Math Calculations
Rate of infusion in ml/hr for 250ml IVPB to be infused over 90min.
What is 167 (166.6) ml/hr?
Acute pain on swallowing.
What is odynophagia?
Leads to increased GI activity and rapid movement of food through the upper GI tract.
What is Metoclopramide (Reglan)?
Nursing interventions for the client with a diagnosis of gastritis.
What is reduction in anxiety, promotion of optimal nutrition, promotion of fluid balance, and measures to reduce in pain?
The most common site for diverticulitis.
What is the sigmoid colon?
Rate of infusion in ml/hr for 300ml unit of PRBCs to be infused over 4 hours.
What is 75 ml/hr?
Treatment of this disorder includes frequent, small feedings, no reclining for one hour after eating, elevation of HOB 4 to 8 inches on blocks, and surgical intervention.
What is hiatal hernia?
Indication and side effect of Sulfasalazine (Azulfidine).
What is for the treatment of Ulcerative Colitis and orange-yellow urine?
Most common location for peptic ulcer disease.
What is the duodenum?
Pink, red, shiny, and fecal drainage 24-48hrs post-operatively.
What is an expected assessment findings for a healthy ileostomy and stoma?
Flow rate in gtt/min for 500ml 0.9% Sodium Chloride IV bolus over 2 hours with a drop factor of the tubing 20 gtt/ml.
What is 83 (83.3) gtt/min?
Associated with tobacco use, coffee consumption, alcohol consumption, gastric infection with H. Pylori, and is a precursor for Barrett Esophagus.
What is GERD?
The best time for a client to take a proton pump inhibitor.
What is 30 minutes before a meal?
Signs and symptoms of complications associated with peptic ulcer disease.
What is hematemesis/melena (hemorrhage), acute sudden abdominal pain radiating to shoulder (perforation), and/or vomiting (gastric outlet obstruction)?
Priority nursing diagnosis for client with appendicitis.
What is Risk for Infection related to possible rupture?
Rate of infusion in ml/hr for patient receiving 25,000 units of Heparin in 500ml D5W with infusion to be 1400 units/hr.
What is 28ml/hr?
Reason for the decline in 5-year survival rate from early stage to late stage esophageal cancer.
What is the spread of the cancerous cells to beneath the mucosa into muscle layers and lymphatics causing obstructions, perforations, erosion into great vessels?
Pharmacological treatment of H. pylori and rationale for each medication.
What are antibiotics (gram-negative bacteria), PPIs (reduce gastric acid secretion), and bismuth salts (suppress H. pylori in gastric mucosa)?
Nursing diagnoses for the client with gastric cancer.
What are Anxiety, Imbalanced Nutrition, Pain, Anticipatory Grieving, and/or Knowledge Deficit?
Three differences between Crohn's Disease and Ulcerative Colitis.
What is extent inflammation on layers of GI tract, typical location within GI tract, presence and severity of bleeding, and presence and severity of diarrhea, complications?
Total volume in ml of Heparin to be infused as a bolus with order to bolus 80 units/kg. Patient weighs 130lbs and Heparin bag contains 25,000 units in 500ml of D5W.
What is 94.4ml?
Five interventions for management for GERD.
What are a low fat diet; avoidance of caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated beverages; avoidance in eating or drinking 2 hours before bedtime; elevation of the head of the bed by at least 30 degrees; and medications inclusive of antacids, H2 Receptor Antagonists, Prokinetic Agents, PPIs, and Surface Agents?
An example of a laxative osmotic agent.
What is Polyethylene glycol and electrolytes (Colyte)?
Bisacodyl (Dulcolax) is a stimulant laxative. Dioctyl sodium sulfosuccinate (Colace) is a fecal softener. Magnesium hydroxide (Milk of Magnesia) is a saline agent.
Low Fowler position while lying down 20 to 30 minutes after eating, avoiding fluids with meals, and avoiding high carbohydrate and sugar intake.
What are measures to prevent Dumping Syndrome?
Electrolyte imbalances and causes post-operative ileostomy.
What is hypokalemia due to NG suction and hyponatremia (and hypovolemia) due to first several days of large output from ileostomy?