Kahoot Flashcards
How do mucosal barrier fortifiers work in the GI system?
A. suppress gastric acid secrection
B. increase the pH of gastric contents
C. bind with bile acids and pepsin to protect stomach
D. decrease gastric motility
Answer C
Mucosal barrier line mucosal lining; Type GI med given often
What does the PPI triple therapy include for treatment of peptic ulcer disease?
A. hypnosis, stress reduction, PPI meds
B. PPI and two types of antibiotics
C. PPI med, antibiotic, stress reduction
D. PPI, antibiotic, prokinetic med
Answer: B
Has PUD and caused by H. Pylori start on PPI and two types of antibiotics to treat it
Common causes of Peptic Ulcer disease: bacteria: H. Pylori; PUD: irritation of stomach lining
What type of meds buffer gastric acid
A. proton pump inhibitor
B. histamine receptor blocker
C. Antacids
D. prokinetic med
Answer: C
Anti-acid - will buffer and decrease acidity of gastric acid
Which classes of med decrease/suppress gastric acid secretion
A. antacids and proton pump inhibitors
B. histamine receptor blockers and antacids
C. proton pump inhibitors and histamine receptor blockers
D. mucosal barrier fortifier and antacids
Answer: C
PPI and histamine receptor blockers: for irritation type GI probs need slow down acid secretion so not irritating mucosa more than already doing
What does elevated AST/ALT and alkaline phosphatase indicate?
A. Liver disease
B. pancreatitis
C. cholecystitis
D. gastric cancer
Answer: A
hepatic/liver enzymes: LFTs
Enzymes will be increased when see liver disease
What does an elevated lipase and amylase indicate?
A. liver disease
B. pancreatitis
C. cholecystitis
D. gastric cancer
Answer: B
Pancreatic enzymes - diagnostic of pancreatitis; labs look at if want let them eat; high - means eating away at pancreatic tissue
What lab results should the nurse monitor when a client is experiencing vomiting and diarrhea
A. amylase and lipase
B. Electrolytes
C. bilirubin
D. Hemoglobin and hematocrit
Answer: B
Concerned about losing electrolytes - lots probs when lose them
T/F: when a client has a biliary obstruction the nurse would expect a decreased bilirubin
Answer: False
Obstruction bilirubin backs up into liver and not able travel to intestines which when excrete and get rid of it; Obstructions see increase in bilirubin
What lab value alteration does the nurse expect to see in a client with GI cancer
A. elevated amylase and lipase
B. elevated WBC
C. Elevated CEA/CA 19-9
D. elevated H&H
Answer: C
Cues - CE/CA: cancer markers
A nurse is caring for a client with end stage liver disease. What labs does the nurse expect
A. elevated amylase and albumin
B. decreased ammonia and albumin
C. decreased bilirubin and prothombin time (PT)
D. Elevated ammonia and PT
Answer: D
Increase ammonia; decrease albumin
Increase bilirubin and clotting factors (liver big part in producing clotting factors) so increase PT - more likely to bleed
