Unit 3: End-of-Module Quizzes Flashcards
Provided by Dr. Knowlton
If someone has gallbladder issues, the pain should be present after eating which of the following food/drink items?
- salad and diet coke
- oatmeal and fruit
- bowl of ice cream
- egg white omelet and toast
Bowl of ice cream
A patient is admitted with choledocholithiasis. The nurse understands this to mean what is occurring in this patient.
There is a stone in the common bile duct.
Which of the following patients is most likely to develop cholecystitis?
- A 50-year-old woman who has type II diabetes and is overweight
- A 32-year-old male who is a weight lifter
- An 18-year-old female who uses oral birth control pills
- An 82-year-old female who has lost 10 lbs over the last 2 months.
A 50-year-old woman who has type II diabetes and is overweight
What can happen as a result of cholecystitis (select all that apply)?
- ischemia and possible necrosis of the gallbladder
- chronic cholecystitis
- cholecystectomy
- gallstone pancreatitis
- cholangitis
- hepatitis
- bowel obstruction
- ischemia and possible necrosis of the gallbladder
- chronic cholecystitis (if the GB is not removed, it can result in repeated episodes of inflammation)
- cholecystectomy (a removal of the GB can happen)
- gallstone pancreatitis (a gallstone can block the pancreatic duct)
- cholangitis (inflammation of the common bile duct can occur)
- hepatitis (inflammation of the liver can occur if the stones block the flow of bile and there is back up to the liver)
What causes the pain of pancreatitis?
The pancreas is being digested by the pancreatic enzymes and this causes pain.
Which of the following are possible complications from pancreatitis (gd select all that apply)?
- death
- shock
- systemic hypertension
- hemorrhage
- myocardial infarction
- ARDS
- death
- shock
- hemorrhage
- ARDS
What is one reason why pancreatic cancer have such a high mortality rate?
The cancer usually doesn’t have any symptoms until it has spread.
What is the underlying pathology to both Ulcerative Colitis and Crohn’s disease?
Inflammation
Which disease most commonly affects the small intestine and causes skip lesions in the bowel?
Crohn’s disease
Which of the following are symptoms of Crohn’s disease (heckin’ select all that apply)?
- loose stools with a lot of blood
- abdominal pain
- weight loss and malnutrition
- low grade fever
- tenesmus
- weight loss and malnutrition
- abdominal pain
- low grade fever
A patient develops a passage from their bowel that connects to the bladder. The nurse recognizes this as:
Fistula
A characteristic of ulcerative colitis is:
Confluent ulcers
What would you expect to see in a patient with Ulcerative colitis?
Many trips to the bathroom because of tenesmus
Which patients are at high risk for colon cancer? A patient with Chron’s disease; a patient with systemic IBD disease; a patient with a high amount of cobblestoning in the bowel; or a patient with ulcerative colitis.
A patient with ulcerative colitis.
What type of obstruction of the bowel occurs after surgery from anesthesia or drugs?
Paralytic ileus
What is scar tissue that causes areas of the intestines to adhere together called?
Adhesions
Which of the following is most serious?
- diverticulosis
- diverticulitis
- bowel perforation
- peritonitis
Peritonitis (The infection is in the peritoneal cavity and can easily cause the individual to become septic.)
If a patient has a bowel obstruction, which of the following should be a primary concern of the nurse?
- fluid and electrolyte imbalance
- pain management
- increasing abdominal size
- nausea and vomiting
- Fluid and electrolyte imbalance (This can lead to hypovolemic shock and fluids shift spaces. Massive loss of fluids can occur as well as acid-base imbalances.)
What contributes to the formation of diverticuli in the bowel?
Lack of fiber in diet
Which of the following GI situations would patients present with a symptom of low grade temperatures (MFing Select all that apply)?
- colon cancer
- diverticulosis
- appendicitis
- diverticulitis
- ulcerative colitis
- bowel obstruction
- appendicitis
- diverticulitis
- ulcerative colitis
If the liver is hard and small on ultrasound, the nurse understands the damage to the liver is at what stage?
Chronic inflammation (initial inflammation makes the liver large, long term inflammation leads to a small, hard liver for example in diseases like chronic hepatitis C)
Which patient is most likely to have typical symptoms of hepatitis?
- hepatitis C
- hepatitis B
- hepatitis A
- viral hepatitis
Hepatitis A (The types of hepatitis where the body is able to eradicate the infection are the ones that are most likely to have symptoms. The types of hepatitis that are chronic are less likely to have symptoms.)
If someone has hepatitis. What symptoms might they have (Ughhh Select all that apply)?
- elevated blood glucose levels
- right upper quadrant pain
- anorexia
- nausea
- fatigue
- jaundice
- constipation
- right upper quadrant pain
- anorexia
- nausea
- fatigue
- jaundice
What stage of hepatitis is the patient not having any jaundice?
Prodromal phase (this is the first stage and patients may be symptomatic but aren’t jaundiced yet)