Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 1345 > GI PowerPoint > Flashcards

GI PowerPoint Flashcards

1
Q

_____ uses a scope and camera to observe (esophagus, stomach and the first part of your small intestine).

_____ uses a scope to observe further down the intestine

A

Endoscopy

Enteroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

An esophageal stricture is

A

narrowing of the esophagus, or throat, that can make it difficult to swallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

_____ based fecal Occult blood test (gFOBT)

A

Guiac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

_____ is a minimally invasive medical procedure that examines the large intestine from the rectum
to the sigmoid colon, the part of the colon closest to the rectum.

A

sigmoidoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Steatorrhea is

A

Excess fat in feces. It can cause stools to be bulky, difficult to flush, pale, oily, and foul-smelling.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Order of physical assessment for GI

A

Inspection
Ausculation
Percussion
Palpation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Esophagogastroduodenoscopy (EGD), also known as an upper GI endoscopy, is a procedure that examines ….

A

the lining of the esophagus, stomach, and duodenum (first part of the small intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that uses ….

To examine

A

an endoscope and X-rays

to examine and treat the bile and pancreatic ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A small bowel capsule endoscopy…

A

Patient swallows a capsule containing a camera

noninvasive diagnostic procedure that allows a doctor to see inside the digestive tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A liver-spleen scan, also known as a liver scan is….

A

a nuclear medicine procedure that uses a small amount of radioactive material to check for abnormal areas in the liver or spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bulging pulsating abdominal mass or a bruit is heard during Ausculation

What can the cause be

Special precautions

A

Abdominal aortic aneurysm

DONT TOUCH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Oncofetal antigens are

A

Antigens found in both fetuses and adult cancer patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Normal urine contains some urobilinogen.

Too much urobilinogen in urine may be a sign of a ….

Little or no urobilinogen may be a sign of other problems with your …..

A

liver disease, such as hepatitis or cirrhosis, or certain types of anemia.

liver, gallbladder, or bile ducts. Urobilinogen comes from bilirubin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The fecal immunochemical test (FIT) is

Preformed yearly

A

a screening test for colon cancer that looks for blood in stool samples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

EGD Endoscopy

Prep

Hold….
NPO?
Remove….
IV needed?
Sedation?

A

Hold NSAIDS
NPO
Remove dentures
IV needed
Moderate Sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

EGD Endoscopy

Post

NPO?
VS?
Side rails up?
Monitor for?
No Driving?

A

NPO until gag reflex returns
VS Q 15 min
Side rails up
Monitor for Pain, Bleeding, Fever
No driving 12 - 18 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Priority care for Post EGD

A

Prevent aspiration

NPO until gag reflex returns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Endoscopic Retrograde Cholangiopancreatography (ERCP)

PRE & POST Care same as EGD

Teach family to monitor for…

A

Cholecystitis or cholangitis

Gallbladder inflammation or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Small Bowel Capsule Endoscopy

Prep

NPO?
When can they start to consume fluid and foods?

A

NPO 12 Hrs (includes fluids)
Remain NPO 2 hrs into test
Clear fluids after 2 hrs
Light lunch 4 hours into test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Colonoscopy

Prep

Hold….

A

Anticoagulant/ NSAIDS

you know the rest of the prep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Colonoscopy

POST

NPO?
VS?
Posistion?
Side rails up?
Monitor for (3)
Driver required?

A

NPO until Sedation wears off
VS Q 15 mins
Lie on left side
Monitor: Hemorrhage, Pain, Low BP
DRIVER REQUIRED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Liver- Spleen Scan

Radioactive tracer given via IV
Eliminated in urine 24hrs
Avoid in which patient’s?
Teach?

A

Avoid in pregant

Teach: lie still in exam & wash hands carefully after toilet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Vegan diets can predispose people to anemia from lack of…

A

Vitamin B12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Ideal BMI range

A

18.6 - 24.9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Underweight BMI

A

<18.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Overweight BMI

A

25 - 29.9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Obese BMI

A

> 30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Marasmus
Kwashiorkor
Starvation

A

3 forms of protein undernutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Marasmus is a

A

deficiency of all macronutrients: carbohydrates, fats, and protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Kwashiorkor

A

Protein malnutrition

is mostly found in people living in geographical areas that have limited food resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Glossitis

A

Inflammation of the tongue

32
Q

Stomatitis

A

A condition that causes painful swelling and sores inside the mouth

33
Q

Unrecognized Dysphagia may cause these 3 problems in older adults

A

Undernutrition, dehydration, aspiration

34
Q

Concern for weight loss

% in a month
% over 6 months

A

5
10

35
Q

How long can a nasoenteric tube be inserted

How long can a PEG/J Tube be inserted

A

<4 weeks

Long term

36
Q

How often to check PEG tube

A

Q6

37
Q

It is proper to rotate a PEG tube 360° daily

A

True

38
Q

How long of a supply do you add to a feeding tube?

How often to change bag and line

A

4 hrs

24 hrs

39
Q

Refeeding syndrome is

A

a potentially fatal condition, caused by rapid initiation of refeeding after a period of undernutrition.

40
Q

To keep tube patent

Flush with water, when?

