GI2

Question 1

indirect inguinal hernia

Answer 1

sac formed from peritoneum w portion of intestine that pushes down at an angle into inguinal canal

Question 2

direct inguinal hernia

Answer 2

pass through a weak point in abdominal wall

Question 3

femoral hernia

Answer 3

protrude through femoral ring

Question 4

umbillical hernia

Answer 4

congenital or acquired- babies and obese

-increased intra-abdominal pressure

Question 5

incisional/ventral hernia

Answer 5

site of previous incision

Question 6

reducible hernia

Answer 6

pushed back w gentle pressure

Question 7

irreducible hernia

Answer 7

requires surgical intervention

Question 8

strangulated hernia

Answer 8

loss of blood supply, necrosis and possible perferation

Question 9

IBS-constipation drugs

Answer 9

metamucil
amitiza-chronic constipation
linzess

Question 10

IBS-diarrhea drugs

Answer 10

loperamide (immodium)
psyllium
lotronex (women)

Question 11

travelers diarrhea drug

Answer 11

Xifaxin

Question 12

nursing care post inguinal hernia

Answer 12

1. avoid: strenuous activity, driving on opiates, coughing, lift over 10lbs
2. stool softener, assist w first void, report less than 30ml/hr
3. ice and s/s infection

Question 13

colorectal screening recommendations

Answer 13

fecal occult blood testing (5 years) and colonoscopy every 10 years after 50

Question 14

med for elevated PT

Answer 14

vitamin K phytonadione, mephyton

Question 15

pancreatitis lab values

Answer 15

cell injury-increase lipase (2 weeks), amylase (2-3 days), trypsin, elastase, glucose
hepatobiliary- increase ast, alt, bili
inflammatory-increase WBC
decreased calcium and mag

Question 16

RUQ pain

Answer 16

gall bladder- cholecystitis

Question 17

dumping syndrome symptoms

Answer 17

• w/n 30 min of eating

- vertigo, tachycardia, syncope, diaphoresis, pallor, palpitations, want to lie down

Question 18

enteral nutrition rn process

Answer 18

confirm w xray
assess insertion site for s/s infection
rotate and no more the 1/4in
change dressing and irrigation set daily
change bag 24-48hrs

Question 19

intervention enteral feeding

Answer 19

check for residual q 4-6hrs
add only 4 hr feeding at time
label cans and refridgerate
discard after 24 hrs
no blue food coloring

Question 20

TPN

Answer 20

meet total nutritional needs, enhance wound healing

-enteral tried first (cheaper, less infection, maintains GI integrity)

Question 21

rolling hernia care

Answer 21

surgical management

Question 22

sliding hernia care

Answer 22

lose weight, restrictive diet, elevate head of bed 6in, remain upright after eating, avoid straining or excessive exercise, don’t wear tight clothes

Question 23

laparoscopic nissan fundoplication surgery

Answer 23

wraps a portion of the fundus around distal esophagus to anchor and reinforce LES

Question 24

primary risk factors for esophageal cancer

Answer 24

obesity, GERD, alcohol, smoking, dysphagia,

Question 25

rn care post esophagectomy

Answer 25

1. respiratory care
2. semi/high fowler
3. dont irrigate or reposition NG
4. good oral hygiene
5. watch for afib
6. splint for deep breathe and cough