N/V & Esophageal Disorders
Gastritis
GI Bleeds
Peptic Ulcer Disease
GERD
100
A client who has been vomiting for 3 days at home is at risk for this. List 2 things.
What is dehydration, electrolyte imbalance, &/or metabolic alkalosis.
100
_____ ____ & _______ autodigest the stomach when the mucosal barrier is broken, resulting in gastritis.
What is gastric (Hcl) acid & pepsin
100
A client reports having dark black, sticky stools, this is most likely happening.
What is upper GI bleed?
100
With every EGD performed, they will test for this bacteria.
What is H. Pylori.
100
This malfunctions and results in GERD.
What is lower esophageal sphincter (LES).
200
A client is vomiting fecal smelling vomit, these are the other clinical manifestations the nurse would expect to find in this client.
What is abdominal distension, abdominal rigidity, abdominal pain, absent bowel sounds.
200
Two lifestyle questions a nurse would ask a client with gastritis.
What is "Do you smoke cigarettes? Do you drink alcohol?"
200
A client comes to the ED with reports of blood stool x 2 days. These medications & labs are what the nurse will check first (name at least two of each)
What is hbg/hct, PT/INR & PTT; Aspirin, Coumadin, Plavix, Effient, Eloquis, etc.
200
A peptic ulcer has perforated the duodenum, this condition will develop and the nurse will expect to see these symptoms.
What is peritonitis; red, hot, tender, distended abdomen, fever/chills, increased WBC count.
200
What are 4 foods that a client with GERD should avoid?
What is chocolate, peppermint, caffeine, tomato products, orange juice.
300
A client has been diagnosed with a mechanical bowel obstruction. These are the nursing interventions the nurse will expect to perform. (Name 3)
What is make the patient NPO, insert NG tube to LIWS suction, GI focused assessment - monitor for peritonitis, IVF, possible administration of a medication to increase peristalsis (ex. Reglan) depending on severity, or prepare for surgery in worst case scenario.
300
This is why an NG would be used in severe cases of gastritis.
What is observe for bleeding, lavage to flush precipitating agent from stomach, & keep stomach empty and free of noxious stimuli
300
Two reasons an EGD could be ordered.
What is coffee ground emesis, prolonged nausea/vomiting, GERD, or peptic ulcer disease symptoms.
300
A gastric ulcer makes the client feel a gaseous or burning pain 1-2 after meals. Why?
What is food aggravates pain as ulcer has eroded through gastric mucosa, essentially like putting food on an open wound.
300
These are the respiratory symptoms associated with GERD?
What is wheezing, coughing, dyspnea, nocturnal coughing with loss of sleep
400
A client has ruptured esophageal varices, a nurse performs an abdominal assessment first. This is why she is incorrect.
What is What is: the cardiovascular assessment (BP and pulse) is more of a priority due to hypovolemia.
400
A chronic gastritis client has to receive these injections because of the loss of intrinsic factor in this condition. What type of anemia does would this client have?
What is cobalamin (vitamin b12) & pernicious anemia.
400
A client has just had a liver biopsy. This is how the nurse would position the client. Why?
What is: Flat, laying on right side.
400
This is how aspirin and NSAIDs destroy the mucosal barrier.
What is inhibit syntheses of prostaglandins which cause abnormal permeability.
400
When a client comes in with symptoms of GERD, what must we rule out? How are we going to rule it out?
What is MI (angina), CKMB/Troponin & an EKG.
500
A client came to the ED with ruptured esophageal varices. After stabilization (clipping & blood/fluid replacement) and the hemoglobin and hematocrit has been evaluated, these are the next two labs the nurse will look at. Why?
What is What is AST/ALT - esophageal varices occur due to portal hypertension and cirrhosis, the AST and ALT are liver function tests.
500
These are the medication included in the treatment regimen for an H. pylori infection.
What is Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec).
500
These are clinical manifestations if a patient with a severe GI bleed has gone into shock.
•Low BP •Rapid, weak pulse •Increased thirst •Cold, clammy skin •Restlessness
500
List 3 major complications of PUD.
What is hemorrhage, perforation, and gastric outlet obstruction.
500
This is how the nurse would correctly educate a client on how the following medications worked: Nexium, Prilosec, Zantac Carafate, & Antacids
What is Nexium, Prilosec, Zantac all reduce the acid production in the stomach. Carafate coats the stomach and antacids neutralize the acids.
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