Nutrition
List the food source should be avoided for patient's diagnosed with Cirrhosis and/or Ascites
Know foods that contain sodium
for filling/contracting and emptying
What is an ERCP?
Endoscopic retrogradecholangiopanceatography
Think of the pre and post procedure nursing interventions associated with this invasive procedure
State the GI complication that includes symptoms of severe upper abdominal pain that radiates to the shoulder.
What is gastrointestinal perforation?
Think of GI disorders that put the patient at risk for perforation and why
Name an intervention the nurse should delegate to the UAP that will promote the resp status of a patient diagnosed with a SBO--small bowel obstruction.
What is placing the patient in a semifowlers position/elevate the HOB
think why this intervention is effective.
The nurse has is caring for a patient diagnosed with acute glomerulonephritis. The nurse should understands this patient has the risk of lower extremity edema. State a rationale for this hypothesis.
What is decreased GFR (glomerular filtration rate).
Think of other complications of decreased GFR (fluid and Na retention/possible decreased serum protein levels)
Think of the dietary restriction that will benefit this type of patient
List a nursing intervention that decreases the risk of fluid overload for a patient diagnosed with cirrhosis and/or ascites.
What is "fluid restriction"
Think why this is necessary--learned with A&P and electrolyte balance
Select the nursing intervention that must be completed post upper endoscopy procedure and prior to oral intake by the patient.
What is checking for the gag reflex?
Think why this is important.
Also, understand this intervention is necessary for any procedure that using general anesthesia and places the patient at risk for aspiration (bronchoscopy)
Name the data collection the nurse should expect from a patient diagnosed with ACUTE pancreatitis.
What are gallstones
Think of the reason for this occurrence
State an infection control intervention that will decrease the transmission of C diff from one patient to another patient (other than HH)
What is using a bleach solution to disinfect hospital equipment located in the pt care environment.
The PN is monitoring a patient who has an hourly urine output less than 50 mL per hour during the shift. State the GI disorder this patient may experience due to AKI secondary to decreased cardiac output.
What is acute pancreatitis?
Pancreatitis places a patient at risk for decreased cardiac output that leads to AKI
State a patient teaching point that will decrease the route of transmission for Hep A
What is avoiding meals with shell fish
Think what is the route of transmission for Hep A
Name the diagnostic test that evaluates the patient risk for aspiration due to dysphagia.
What is a barium swallow?
Think of the nursing intervention that will promote elimination of the barium from the patient's body.
Think of a nursing education point that is important for patient at home.
Name the data collection that is a sign of GIB (gastrointestinal bleed)
What is oliguria (decreased urine output)
Think of the effects of hypovolemia
Name the vitamin supplement the nurse will discuss with patient diagnosed with pernicious anemia
What is Vitamin B12
Think of the surgical procedure that places a patient at risk for Pernicious anemia.
The PN has completed the data collection for a patient with a medical history of CKD (chronic kidney disease)State the lab values the nurse will expect to be elevated for this patient.
What is BUN and Cr?
Goal: BUN level < 100 mg/dL and Cr level < 8mg/dL
Name the food source that should be avoided in patients diagnosed with Urolithiasis
What is a high purine diet
Think of foods that contain purine and would be included in a patient diagnosed with urolithiasis
The nurse has sent the patient's urine specimen to the lab for the specific gravity result. State the rationale for this action.
What is evaluating the effectiveness of IVF management to correct dehydration
Think of the urine specific gravity range
The PN notices the patient's T tube drain does not contain any fluid. State a reason for this finding.
What is having the drainage bag placed incorrectly.
Think of the patient position and drainage bag position that will allow for optimal drainage of the fluid
Name the nursing intervention that will decrease the risk of dehydration for a patient requiring enteral feedings
What is flushing the gastrostomy tube with water q 4 hours or according to the medical order
How much water should the PN flush thru the G tube to prevent dehydration?
The PN is caring for a pt diagnosed with Chronic Glomerulonepritis. State the lab value the nurse should expect to have a decreased level.
What is RBC (red blood cells)
Think of the rationale for this decrease.
State a type of beverage the patient diagnosed with acute cystitis should avoid.
What is caffeinated beverages.
Think of the rationale for this patient teaching point.
State the gastrointestinal medical diagnosis that is usually diagnosed during young adulthood and requires monitoring of a patient's electrolyte levels during acute exacerbations.
What is fluid and electrolyte monitoring?
This ds process is usually diagnosed in patients in young adulthood or ages 15-30
State a risk factor for renal calculi.
What is dehydration?
Think of the procedure that uses shock waves to break up the calculi and allows for passage from the body
State a priority nursing intervention for a patient diagnosed with Renal calculi
What is medicating the patient for pain relief.
Think of symptoms the patient experiencing renal calculi may experience.
The nurse is creating a discharge plan for a patient diagnosed with CKD (chronic kidney disease). State the food types the patient should.
What are foods containing K, Phosphorus and Protein
Think about specific patient teaching--what foods to avoid
Think of the rationale for this patient teaching point.