GI Rationales (1)

Question 1

What is the primary action of N-acetylcysteine?

Answer 1

to bind to acetaminophen metabolites.

Question 2

VT is a serious complication for Bariatric patients. How can this be mitigated?

Answer 2

With PCV’s

Question 3

It is common for bariatric patients to _____ early.

Answer 3

ambulate early (6-8 hours)

Question 4

Colon cancer screening with a colonoscopy should begin at age ____?

Answer 4

45

Question 5

An alternate option of colon cancer screening is _______ and _____ ______.

Answer 5

Fecal occult blood testing (FOBT) and flexible sigmoidoscopy

Question 6

since jaundice and yellow sclera are an expected finding with liver cirrhosis. Do you need to do a follow up?

Answer 6

No because it is an expected finding

Question 7

_____ is the percussion sound heard over hollow organs. The small intestine and colon are hallow organs.

Answer 7

Tympany

Question 8

______ is the sound heard by tapping on the surface of the chest.

Answer 8

Hyperresonance

Question 9

______ is a low-pitched, hollow sound usually heard over healthy lung tissue.

Answer 9

resonance

Question 10

Following a liver biopsy a client should be positioned on the _____ side with a pillow under the biopsy site.

Answer 10

Right side

Question 11

During a liver biopsy a client should _____ ____ ____ during the insertion of the biopsy needle.

Answer 11

hold their breath (to ensure appropriate needle placement because the live moves during needle insertion)

Question 12

When can happen if the client doesn’t hold their breath during a liver biopsy?

Answer 12

They can get iatrogenic pneumothorax

Question 13

Do clients with appendicitis have a distended abdomen?

Answer 13

No

Question 14

Constipation is not associated with which GI disease?

Answer 14

Peptic ulcer disease

Question 15

Ulcerative Colitis causes a client to have an urgent?

Answer 15

urgent need to defecate

Question 16

Change in bowel habits, abdominal pain, a low-fiber diet, smoking, are all possible signs and risk factors of _____ ______ ?

Answer 16

colon cancer

Question 17

Alprazolam is a ______.

Answer 17

benzo

Question 18

You need to monitor _____ after a paracentesis.

Answer 18

FV

Question 19

______ is a colloid commonly used to prevent post-procedure hypotension after a large volume paracentesis.

Answer 19

Colloid

Question 20

Mid-epigastric pain and hematemesis are classic ______ symptoms.

Answer 20

ulcer symptoms (PUD)

Question 21

Is a client telephone number an appropriate identifier?

Answer 21

yes

Question 22

IV contrast may cause the client to experience a _____ sensation.

Answer 22

flushing

Question 23

The nurse should establish vascular access of at least a ____ gauge when administering a unit of PRBC’s.

Answer 23

20 gauge

Question 24

An immediate priority for a client experiencing acute pancreatitis is repleting ____ _____.

Answer 24

lost fluids (d/t N/V)

Question 25

_____ and _____ background have the most impact on a client;s food preferences.

Answer 25

culture and cultural backgrounds

Question 26

_____ is a soluble fiber use as a gentle forming laxative.

Answer 26

psyllium

Question 28

post surgery bariatric patients will have a _____ _____ diet.

Answer 28

clear liquids

Question 29

a common sign for fecal impaction is _____ _____.

Answer 29

watery stool/mucus

Question 30

In clients with fecal impaction the clients abdomen typically appears ______ and _____.

Answer 30

distended and swollen

Question 31

after bariatric surgery. clients follow a ____ diet plan the physician orders.

Answer 31

strict

Question 32

Manifestation of ____ _____ are fever, fatigue, cervical lymphadenopathy, enlargement of the spleen and liver, pharyngeal inflammation, and tonsillar exudates.

Answer 32

Infectious Mononucleosis

Question 33

a water-soluble contrast, such as ______ would be used in patients with bowel perforation.

Answer 33

gastrografin

Question 34

Client guarding their abdomen is a sign of ______.

Answer 34

peritonitis

Question 35

hyperalimentation is a type of _____ nutrition.

Answer 35

parenteral nutrition

Question 36

A slightly edematous stoma is _____ post-op.

Answer 36

expected

Question 37

A stoma should protrude about ____ to ___ cm from the abdominal wall.

Answer 37

1 to 3

Question 38

A colostomy should start functioning ___ to ___ days after surgery.

Answer 38

2 to 3 days after surgery

Question 39

do not apply _____ to there peristomal skin of a stoma because it can compromise skin integrity.

Answer 39

chlorhexidine gluconate (CHG)

Question 40

Aluminum hydroxide is a _____.

Answer 40

antacid

Question 41

Clients with pancreatitis have epigastric pain that radiates to their ____ ____ and ____.

Answer 41

left shoulder and back

Question 42

Patients with pancreatitis have hypocalcemia so they experience _______.

Answer 42

tetany

Question 43

Patients with pancreatitis should have a ____ _____ diet.

Answer 43

low fat diet

Question 44

A patient should be NPO by _____ before getting a sigmoidoscopy.

Answer 44

midnight

Question 45

Patients will drink _____ before a sigmoidoscopy.

Answer 45

polyethylene glycol

Question 46

Before getting a GI series clients need to drink ______.

Answer 46

barium

Question 47

Prior to a GI series clients have to be NPO for at least ____ hours.

Answer 47

8 hours

Question 48

After taking barium a clients stool might be _______.

Answer 48

white