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MED/SURG: GI > GI (LOWER): NCLEX REVIEW 1 > Flashcards

GI (LOWER): NCLEX REVIEW 1 Flashcards

1
Q

INFLAMMATORY BOWEL DISEASE

Is any number or inflammatory diseases of the GI tract of unknown causes

The two most common types are?

A
  1. Ulcerative colitis and Crohn’s disease
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2
Q

Ulcerative Colitis

  • Involves which layers?
  • Which regions?
A
  1. superficial layers
  2. on the wall of the colon
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3
Q

Crohn Disease

  • Involves which layers?
  • Which regions?
A
  • All layers of the bowel wall
  • oropharynx to the rectum, cobblestone appearance, fistulas
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4
Q

A history of IBD (Ulcerative colitis, Crohn’s disease and more) is a risk factor for colon factor.

T or F?

A

True

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5
Q

Fecal occult blood testin commonly reveals evidence of?

A

carcinoma even if client is asymptomatic

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6
Q

Fxn

  1. Antacids
  2. Anticholinergic drugs
  3. Demulcent (2)
A
  1. Antacids decrease gastric acid secretions
  2. Anticholinergic drugs decrease GI motility
  3. Demulcent soothe mucous membranes of the GI tract and are used to Tx diarrhea
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7
Q
  1. A sign indicating that a client’s colostomy is open and ready to function is (2)
  2. Once functioning is verified (2) things can be done
  3. What would absence bowel sounds indicate?
A
  1. passage of feces and flatus
  2. Suction is generally discontinued and pt can begin taking oral food and fluids.
  3. Nasogastric tube should remain in place because peristalsis has not yet returned
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8
Q

S/P position after abdominal-perineal resection with a colostomy?

A

Side-lying position

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9
Q

Decrease albumin in the intravascular space cause a fluid shift out of the intravascular space resulting in

A

Ascities

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10
Q

If there is a decrease in liver function there a

risk of ___?___due to alternations in liver enzymes affecting ___?___

A

If there is a decrease in liver function there a

risk of bleeding due to alternations in liver enzymes affecting coagulation

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11
Q

Sulfasalazine

Sulfa/sala/zine

  1. Ther. Class
  2. Side effect that causes nutrient deficiency, what kind?
  3. Urine color?
  4. Side effect for males
  5. LOC
  6. Fluid Intake

Do not confuse with sulfa/dia/zine

A
  1. Anti rheumatic can be used as an anti inflammatory
  2. Folic Acid eat green, leafy vegetables
  3. Orange Yellow
  4. possible infertility
  5. Can cause dizziness and client should avoid driving
  6. Fluid intake should be maintained for output of 1200ml to 1500ml
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12
Q

Name two things that exacerbate ulcerative colitis?

A
  1. Stressful and emotional events but they do not cause ulcerative colitis
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13
Q

Exacerbation of ulcerative colitis primary symptom

A

DIARRHEA

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14
Q

Ulcerative colitis name (4) types of medications that can be given for this disease that is not curable

A
  1. Anti diarrheal agents
  2. Anti inflammatory drugs
  3. Antispasmodic agents
  4. Bulk hydrophilic agents
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15
Q

Ulcerative colitis client ordered for modified bed rest…what is the primary purpose?

A

Reduce hypermotility of the colon

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16
Q

Excessive diarrhea cause significant depletion fo (2)

A
  • Sodium and potassium and fluid
17
Q

Ulcerative colitis: Steroids are administered that result in?

A
  • Decrease inflammation and bleeding?
18
Q

Ulcerative colitis

To rest the bowels client may be placed on TPN or Enteral Feedings…what is the difference?

A
  • TPN: Total Paternal Nutrition: Bypasses GI Tract and nutrition is via IV vein access, TAPE ALL IV TUBING CONNECTIONS to prevent disconnections
  • Enteral Feedings via Nasogastric Tube can be partial/supplementary or complete
19
Q

Ulcerative colitis

  1. Increase protein?
  2. Increase roughage?
A
  1. Increase protein? YES
  2. Increase roughage? NO, avoid excess roughage
20
Q

Priority of care during acute exacerbation of Crohn’s disease?

A

PROMOTE BOWEL REST via NPO

21
Q

Diarrhea is NONBLOODY in Crohn’s Disease and rectal bleeding is not expected

T or F

A

TRUE

22
Q

Ulcerative colitis med mesalamine (Rowasa) why?

A

anti inflammatory adm rectally at bedtime

MED/SURG: GI (12 decks)

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