Gastro

Question 1

Should post op gastric banding patient eat big or small meals?

Answer 1

small meals

Question 2

What position should gastric banding patients be in after eating?

Answer 2

low Fowlers 20-30 mins

Question 3

Should gastric banding patients eat fast or slow?

Answer 3

slow

Question 4

Important teaching for females that had gastric banding surgery?

Answer 4

no pregnancy

Question 5

What fluids can gastric banding patients have? and when?

Answer 5

water; no soda, no juice

not while eating- should be 30 mins prior and post meal

Question 6

Post-op Care for Banding:

Big or small meals?

Answer 6

small meals

Question 7

Post-op Care for Banding:

What position after eating?

Answer 7

low Fowlers 20-30 mins

Question 8

Post-op Care for Banding:

eat fast or slow?

Answer 8

slow

Question 9

Post-op Care for Banding:

Important teaching for females

Answer 9

no pregnancy

Question 10

Post-op Care for Banding:

what fluids can they have?

Answer 10

water; no soda, no juice

Question 11

How do you know if you have oral cancer?

Answer 11

sores in mouth that don’t heal; abnormalities of the cells

Question 12

How do you know if you have oral cancer?

Answer 12

sores in mouth that don’t heal

Question 13

What is a fissure?

Answer 13

crack/break in the skin

Question 14

What is a fistula?

Answer 14

opening/canal

Question 15

How do you prevent infections for both fissure / fistula?

Answer 15

glucocosteroids to decrease the inflammation

Question 16

What two disease are related with IBD?

Answer 16

Crohn’s and ulcerative colitis

Question 17

How do you measure an NG tube?

Answer 17

nose to ear to xiphoid process

Question 18

How do you measure an NG tube?

Answer 18

ear to xiphoid process

Question 19

Examination sequence for assessing the abdomen:

Answer 19

Inspection, auscultation, percussion, palpation

Question 20

Typical causes of H-pylori infection:

Answer 20

Non-erosive gastritis (acute and chronic)

Question 21

What is the GI tract pathway? starting with the mouth (8 others…)

Answer 21

mouth, esophagus, duodenum, jejunum, ileum, stomach, small intestine, large intestine, rectum

Question 22

When do they recommend bariatric surgery?

Answer 22

morbid obese patients (greater than 30 BMI)

Question 23

How do we make sure bariatric patients are stable enough to go through surgery?

Answer 23

psychological counseling to make sure they are emotionally stable

Question 24

What would bariatric patients be excluded from surgery? (4)

Answer 24

psych illness, lack of understanding, current drug/alcohol abuse, reversible endocrine disorders

Question 25

What is the treatment of gastritis?

Answer 25

antibiotics

Question 26

What is the bacteria related to gastritis?

Answer 26

H. pylori

Question 27

How do crohn's patients present?

Answer 27

persistant diarrhea cramping tenderness anorexic/weight loss

Question 28

What does the stool look like for a patient with crohn's disease and they are getting a colonoscopy done?

Answer 28

steatorrhea= fatty stool from malabsorption right lower abdominal pain abdominal pain/tenderness

Question 29

What could develop from crohn's disease? (4)

Answer 29

ulcers anal abscess fever leukocytosis (due to infection)

Question 30

How do we treat H. pylori?

Answer 30

2 antibiotic and a PPI

Question 31

What does the PPI do in H. pylori?

Answer 31

reduces acid

Question 32

What is a medication that nurses give out on the floor readily to reduce amount of acid in stomach?

Answer 32

famotidine (Pepcid)

Question 33

What does the patient get when they have a small bowel obstruction?

Answer 33

NG tube to meet the outcome

Question 34

How do you know when to take an NG tube out?

Answer 34

when the patient is not experiencing nausea and vomiting any more

Question 35

What is the care for an NG tube?

Answer 35

``` irrigate it every shift check for placement check markings and tape suction? (usually intermeditant, as per MD order) output during your shift ```

Question 36

What do gastric cancer patients get for nutrition?

Answer 36

parental nutrition

Question 37

What do we teach GERD patients?

Answer 37

avoid irritants (soda, tobacco, alcohol, low fat, peppermint, spearmint)

Question 38

When do patients stop eating at night?

Answer 38

do not eat 2 hours prior to bedtime

Question 39

Do GERD patients have normal body weight?

Answer 39

yes

Question 40

What do we teach patients with GERD, in reference about clothing?

Answer 40

avoid tight clothing

Question 41

How should GERD patients sleep and always be positioned?

Answer 41

elevated or slightly elevated

Question 42

How is GERD treated?

Answer 42

anti-acids, histamines II receptor antagonists ant-acids, PPI

Question 43

What does the stool look like for a GI bleed?

Answer 43

black and tarry

Question 44

What does hemorrhoid stool look like?

Answer 44

bright red and streaking

Question 45

How do you verify NG tube placement?

Answer 45

x-ray

Question 46

What is the primary nursing diagnosis with a patient that has diarrhea?

Answer 46

fluid volume deficit skin integrity inadequate nutrition

Question 47

What is the difference between IBD and IBS?

Answer 47

IBS has constipation and diarrhea

Question 48

What is an important nursing intervention (with MD order) for IBD patients?

Answer 48

IV fluids

Question 49

How is peptic ulcers treated?

Answer 49

carafate (Sucralfate) coats the stomach

Question 50

What is esophageal diverticula?

Answer 50

pocket in your esophageus

Question 51

Complications with esophageal diverticula?

Answer 51

swallowing, eating,

Question 52

How do esophageal diverticula patients present? (5)

Answer 52

four odor*, burping, fullness in neck, girgling, coughing

Question 53

What test should be done for peptic ulcers? (4)

Answer 53

H. pylori (biopsy), rapid release test (breath test), stool tested (dark, tarry), CBC (may be anemic and need blood transfusion)