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MED/SURG: GI > GI (UPPER): NCLEX REVIEW > Flashcards

GI (UPPER): NCLEX REVIEW Flashcards

1
Q

FRACTURED MANDIBLE: Two items that should always be available bedside

A
  1. Wire Cutters
  2. Suction equipment
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2
Q

Pt presents:

  • Absence of saliva
  • Pain behind the ear
  • NPO for several days

Possible cause?

A

Parotitis or inflammation of the parotid gland

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3
Q

Parotitis often develops when (3)

A
  1. Dehydration
  2. poor oral hygiene or
  3. NPO for extend period
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4
Q

Bluish white lesions in mouth indicate?

A

Oral candidiasis (thrush)

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5
Q
  1. Can chronic excessive use of alcohol lead to oral cancer?
  2. Name 3 risk factors for oral cancer
A
  1. Yes!
  2. Conditions that cause constant irritation of the mouth eg poor fitting dentures, broken tooth, smoking, syphilis
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6
Q

PRIORITY OF CARE in the IMMEDIATE post-operative phase is?

A

PATENT AIRWAY watch for signs of respiratory distress

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7
Q

Pt post-op jaws wired shut fractured mandible proper position for client?

A

Client side lying with head slightly elevated

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8
Q

Is a perforated ulcer an emergency?

A

YES

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9
Q

Peptic Ulcers include? (3)

A

Peptic ulcers include:

  1. Gastric ulcers that occur on the inside of the stomach
  2. Esophageal ulcers that occur inside the hollow tube (esophagus) that carries food from your throat to your stomach
  3. Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum)
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10
Q

Spicy foods or a stressful job can cause peptic ulcers. T/F

Mayo Clinic

A

FALSE

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11
Q

a bacterial infection or some medications can cause peptic ulcers?

A

TRUE

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12
Q
  1. Peptic Ulcer most common symptom?
  2. Better or worse with empty stomach?
  3. What time of day can it flare up?
  4. Often be temporarily relieved by taking an acid-reducing medication NAME (2) ACID-REDUCING MEDICATIONS
A
  1. PAIN
  2. Worse
  3. Night time
    4.
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13
Q

BLOOD IN STOOLS IS CALLED?

A

Melene

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14
Q

Peptic Ulcer/Gastric Ulcer

  1. Gastric Ulcer 2 common symptoms?
  2. Burning epigastric pain when?
  3. Eating frequently helps relief the pain
A
  1. Vomiting and weight loss
  2. Appx 1 hour after eating
  3. FALSE, eating frequently aggravates the pain
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15
Q

Peptic Ulcer/Duodenal Ulcers

  1. What kind of ulcer is more likely to cause pain at night?and…is often relieved by eating?
A
  1. Duodenal Ulcers
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16
Q
  1. What is a gastroscopy?
  2. Position for the procedure?
A

What is a gastroscopy?

  1. Gastroscopy is an examination of the upper digestive tract (the esophagus, stomach and duodenum) using an endoscope — a long, thin, flexible tube containing a camera and a light — to view the lining of these organs.
  2. You will be asked to lie on the table on your left side. You are usually given a sedative and sometimes a pain-reliever medicine by injection into a vein. The sedative will help you to relax, and may put you to sleep. Generally, you will have little recollection of the procedure. In some cases, the test can be done without the sedative and you need to discuss this with the doctor before you sign the consent form.
17
Q

Gastroscopy

  1. Complications (2)
  2. (3) s/s of a complication from the procedure?
A
  1. Perforation and Aspiration
  2. î Temp, Vomiting blood, Epigastric Pain
18
Q

Class/Function/Brand name

  1. Ranitidine: Class/Function/Brand name?
  2. Omeprazole
  3. Cytoprotective Drugs
  4. Antacids
A
  1. Ranitidine is in a class of medications called H2 blockers. It decreases the amount of acid made in the stomach. Zantac
  2. Omeprazole is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach.
  3. Sucralfate, Protect the ulcer surface against acid, bile and pepsin
  4. Antacids reduce acid concentration
19
Q

Ranitidine

  1. Brand Name
  2. Take when?
  3. Before meals?/Full empty stomach?
  4. Discontinue when pain subsides? T/F
A
  1. Zantac
  2. Best before bedtime
  3. It doesn’t matter
  4. False, continue even if client feels better
20
Q

Aluminum Hydroxide

  1. Brand name?
  2. What is it used for?
  3. Drug-Drug Adm?
  4. Aluminum Hydroxide causes diarrhea. T/F
  5. Best time to take med?
A
  1. Amphojel,
  2. Aluminum hydroxide is an antacid that works quickly to lower the acid in the stomach.used for the relief of heartburn, sour stomach, and peptic ulcer pain and to promote the healing of peptic ulcers.
  3. Take your other medications 1 hour before or 2 hours after aluminum hydroxide.
  4. False, Aluminum Hydroxide causes constipation
  5. 1-3 hrs after the meal and at bedtime
21
Q

Alcohol is a gastric irritant that should not be taken by client with peptic ulcer. Name another gastric irritant?

A

Analgesics, NSAIDS

22
Q

Peptic Ulcer indicative symptom of perforation?

A

Sudden, severe pain in the abd

MED/SURG: GI (12 decks)

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