

When trying to remove the NG tube, what should you tell the client?

Answer 18

Take a deep breath and hold it

Question 19

What is contraindicated in the case of diverticulitis?

Answer 19

Barium enema and colonoscopy out of risk for perforation.

Question 20

Hypoalbumin results in?

Answer 20

Ascites

Question 21

What can cause false-negative test for H.pylori urea breath test

Answer 21

Omeprazole (PPI), ranitidine (H2 Blockers), bismuth.

Question 22

What is the Obturator for?

Answer 22

A test performed for appendicitis. Patient’s lies on their back with hip and knee flexed 90 degrees

Question 23

Describe silent aspiration

Answer 23

May display no coughing but may show aspiration pneumonia within 24 hours

Question 24

Hyperemesis gravidarum, explain

Answer 24

It is N/V that occurs during pregnancy. This causes electrolyte and fluid imbalance. Patients with this condition are unable to digest nutrition in food and start using fat. This produces ketones.

Question 25

Ascites and albumin relation.

Answer 25

In liver disorders, albumin going down releases causes fluid to shift out of intravascular space causing ascites. Ascites are mainly caused by portal hypertension.

Question 26

When giving enteral nutrition feeding, how often do you check residual volume?

Answer 26

Every 4 - 8 hours

Question 27

What does hot liquid do for constipation?

Answer 27

Causes increased peristalsis

Question 28

NG tube care

Answer 28

Provide hygiene every 2 hours.

Irrigate and check placement every 4 hours

Question 29

In the event of ostomy, when a blockage occurs what do you do?

Answer 29

Do liquid diet