GI (module 4)

Question 1

What tasks can the nurse delegate to the assistive personnel for NG tube care?

Answer 1

• measure/record drainage
• provide oral/nasal hygiene
• positioning
• ice chips
• anchor tube to gown during care to prevent displacement
• immediately report to nurse if pt complains of burning/signs of redness/irritation to nares

Question 2

If a nurse i having a difficult time arousing a client following an EGD, what should they assess first?

Answer 2

airway

Question 3

what is an at home screening procedure used for colon cancer?

Answer 3

FOBT

Question 4

what should be avoided prior to a FOBT?

Answer 4

anticoagulants, red meat, vitamin C

Question 5

what are 2 tests that may be ordered for a suspected tumor of the jejunum?

Answer 5

-x-ray w/contrast
- small bowel capsule endoscopy

Question 6

what are some indications of a bowel perforation (potential complication of a paracentesis)?

Answer 6

• temperature elevation

Question 7

what 3 meds may be given for GERD?

Answer 7

PPI, H2 blocker, and antacids

Question 8

what condition may painful swallowing occur in?
may also have increased saliva, burping, bitter taste in mouth

Answer 8

GERD

Question 9

what education should be given to a client following a nissen fundoplication?

Answer 9

• avoid eating 2 hr before bed
• elevate HOB
• avoid large meals

Question 10

what are 3 expected findings with a stomach perforation due to a peptic ulcer?

Answer 10

-rigid abdomen
- tachycardia
- rebound tenderness

Question 11

what should a nurse promote the consumption of for a client who has developed dumping syndrome after a gastric surgery?

Answer 11

increased protein in diet

Question 12

what are 3 expected findings of a gastric ulcer?

Answer 12

• sensation of bloating
• pain 30 min-1hr after meal
• pain upon palpation of epigastric region

Question 13

what type of injection may be given for a client with pernicious anemia related to chronic gastritis?

Answer 13

B 12 injection

Question 14

when should famotidine be taken?

Answer 14

at bedtime

Question 15

what condition is a vagotomy done for? what does it do?

Answer 15

-chronic gastritis
- reduces gastric acid secretions

Question 16

what are 3 NG tube care actions the nurse should take?

Answer 16

• documents drainage in clients output
• assess bowel sounds
• oral hygiene every 2 hr
• monitor tube placement

Question 17

what are some findings associated with small bowel obstruction? (4)

Answer 17

• emesis >500 mL w/fecal odor
• spasmodic abdominal pain
• high-pitch bowel sounds
• metabolic alkalosis

Question 18

what type of stool may be seen in a large bowel obstruction caused by fecal impaction?

Answer 18

small frequent liquid stool

Question 19

what labs may be elevated with an acute exacerbation of Crohn’s?

Answer 19

ESR (erythrocyte sedimentation rate) and WBC

Question 20

what type of diet is recommended for Crohn’s?

Answer 20

high protein with low fiber to reduce inflammation

Question 21

what dietary restriction should those with ulcerative colitis make?

Answer 21

limit fiber

Question 22

which inflammatory bowel condition is characterized by abdominal pain followed by n/v?

Answer 22

appendicitis

Question 23

If a patient has appendicitis and now says their pain is relieved by bending at the waist or knees, what should you suspect?

Answer 23

the client may be experiencing peritonitis r/t perforation of the appendix

Question 24

which inflammatory condition is characterized by n/v and followed by abdominal pain?

Can be caused by contaminated food/water

Answer 24

gastroenteritis

Question 25

what is a likely location for pain in pt with diverticular disease?

Answer 25

left lower quadrant (this condition generally effects sigmoid colon)

Question 26

why are clients with diverticulitis at risk for peritonitis?

Answer 26

perforation of the colon

Question 27

why should a client with ulcerative colitis not eat foods like dried apricots, whole grains and nuts?

Answer 27

they are high fiber foods, and high fiber may trigger an exacerbation of ulcerative colitis

Question 28

If a client is admitted for an acute exacerbation of ulcerative colitis, what action should the nurse take first?

Answer 28

review the clients electrolytes

Question 29

what are expected findings of peritonitis? (4)

Answer 29

• rigid abdomen
• decreased urinary output
• hypoactive bowel sound s
• inability to pass stool

Question 30

how may ulcerative colitis lead to anemia?

Answer 30

chronic blood loss (bloody stools)

Question 31

what are 3 symptoms of a paralytic ileus?

Answer 31

• abdominal distension
• absence of bowel sounds
• no stool/flatus

Question 32

why is a large-bore NG tube placed after a colectomy?

Answer 32

decompression (remove gas and fluid from stomach to allow bowel to rest)

Question 33

which type of hiatal hernia includes movement of the fundus of the stomach?

Answer 33

rolling (paraesophageal)

Question 34

Describe a sliding hiatal hernia.

Answer 34

a portion of the stomach and the gastroesophageal junction move above diaphragm

Question 35

identify which type of hiatal hernia:
- heartburn
-reflux
- chest pain
-belching
-dysphagia

Answer 35

sliding hernia

Question 36

Identify which type of hiatal hernia:
- fullness after eating
- breathlessness
- suffocation

Answer 36

rolling (paraesophageal)

Question 37

What is ERCP?

Answer 37

Endoscopic retrograde cholangiopancreatography

Question 38

What is EGD?

Answer 38

Esophagogastroduodenoscopy