Unit 2 GI, Ch 33 Nursing Care Of GI Disorders

Question 1

Measuring obesity

Answer 1

Weight 20% higher than ideal weight
Waist circumference for women >35
Waste circumference for men > 40
BMI
Overweight, 25 to 30
Obese, 30
Morbidly obese over 40
Caloric intake, exceeds energy expenditure

Question 2

Obesity, comorbidities

Answer 2

Atherosclerosis
Gallbladder disease
Heart disease
Hypertension
Sleep apnea
Type two diabetes
Depression

Question 3

What is atherosclerosis?

Answer 3

It’s from high cholesterol, and it is buildup of plaque

Question 4

High fatty foods affect what organ most

Answer 4

Gallbladder

Question 5

Therapeutic interventions, for obesity

Answer 5

Weight loss
Healthy, balance, diets
Calorie restriction
Exercise
Support group
Behavioral modifications
Surgical management bariatric surgery

Question 6

What other professionals can assist with obesity

Answer 6

Dietitians
Nutritionist

Question 7

Injection medication for obesity

Answer 7

Ozempic

Question 8

Antidepressants that can help with the obesity

Answer 8

Wellbutrin

Question 9

Types of bariatric surgeries

Answer 9

Restrictive
malabsorption
combination

Question 10

Restrictive bariatric surgery

Answer 10

Limits how much stomach can hold

Question 11

Malabsorption bariatric surgery

Answer 11

Decreases calorie and nutrient absorption

Question 12

Combination bariatric surgery

Answer 12

Restrictive and malabsorption

Question 13

Complications of gastric surgeries

Answer 13

Nausea and vomiting
Erosion of gastric tissue
Breakdown of staple line
Leaking of stomach secretions
Infection or death
Balloon leak or perforation
Protein, vitamin, and mineral deficiencies

Coughing and deep breathing

Question 14

Postoperative care and education for bariatric patients

Answer 14

Diet is different from other postop pt
Clear, liquid diet in small amounts
Progresses to full liquids, puréed foods
Regular foods at six weeks

Abdominal distention
Movement is important after abdominal surgery

Question 15

Sliding hiatal hernia

Answer 15

Lower esophagus/stomach slides up through hiatus of diaphragm into the thorax

Question 16

Para esophageal hernia
Rolling hernia

Answer 16

Rare but serious
Part of the stomach squeezes through the hiatus, and is at risk for strangulation

Risk for tissue to become necrotic

Question 17

Hiatal hernia are most common in?

Answer 17

Smokers
Those over 50
Obesity
Gerd is often secondary to the hernia

Question 18

Therapeutic interventions for hiatal hernia

Answer 18

Antacids
Small meals
No reclining one hour after meals
Raise head of 6 to 12 inches
Avoid
Eating three hours before bedtime
Spicy foods
Alcohol, caffeine
Smoking

Tums, Maalox, Mylanta, famotidine Prozoles

Question 19

Fundoplication

Answer 19

Surgical management of a hiatal hernia where they wrap a portion of the stomach around the hernia, so it can’t slide through the diaphragm

Question 20

Nursing care for hiatal hernias

Answer 20

Teaching
Preoperative care
Postoperative
Monitor for dysphagia with eating
Report dysphagia
Repair may be too tight

Question 21

What is GERD?

Answer 21

Gastro esophageal reflux disease

Stomach acids go up into the esophagus

Question 22

Pathophysiology Gerd

Answer 22

Gastric secretions reflux into esophagus
Damages the esophagus
Lower esophageal Pinter does not close tightly

Question 23

Gerd signs and symptoms

Answer 23

Heartburn
Regurgitation
Sour taste
Dysphagia
Erosion of teeth

Check gag reflex before offering foods or fluids

Question 24

Gerd diagnosis

Answer 24

Barium, swallow
Esophagoscopy
PH monitoring

Question 25

Complications of Gerd

Answer 25

Respiratory Asthma Aspiration pneumonia Broncospasms Larino spasms Barrett’s esophagus Pre-cancerous

Question 26

What is Barrett’s esophagus?

Answer 26

Gerd can change epithelium of esophagus Pre-cancerous Esophageal cancer, risk factor Treatment Radio frequency, ablation removes Barrett’s tissue

Question 27

Therapeutic interventions, for Gerd

Answer 27

Lifestyle changes Medication’s AntAcids Histamine – 2 (H SUBSCRIPT 2) receptor antagonists Proton pump, inhibitors, PPI

Question 28

Therapeutic interventions for GERD

Answer 28

Transoral incisionless fundoplication TIF Endoscopic procedure radio frequency waves Fundoplication

Question 29

Nursing care for GERD

Answer 29

Education Lose weight Eat a low-fat high protein diet Avoid caffeine, milk, products, and spicy foods

Question 30

Pediatric concerns of gastroenteritis

Answer 30

Inflammation of the stomach and intestinal track Multiple causes Abdominal pain, nausea, anorexia, diarrhea Dehydration, primary concern, referred to fluid and balances in NT1

Question 31

Nursing care for gastroenteritis Stomach flu

Answer 31

Monitor weight Vital signs I&Os ATB therapy IV fluids for rehydration

Question 32

Hiatal hernia signs and symptoms

Answer 32

Pain None Heartburn Fullness Reflux

Question 33

Diagnosis for hiatal hernia

Answer 33

X-ray the x-ray watches movement Fluoroscopy

Question 34

Fluoroscopy

Answer 34

An x-ray that watches movement

Question 35

What is fundus?

Answer 35

Top of the stomach

Question 36

Dysphagia

Answer 36

Trouble swallowing Check gag reflex

Question 37

What is the best indicator of fluid balance?

Answer 37

Daily weights

Question 38

BRAT diet

Answer 38

Bananas, rice, applesauce, toast

Question 39

Fontanelle’s

Answer 39

Soft spot on babies you check this for dehydration, if the child is under one year old