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Medical-Surgical Nursing > Gastrointestinal > Flashcards

Flashcards in Gastrointestinal Deck (22)
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1

What are the different enzymes and secretions that help the body digest and metabolize the food we eat?

Amylase, Lipase, Trypsin, HCl, Pepsin, Bile, Intrinsic Factor

2

When assessing a patient complaining of abdominal pain, what information should the nurse obtain?

Onset, Provocation/Palliation, Quality, Region/Radiation, Severity, Timing

3

What mechanisms stimulate vomiting?

visceral afferent stimulation, CNS disorders, irritation of CTZ

4

What age will you recommend a routine screening colonoscopy to your patients and what are your health teachings?

50
purpose, client preparation, post-procedure care

5

A patient needs to take barium sulfate for an upper GI study. What important instructions do you need to provide to the patient?

increase fluid intake, risk for constipation, monitor for complications

6

A patient is scheduled to undergo Contrast CT scan. What are your nursing responsibilities?

Check for allergies, renal function, hydration, hold meds that might affect kidneys

7

What are the indications for GI intubation?

Decompression, Lavage, Diagnostics, Medication, Control bleeding

8

When taking care of a patient with gastrostomy, what are your nursing responsibilities?

care, patency, decrease risk for infection, feeding

9

What are the potential complications of a patient who is receiving enteral feeding and how to avoid them?

indication, positioning, oral/skin care, monitoring, tube placement, feeding, hydration, maintenance

10

What are the potential complications of a patient who is receiving parenteral feeding and how to avoid them?

indication, positioning, oral/skin care, monitoring, tube placement, feeding, hydration, maintenance

11

Identify and differentiate normal from abnormal findings when performing a focused GI assessment.

Inspection, Auscultation, Palpation, Percussion
Chief complaint
Lesions
Tenderness
Tympany vs Dull sounds

12

What are the risk factors for GERD?

Diet
Increased intra-abdominal pressure
H. pylori
medications
underlying disease condition

13

Describe and differentiate the two types of Hiatal Hernia.

Type 1 and Type 2
Sliding vs Non-sliding
Reflux symptoms
Complications

14

How does NSAID cause gastritis?

disrupts prostaglandin synthesis

15

What is the most common cause of gastritis and PUD? Describe the pathophysiology.

H. pylori
Exact mechanism unknown. Maybe d/t Inflammatory response, direct invasion of gastric mucosa, or increase gastric secretions

16

What is the treatment for H. pylori?

triple or quadruple therapy
drugs included
length of treatment

17

What lifestyle modifications will you provide for a patient with GERD?

diet
exercise/positioning
decrease intra-abdominal pressure

18

Differentiate the following:
a. Antacid
b. Histamine Receptor Antagonist
c. Proton Pump Inhibitor
d. Misoprostol
e. Sucralfate

Mechanisms of action
Onset
Duration and Frequency
Nursing considerations

19

What complications can develop from gastritis?

acute - erosion/bleeding
chronic - atrophy - decrease HCl and pernicious anemia

20

What complications can develop from PUD and how will each complication be managed?

Hemorrhage
Perforation
Gastric Outlet Obstruction

Management

21

Identify and differentiate the types of PUD

Gastric ulcer
Duodenal ulcer
Stress ulcer

22

What are the different diagnostic tests commonly used to assess GI disorders and describe

name
indication/purpose
nursing considerations