GI Rationales (1) Flashcards
What is the primary action of N-acetylcysteine?
to bind to acetaminophen metabolites.
VT is a serious complication for Bariatric patients. How can this be mitigated?
With PCV’s
It is common for bariatric patients to _____ early.
ambulate early (6-8 hours)
Colon cancer screening with a colonoscopy should begin at age ____?
45
An alternate option of colon cancer screening is _______ and _____ ______.
Fecal occult blood testing (FOBT) and flexible sigmoidoscopy
since jaundice and yellow sclera are an expected finding with liver cirrhosis. Do you need to do a follow up?
No because it is an expected finding
_____ is the percussion sound heard over hollow organs. The small intestine and colon are hallow organs.
Tympany
______ is the sound heard by tapping on the surface of the chest.
Hyperresonance
______ is a low-pitched, hollow sound usually heard over healthy lung tissue.
resonance
Following a liver biopsy a client should be positioned on the _____ side with a pillow under the biopsy site.
Right side
During a liver biopsy a client should _____ ____ ____ during the insertion of the biopsy needle.
hold their breath (to ensure appropriate needle placement because the live moves during needle insertion)
When can happen if the client doesn’t hold their breath during a liver biopsy?
They can get iatrogenic pneumothorax
Do clients with appendicitis have a distended abdomen?
No
Constipation is not associated with which GI disease?
Peptic ulcer disease
Ulcerative Colitis causes a client to have an urgent?
urgent need to defecate
Change in bowel habits, abdominal pain, a low-fiber diet, smoking, are all possible signs and risk factors of _____ ______ ?
colon cancer
Alprazolam is a ______.
benzo
You need to monitor _____ after a paracentesis.
FV
______ is a colloid commonly used to prevent post-procedure hypotension after a large volume paracentesis.
Colloid
Mid-epigastric pain and hematemesis are classic ______ symptoms.
ulcer symptoms (PUD)
Is a client telephone number an appropriate identifier?
yes
IV contrast may cause the client to experience a _____ sensation.
flushing
The nurse should establish vascular access of at least a ____ gauge when administering a unit of PRBC’s.
20 gauge
An immediate priority for a client experiencing acute pancreatitis is repleting ____ _____.
lost fluids (d/t N/V)
_____ and _____ background have the most impact on a client;s food preferences.
culture and cultural backgrounds
_____ is a soluble fiber use as a gentle forming laxative.
psyllium
post surgery bariatric patients will have a _____ _____ diet.
clear liquids
a common sign for fecal impaction is _____ _____.
watery stool/mucus
In clients with fecal impaction the clients abdomen typically appears ______ and _____.
distended and swollen
after bariatric surgery. clients follow a ____ diet plan the physician orders.
strict
Manifestation of ____ _____ are fever, fatigue, cervical lymphadenopathy, enlargement of the spleen and liver, pharyngeal inflammation, and tonsillar exudates.
Infectious Mononucleosis
a water-soluble contrast, such as ______ would be used in patients with bowel perforation.
gastrografin
Client guarding their abdomen is a sign of ______.
peritonitis
hyperalimentation is a type of _____ nutrition.
parenteral nutrition
A slightly edematous stoma is _____ post-op.
expected
A stoma should protrude about ____ to ___ cm from the abdominal wall.
1 to 3
A colostomy should start functioning ___ to ___ days after surgery.
2 to 3 days after surgery
do not apply _____ to there peristomal skin of a stoma because it can compromise skin integrity.
chlorhexidine gluconate (CHG)
Aluminum hydroxide is a _____.
antacid
Clients with pancreatitis have epigastric pain that radiates to their ____ ____ and ____.
left shoulder and back
Patients with pancreatitis have hypocalcemia so they experience _______.
tetany
Patients with pancreatitis should have a ____ _____ diet.
low fat diet
A patient should be NPO by _____ before getting a sigmoidoscopy.
midnight
Patients will drink _____ before a sigmoidoscopy.
polyethylene glycol
Before getting a GI series clients need to drink ______.
barium
Prior to a GI series clients have to be NPO for at least ____ hours.
8 hours
After taking barium a clients stool might be _______.
white
