Upper GI disorders
Common cause of PUD, gastritis and stomach cancer
What is H. pylori
Difference between diverticulosis and diverticulitis
What is saccular dilations or outpouchings of the mucosa that develop in the colon vs inflammation of the diverticula, resulting in complications such as perforation, abscess, fistula formation, and bleeding.
Which oral medication should the nurse question before administering to a client with PUD?
A) omeprazole
B) acetaminophen
C) celecoxib
D) metronidazole
What is C?
Promotes bowel rest and decompresses gastric contents
What is NG tube placement
Procedure that visualizes the pancreatic, hepatic and common bile ducts
What is ERCP?
First line therapy for upper GI bleeding
What is endoscopy and endotherapy?
Board like abdomen, increase in temperature with chills, pallor, restlessness and tachypnea
What are signs of peritonitis?
Class and action of famotidine, ranitidine and cimetidine
What is H2 antagonists and they block the release of hydrochloric acid in response to gastrin?
3 interventions for postop abdominal surgery?
What is early ambulation, SCDs, NG tube placement, incentive spirometer?
Portal hypertension, esophageal and gastric varices, peripheral edema, ascites, encephalopathy and hepatorenal syndrome
What are major complications of cirrhosis?
Complications of PUD
What are hemorrhage, perforation?
The priority for a nurse admitting a patient with severe diarrhea is to:
A) prevent skin breakdown
B) assess fluid volume status
C) administer antidiarrheal medication
D) obtain the pts history
What is B?
major classes of meds to treat IBD
what are aminosalicylates, antimicrobials, corticosteroids, immunosuppressants, and biologic and targeted therapy?
Patient teaching to prevent GERD
What is weight management, change in diet, elevating the HOB, and avoiding tobacco and stress?
The nurse is caring for a patient diagnosed with rule out peptic ulcer disease. Which test confirms this diagnosis?
A) EGD
B) MRI
C) occult blood test
D) gastric acid stimulation test
What is A?
Nursing priorities for severe vomiting or diarrhea
What is risk for dehydration, acid-base and electrolyte imbalance?
Pain persistent and continuous, eventually shifting to the right lower quadrant and localizing at McBurney’s point
What is appendicitis?
Your client is diagnosed with end stage liver failure and receiving lactulose/granulote. which lab test tells you it is effective? a)serum ammonia b)BUN c)sodium d)serum Creatinine
what is a?
Client with IBD is prescribed TPN, which intervention should the nurse implement?
A) check patients BG
B) administer oral hypoglycemic
C) assess peripheral IV site
D) monitor oral food intake
What is A
Grey turner sign, Cullen sign
What are clinical manifestations of bleeding?
heartburn, dyspepsia, burping or belching
What are clinical manifestations of GERD?
The nurse provides instructions about measures to treat IBS, which statement indicated a need for further teaching?
A) I need to limit fiber intake
B) I need to drink 8-10 cups of water daily
C) I need to eat regular meals
D) I will take prescribed meds because they regulate my bowel patterns
What is A
medication that suppresses the secretion of hydrochloric acid into the lumen of the stomach
what are PPIs (omeprazole, esomeprazole, pantoprazole)?
The nurse is caring for clients in a surgical unit. Which client should the nurse assess first?
A) client 4 hours after inguinal hernia repair with absence of voiding
B) client admitted with abd pain who suddenly has no pain
C) client 4 hours postop abd surgery with no bowel sounds
D) client 1 day post-appendectomy who is being discharged
What is B?
Which clinical manifestations should the nurse report to the HCP for a client recovering from a laparoscopic cholecystectomy? (select all that apply)
A) clay colored stool
B) yellow tinted sclera
C) dark urine
D) incision approximated
E) adb pain
What are A, B, C, E?