A

Q 4h
Before and after meals
After interruption of enternal nutrition

41
Q

If tube is clogged use

A

50mL piston syringe and 30 ML

42
Q

Parenternal Nutrition is used for..

Who decides the formula

A

When GI tracts can’t be used.

Pharmacy

43
Q

Give these solutions of TPN bag isn’t available

A

D10W D20W

44
Q

Does a TPN bag require a 2nd check by an RN

A

Yes

45
Q

Liraglutide
Naltrexone- bupropion
Orlistat
Phentermine-topiate

A

Drug therapy for Obese

46
Q

Surgical management of Obesity

If… BMI

BMI or weight more than ____ % of ideal weight

A

BMI >40
BMI >35 with other health issues

Greater than 100%

47
Q

Priority for weight loss surgery is…

A

Airway management

48
Q

Postoperative weight loss surgery

Apply….
Monitor for….

A

Abdominal binder

Dumping Syndrome

49
Q

Postoperative weight loss surgery

Clear liquids in ___ oz cups
On discharge diet?
When can they eat pureed, soft, & solid foods

A

1
Full liquids on discharge

Puree 1 week
Soft foods several weeks
Solid foods 8 weeks

50
Q

Dyspepsia

A

Indigestion

51
Q

Atrophy of gastric mucous

Lower hydrochloric acid levels

Related disorders

Malabsorption of which vitamins?

A

Malabsorption of Iron & Vita B12

Overgrowth bacteria

Gastritis

52
Q

Peristalsis slowed

Dulled nerve impulse

Relat3d disorders

A

Lower sensation for BM

Constipation/ impaction

53
Q

Lower number / size of hepatic cells

Related disorder

A

Drugs not metabolized

Lead to Toxic levels

54
Q

Aprothrombin time(PT) test measures …

A

how long it takes for blood to clot.A high PT can indicate that there is serious liver damage orcirrhosis,and that there may be a higher risk ofinternal

55
Q

Abilirubintest can help investigate issues with the gastrointestinal (GI) tract.

These (2) organs

What does a high or low value mean

A

Liver disease /gallbladder

High bilirubin means liver is having a hard time converting bilirubin into bile

56
Q

CBC

Celiacs will have an increased number of _____

A

Antibodies due to perceiving gluten as a threat

57
Q

CBC

IBS will have an increased number of

A

WBC

58
Q

Can ulcers be detected by a cbc

A

Yes

H pylori can be detected in a cbc

59
Q

CRP

High levels of C-reactive protein can indicate these diseases

A

Crohn’s, acute pancreatitis, IBS

60
Q

Urine test measuring _____ are used for diagnosing pancreatitis

A

Amylase

61
Q

Fecal fat test

High levels of fat in the stoll can indicate these organs aren’t functioning properly

A

Pancreas: lipase

Liver: bile production

62
Q

An ALT result of 100 IU/L or higher is a clear indicator of….

A mildly elevated ALT result (30–100 IU/l) may be due to:
Medication, such as statins

A lower than normal ALT result is uncommon and usually isn’t a cause for concern. However, it could mean …..

A

serious liver disease.

Vitamin B6 deficiency or chronic kidney disease

63
Q

Low normal range serum amylase and/or lipase suggests this problem

A

chronic pancreatitis

64
Q

A fecal immunochemical test (FIT) is a home test that looks for….

A

blood in stool samples, which can be an early sign of colon cancer

65
Q

S / S

Sudden, intense pain in the upper right abdomen

Pain that spreads to the back or below the right shoulder blade

Pain that worsens with deep breaths

Tenderness over the abdomen when touched

A

Cholecystitis

66
Q

RDN computes Enteral Nutrition formula

Is a script needed by a HCP

A

Yes

67
Q

Enterostomal feeding is the placement of a NG tube

True or False

A

False

Enterostomal feeding is the placement of a PEG/J tube

68
Q

Tube Feeding care

Check for residual volume

How often

A

Q 6h

69
Q

Flush tube with 30ml water and at least 30ml syringe every 4 hours

If clogged…

A

Use 50 mL piston syringe and 30 mL water

70
Q

Obesity Class 1,2,3 values

A

Class 1: 30 - 35
2: 35 - 40
3: >40

71
Q

Liraglutide

Anti-diabetic medication

It can treat type 2 diabetes. It can also promote weight loss in certain patients.

Which route is this drug available

A

Sub Q

72
Q

Naltrexone

Class of medications: Opiate Antagonists.

Bupropion is in a class of medications called antidepressants.

A

Work together on two areas of the brain

Hunger center and the reward system, to reduce appetite and help control cravings.

73
Q

Orlistat
Common brands: Alli, Xenical

Action: Lipase inhibitor

S/E…

A

oily stools, diarrhoea, abdominal pain and faecal spotting

74
Q

Phentermine-topiramate

Class/action: ….

A

Anorectics.
It works by decreasing appetite

75
Q

Most common bariatric surgery

A

Gastric Bypass

Roux-en-Y

76
Q

Anastomotic leaks most common serious side effect / cause of death after Gastric Bypass surgery

Monitor for…

A

Back, shoulder, ab, Restlessness

Tachycardia, oliguria

NURS 1345 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions