Saunders GI Questions Flashcards
The client has been admitted to the hospital with a diagnosis of acute pancreatitis and the nurse is assessing the clients pain. What type of pain is consistent with this diagnosis?
Severe and unrelenting pain located in the epigastric area and radiating to the back
The nurse is assessing a client who is experiencing an acute episode of Choleycistitis. Where should the nurse anticipate the location of the pain?
Right upper quadrant, radiating to the right scapula and shoulder
Pt admitted to the hospital with viral hepatitis, complaining of no appetite and losing my taste for food. What instructions for the nurse to give the client to provide adequate nutrition?
Increase the intake of fluids, including juices.
Rationale although no special diet is required to treat viral hepatitis it is generally recommended that clients consume a low-fat diet. Decreased bike production may affect digestion. Small frequent meals are preferable and may even prevent nausea.
A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected assessment findings?
Malaise
The nurse is planning to teach a pt with Gerd about substances to avoid. Which items to the nurse include on this list?
Chocolate coffee peppermint fried chicken carbonated beverages alcohol
A nurses caring for a patient with a Billroth two procedure. What postoperative prescription should the nurse question?
Nurse should question the order to irrigate the nasogastric tube.
What interventions would be prescribed for a patient with acute pancreatitis?
Administer antiacids as prescribed, encourage coughing and deep breathing, Give anticholinergics as prescribed,give meperidine as prescribed for pain
What’s still characteristic is seen in a patient with Crohn’s disease?
Nonbloody diarrhea is seen not more than 4 to 5 x daily.
What would a prolapsed stoma look like in a patient with a colostomy?
A prolapsed stoma has the bowel protruding through the stoma.
client with the new colostomy created two days earlier is beginning to past Malodorous gas from the stoma. What is the correct interpretation by the nurse?
This is a normal expected event.as peristalsis returns following the creation of a colostomy the patient will begin to pass odorous gas. This indicates returning Bowel function and is an expected event. Within 72 hours of surgery, the client should begin passing stool via the colostomy.
What is the most frequent complication of an ileostomy surgery?
Fluid and electrolyte inbalance
What does medication therapy with pancrelipase help to for the patient?
It is an enzyme used to help as a digestive aid. The medication will reduce the amount of fatty stools aka. steatorrhea
What is the most frequent CNS side affect of cimetadine?
Confusion
A client with a gastric ulcer has a prescription for sucralfate by mouth four times daily. What time should the nurse scheduled the medication for?
Sucralfate is a gastric protectant. The medication should be scheduled for administration one hour before meals and at bedtime. This allows it time to form a protective coating over the ulcer before food intake stimulates gastric acid production and mechanical irritation.
A client who chronically uses NSAIDs has been taking misiprostal. The nurse determines the medication is having the intended therapeutic effect if which finding as noted?
Relief of epigastric pain. misoprostal is a gastric protectant.
