Module 3 Jeopardy Game Question / Answers

Question 1

The liver is located predominantly in this quadrant of the abdomen.

Answer 1

What is the right upper quadrant?

Question 2

The pancreas is located predominantly in this quadrant of the abdomen.

Answer 2

What is the left upper quadrant?

Question 3

The gallbladder is located in this quadrant of the abdomen.

Answer 3

What is the right upper quadrant?

Question 4

The appendix is located in this quadrant of the abdomen.

Answer 4

What is right lower quadrant?

Question 5

The pathway of food through the GI tract is described in this order.

Answer 5

What is mouth, esophagus, lower esophageal sphincter, stomach, pyloric sphincter, duodenum, jejunum, ileum, large intestine, rectum, anus?

Question 6

The function of the gallbladder is to storage this substance from this organ.

Answer 6

What is store bile from the liver?

Question 7

Symptoms of gallbladder inflammation (cholecystitis) from gallstones (cholelithiasis) include pain when foods high in this substance are eaten.

Answer 7

What is high fat?

Question 8

Gallstones are often composed of this substance.

Answer 8

What is cholesterol?

Question 9

Gallbladder inflammation (cholecystitis) from gallstones (cholelithiasis) include these symptoms.

Answer 9

What are symptoms of pain, jaundice, clay colored stools, itching, dark urine, nausea, vomiting, indigestion, fever, and anorexia?

Question 10

The nurse is caring for a patient post cholecystectomy to treat cholecystitis. The patient will be discharged this evening and is looking forward to eating “normally” again now that the gallbladder has been removed. The priority teaching for this client would include the following education.

Answer 10

What is the patient should be educated that pain will occur after gallbladder removal when the patient eats high fat meals because the bile is needed to breakdown lipids? The pain will occur after gallbladder removal because the bile which is normally concentrated and held in the gallbladder will drain more continuously and produce a laxative like effect when you eat high fat meals. So the patient will have painful gas, bloating, and diarrhea.

Question 11

The more common types of hepatitis in the United States include A, B, and C. The nurse understands that hepatitis is transmitted differently depending on the type. The form of hepatitis transmitted by the fecal oral route is noted as type _______ hepatitis.

Answer 11

What is type A hepatitis?

Question 12

The more common types of hepatitis in the United States include A, B, and C. The nurse understands that hepatitis is transmitted differently depending on the type. Name 3 possible transmission routes for hepatitis B.

Answer 12

The possible transmission routes of hepatitis B include unprotected sexual contact, sharing needles, syringes, or other drug-injection equipment, or from mother to baby at birth.

Question 13

Hepatitis A, B, and C can be contracted in the US more commonly and patient education over these types can include information regarding vaccinations to prevent the occurrence of hepatitis. In the United States the following hepatitis types have vaccinations available.

Answer 13

What is type A and B hepatitis?

Question 14

The nurse understands that physical symptoms of hepatitis would include RUQ abdominal tenderness, fatigue, flu-like symptoms, dark urine, pale stool, decrease appetite, weight loss, ascites, and jaundice. Whereas the symptoms of fulminant hepatitis which is typically the result of an acetaminophen overdose can include these symptoms.

Answer 14

What is convulsions, confusion, flapping tremor, and progression into coma?

Question 15

The nurse understands that interpretation of laboratory values is instrumental to a correct diagnosis. The nurse would anticipate that the client with hepatitis resulting in liver failure would demonstrate abnormalities in all of these lab values: ALP (alkaline phosphatase), ALT (alanine transaminase), AST (aspartate aminotransferase), gamma-glutamyl tansferase (GGT), bilirubin, ammonia levels, and albumin. Please indicate if each would be high low or normal for this patient.

Answer 15

What is ALP elevated, ALT elevated, AST elevated, GGT elevated, bilirubin elevated, ammonia elevated, and albumin decreased?

Question 16

The pancreas is a long, flat gland that sits tucked behind the stomach in the upper abdomen. In acute pancreatitis the inflammation is brought on by this abnormality occurring in the pancreas.

Answer 16

What is premature activation of pancreatic enzymes?

Question 17

A new nurse graduate is taking care of a client with acute pancreatitis r/t alcohol abuse. The nurse is educating the client on alcohol cessation to prevent future occurrences of this disease process. In the education the nurse states that acute pancreatitis can be life threatening and result in death so any future symptoms of pancreatitis should be reported immediately. Is the education the nurse provided true or false?

Answer 17

What is true?

Question 18

The nurse understands that symptoms of acute pancreatitis include (name at least four symptoms).

Answer 18

What is epigastric pain, bloating, fat in the stool, indigestion, nausea, vomiting, loss of appetite, weight loss, fever, tachycardia, hypotension, abdominal tenderness, respiratory distress, increase thirst, poor urine output, and ascites?

Question 19

Pancreatitis is a very serious condition and requires an appropriate treatment plan to ensure resolution of symptoms. The nurse understands and anticipates that the physician will order the following treatment plan on patients with acute pancreatitis.

Answer 19

What is IV fluids, nasogastric tube insertion, nothing by mouth, pain relief, and possible electrolyte replacement?

Question 20

The nurse understands that pancreatitis would be indicated by these lab tests being three times the upper limit of normal.

Answer 20

What is amylase and lipase?

Question 21

Treatment of GERD includes medications to reduce stomach acid and alterations in lifestyle. Name at least two medication classes used in the treatment of GERD and at least three recommendations to a client with GERD for lifestyle changes.

Answer 21

What is antacid and PPI medications? What is avoid large meals, avoid spicy foods, avoid caffeine, sleep with head of bed elevated, remain up right following meals, smoking and ETOH cessation?

Question 22

Ulcerations can occur in the stomach and duodenum. Name one infection that is associated with ulcer formation and one medication class that is associated with ulcer formation.

Answer 22

What is H. Pylori infection and NSAIDs?

Question 23

A severe complication of an ulcer in the duodenum that could result in symptoms of weakness, thirst, cold skin, moist skin, coffee ground emesis, and tarry black stools.

Answer 23

What is hemorrhage?

Question 24

The nurse is teaching a patient dx with H. pylori that this is a small curved, or spiral shaped, gram-negative rods (proteobacteria) that can colonize the mucus-secreting epithelial cells of the stomach which can be identified through a carbon urea breath test with radioactive carbon isotope. The nurse stresses the importance of adhering to the treatment plan of _________ and _________ because this infection can result in ulcerations or stomach cancer.

Answer 24

What is antibiotics or bismuth salts taken with PPI’s?

Question 25

The nurse is explaining to a client why NSAID’s can result in peptic ulcer disease and should be avoided if the patient has a history of PUD or is at risk for PUD. Explain in why NSAIDs can result in PUD.

Answer 25

What is NSAIDs cause hydrogen ions to accumulate in the mucosal cells due to disruption of the permeability of the gastric mucosa?

Question 26

Lactase deficiency can result in the following symptoms in a client.

Answer 26

What is intolerance to diary produces producing symptoms of bloating, gas, stomach cramping, and diarrhea?

Question 27

This enzyme is present in the mouth and begins the breakdown of starches

Answer 27

What is amylase?

Question 28

The nurse understands that the function of secretin is described as

Answer 28

What is stimulation of the secretion of bicarbonate-containing solution by the pancreas and liver? Therefore a deficiency would result in an increase risk of ulcerations.

Question 29

When gastrin is released appropriately the nurse understands that the patient should have what occurring in the gastrointestinal tract

Answer 29

What is stimulation of gastric acid, increase gastric blood flow, gastric smooth muscle contractions, and growth of the mucosa in the GI tract? Therefore a deficiency would result in decreased absorption of nutrients in the GI tract.

Question 30

When CCK (Cholecystokinin) is released appropriately the client should experience

Answer 30

What is contraction of the gallbladder, secretion of pancreatic enzymes, decreased gastric emptying, and inhibition of food intake? Therefore a deficiency in this hormone would result in a larger appetite, less control over food intake, and decrease in food breakdown.

Question 31

When attempting to determine if a patient has ulcerative colitis, irritable bowel disease, or Crohn’s disease based on symptoms. The nurse understands that _________ is more likely to have blood in the stool.

Answer 31

What is ulcerative colitis?

Question 32

This functional GI disorder is not explained by a structural abnormality with the typical age of onset being menarche and symptoms including abdominal pain, constipation and/or diarrhea, and frequent stools totaling more than 3 daily.

Answer 32

What is irritable bowel syndrome irritable bowel disease?

Question 33

Crohn’s disease and ulcerative colitis can produce non-specific symptoms of abdominal pain, weight loss, and weakness. The nurse understands that tender red bumps on the shins, perianal skin ulceration, and joint stiffness are symptoms associated specifically with ___________.

Answer 33

What is Crohn’s disease?

Question 34

When discussing irritable bowel disease, ulcerative colitis, and Crohn’s disease the nurse understands that the disease which will affect any area of the GI tract is ____________.

Answer 34

What is Crohn’s Disease? This is a recurrent, granulomatous type of inflammatory response that can affect any area of the GI tract. The characteristic feature of this disease is the sharply demarcated, granulomatous lesions surrounded by normal-appearing mucosal tissue.

Question 35

A nurse is presented with two patients post colonoscopy and sigmoidoscopy. The physician reports that one of the patients has ulcerative colitis based on the examination findings. The nurse understands that the physician viewed these findings on the scope examinations

Answer 35

What is continuous inflammatory process limited to the submucosa and mucosa of the colon and rectum that is identified by the formation of pinpoint hemorrhages which in time develop into crypt abscesses which may become necrotic and ulcerate?

Question 36

The nurse recognizes that a yellow discoloration of the sclera of the eye is documented as?

Answer 36

What is jaundice?

Question 37

This disease process is caused by a spore forming bacillus and will result in copious amounts of watery diarrhea with a strong odor placing the client at risk for fluid and electrolyte abnormalities.

Answer 37

What is c-diff (clostridium difficile)?

Question 38

Pain associated with appendicitis will localize to this area of the abdomen.

Answer 38

What is RLQ?

Question 39

Explain why a child will have failure to thrive and weight loss as complications of pyloric stenosis. In describing this explain what you would say to the parents who are distressed over this diagnosis of failure to thrive.

Answer 39

What is the opening between the stomach and small intestine is thickened which prevents food from moving into the small intestine for absorption and will result in severe projectile vomiting, weight loss, excessive hunger, and a lump in the abdomen. Stress that this is not the parents fault and that they cannot prevent the failure to thrive and weight loss because no matter how much they feed the infant food is not entering the small intestine for absorption of nutrients.

Question 40

The nurse understands that coumadin takes 2 to 3 days to become effective and prevent clotting. Vitamin K is the antidote to the medication coumadin if overdose or excessive bleeding occurs. Nurses can administer vitamin K by mouth or injection. Explain how vitamin K is related to the GI tract.

Answer 40

What is the gut flora in the GI tract ensures that vitamin K ingested in the diet is converted to a form that can be absorbed and used by the body to produce the clotting factor prothrombin?