GI

Question 1

What diet does a patient with pancreatitis eat?

Answer 1

NPO

Question 2

What do we teach a patient about gastritis?

Answer 2

Healthy diet, avoid caffeine & alcohol, take a protein pump inhibitor

Question 3

If a patient with GERD is bloated, what are we worried about?

Answer 3

Wheezing, could be aspirating on bile

Question 4

What should be done if a patient going into surgery does not have adequate knowledge?

Answer 4

Get the surgeon to talk to the patient before surgery

Question 5

What medicine does a nurse prepare to administer to a patient with SOB and a HR of 46?

Answer 5

Atropine

Question 6

What patients are more likely to develop pancreatitis?

Answer 6

African American, males, smoking history, older (50-60)

Question 7

What is the purpose of a patient having an NG tube?

Answer 7

Decompression, medicine, food, suction

Question 8

What is decreased platelet called?

Answer 8

Thrombocytopenia

Question 9

What does Sucralfate do for patients with peptic ulcer disease?

Answer 9

Protects the stomach lining

Question 10

What acid-base imbalance do we look for in a patient with morphine OD?

Answer 10

Respiratory acidosis

Question 11

What assessments are found in colorectal cancer?

Answer 11

Rectal bleeding, change in bowel consistency, anemia

Question 12

What is the mechanism of action of CCB for HTN?

Answer 12

Relaxes your blood vessels

Question 13

Why does a patient with a family history of colon cancer need a colonoscopy?

Answer 13

Need to screen for colon cancer, it’s a concern

Question 14

What diet should a patient follow 24 hours before a colonoscopy?

Answer 14

Clear liquid diet

Question 15

How many liters of GoLytely will the patient drink?

Answer 15

2L

Question 16

What is expected after drinking GoLytely?

Answer 16

Watery stools

Question 17

What lab report is critical if a patient is readmitted with abdominal pain after a procedure?

Answer 17

H&H. Could have a bowel perforation

Question 18

What do we teach a patient about colostomy care?

Answer 18

How to care for it and the patient needs to return the demonstration

Question 19

What does lactulose do for hepatic encephalopathy?

Answer 19

Decreases ammonia in the body by excreting it through stool

Question 20

Which Hepatitis is caused by fecal-oral transmission?

Answer 20

Hep A

Question 21

What should we say if a patient has liquid stools after ascending colon surgery?

Answer 21

This is normal

Question 22

What are symptoms of large bowel obstruction?

Answer 22

Upper abdominal distention, lower abdominal cramps, minimum to no vomiting, no major electrolyte changes

Question 23

What assessment requires immediate intervention post-op bariatric surgery?

Answer 23

Increased abdominal and back pain, could indicate a leak

Question 24

What diet should a patient with Celiac disease follow?

Answer 24

Gluten free

Question 25

What factor causes elevated AST with acute pancreatitis?

Answer 25

Bile flow destruction

Question 26

What actions should a patient with a hernia repair take?

Answer 26

Apply ice, ambulate, deep breath, DON’T COUGH, do not lift more than 10 pounds

Question 27

What are post-op instructions for laparoscopic cholecystectomy?

Answer 27

Persistent abdominal pain or fever

Question 28

What labs are run for a patient with RUQ tenderness after traveling?

Answer 28

AST, ALT

Question 29

What screening is sent out if liver enzymes are elevated?

Answer 29

Hep A

Question 30

What color would urine be if the sclera is yellow and stools are clay colored?

Answer 30

Tea colored

Question 31

What do we do for a patient suspected of small bowel obstruction with severe upper abdominal pain?

Answer 31

NGT to rest the abdomen

Question 32

What is the next step after inspecting the abdomen?

Answer 32

Auscultate

Question 33

What do patients need to know about proton pump inhibitors?

Answer 33

Suppresses the secretion of acid in the stomach

Question 34

What complications can patients with Crohn’s develop?

Answer 34

Fistulas, malabsorption, anemia, weight loss, abscess formation, fatty stools

Question 35

What is an appropriate plan of care for a patient with Hep B&C?

Answer 35

Monitor for confusion, skin breakdown, limit sodium, soft toothbrush, daily weights

Question 36

What symptoms indicate right-sided heart failure?

Answer 36

JVD, edema, ascites, weight gain

Question 37

What do we check immediately for esophageal varices?

Answer 37

BP and Pulse

Question 38

Which patient must go to RN for teaching on a low sodium diet?

Answer 38

The one who needs teaching on low sodium diet

Question 39

Which patient should be assessed first on a med-surg unit?

Answer 39

Patient with parathyroidectomy

Question 40

What disorders are classified as acute inflammatory bowel disorders?

Answer 40

Gastroenteritis, appendicitis, pararenitis

Question 41

What should be done for a patient diagnosed with appendicitis who begins to vomit?

Answer 41

Call doctor

Question 42

What nursing interventions are needed for a hemorrhoidectomy?

Answer 42

Stool softeners, no straining or vasovagal responses, high fiber diet

Question 43

What must we look for after a patient has an EGD?

Answer 43

Gag reflex

Question 44

What is the most frequent complication of an ileostomy?

Answer 44

Fluid and electrolyte imbalances

Question 45

What deficiency is associated with chronic gastritis?

Answer 45

B12

Question 46

What are clinical manifestations of ulcerative colitis?

Answer 46

Frequent watery stools with blood and mucus

Question 47

What is bright red blood in stool called?

Answer 47

Hematochezia

Question 48

What organ is associated with prolonged PT time?

Answer 48

Liver

Question 49

What finding is a risk factor for pancreatitis?

Answer 49

Autoimmune diseases, alcoholism, hyper triglycerides

Question 50

What procedure is performed for esophageal varices?

Answer 50

EGD

Question 51

What teaching is required after receiving IV antibiotics for ammonia?

Answer 51

Show me how to clean the site (teach it back)