Adult Gasto

Question 1

Cullen’s sign

Answer 1

• discoloration of the abdomen and periumbilical area
• indicates pancreatitis

Question 2

Acute pancreatitis symptoms

Answer 2

• n/v = dehydration
• hyperglycemia
• hypocalcemia
• leukocytosis
• diagnose w amylase and lipase

Question 3

Pancreatitis treatment

Answer 3

• 0.9 fluid bolus
• monitor LOC

Question 4

Necrotizing pancreatitis

Answer 4

• ecchymosis around the umbilicus

Question 5

Irrigating a nasogastric tube

Answer 5

draw 30 mL of irrigant into the syringe

Question 6

Colonoscopy should begin at age

Answer 6

45

Question 7

Dumping syndrome care

Answer 7

• dietary changes
• lying down for 30 minutes after meals

Question 8

Fecal impaction

Answer 8

• watery fecal material around the impacted mass, mimicking diarrhea (paradoxical diarrhea)
• abdomen appears distended and swollen
• stomach is hard to the touch

Question 9

Fecal impaction care

Answer 9

• enemas of tap water
• manual fragmentation (painful, may need sedation)
• increase fiber to 30 grams a day

Question 10

Acute perforated ulcer

Answer 10

• “board-like” rigidity of the abdominal wall

Question 11

4

complications following bariatric surgery

Answer 11

• venous thromboembolism
• dumping syndrome
• pneumonia
• infection
• follow strict diet after
  
  • clear liquid for 1 week post
  • no sugar or cafferine

Question 12

bariatric surgery care

Answer 12

• early ambulation
• compression devices

Question 13

Infectious mononucleosis (IM)

Answer 13

• causes splenomegaly
• fever
• cervical lymphadenopathy
• rash
• kissing disease

Question 14

liver biopsy positioning

Answer 14

• During
  
  • supine
  • right arm abducted
  • head turned to the left
• Post
  
  • right side
• conscious
• avoid coughing/straining
• hold breathe*

Question 15

appendicitis pain

Answer 15

• Mcburneys point
• right lower quadrant pain
• rebound tenderness

Question 16

appendicitis and suddenly feels better lol

Answer 16

• likely experienced a rupture of the appendix (perforated)
  
  • emergency surgery
  • abdominal pain worse with cough or movement
  • relieved when bending right hip or knees
  • progresses to peritonitis then sepsis

Question 17

Pain in pancreatitis

Answer 17

• severe
• begins mid-epigastrium and radiates to the back

Question 18

Pain in cholecystitis

Answer 18

• pain in the right upper quadrant
• can refer to the right shoulder and scapula

Question 19

Older adults at increased risk for malnutrition

Answer 19

live alone, especially widowed

Question 20

Order of abdominal assessment

Answer 20

• inspection
• auscultation
• percussion
• palpation

Question 21

Paralytic ileus

Answer 21

• abdominal distention
• nausea vomiting
• hiccups
• decreased bowel sounds
• NG tube helps to decompress

Question 22

NG tube

Answer 22

• decompress the stomach and relieve the pressure from the ileus
• causes hyponatremia and hypokalemia

Question 23

Gastric residual volume (GRV)

Answer 23

• enteral nutrition should not be stopped for a GRV of less than 500 mL
• elevate HOB when feeding

Question 24

Hyperalimenation

Answer 24

• means TPN
• given through central IV line

Question 25

Peptic ulcer disease

Answer 25

• mid-epigastric pain
• hematemesis
• gastric ulcer symtpoms

Question 26

Causes of cirrhosis

Answer 26

• ABCD
  
  • Alcohol
  • Hep B
  • Hep C
  • Diet
• risk for fluid volume excess d/t hypertension
• give albumin
  
  • enhances oncotic pressure

Question 27

Melena

Answer 27

• black tarry stools
• gastrointestinal bleeding

Question 28

Abdominal surgery

Answer 28

• bowel sounds return within 48 hours

Question 29

Increase risk for gastric cancer

Answer 29

• chronic gastritis
• gastric ulcer