Bowel
Intestinal fistulas are a cardinal feature and may develop between segments of bowel in the following condition:
Crohn’s disease
The coordinated, rhythmic, sequential contraction of smooth muscle that pushes food through the digestive tract, as well as bile through the bile duct, is called:
Peristalsis
The 67-year-old patient has just been diagnosed with a peptic ulcer. Why are peptic ulcers a common problem of aging?
Because of overuse of NSAIDs
The Bernstein test is a test for reproducing the symptoms of which disease process?
Gastroesophageal reflux
The home health nurse caring for a patient who has impaired speech related to radiation therapy for an oral cancer would recommend that the family provide:
A tablet and pencil as a communication aid
Because bowel contents from an ileostomy are virtually liquid, what important aspect should the nurse include in the plan of care?
Evaluation and assessment of peristomal skin integrity
During the digestive process, 90% of the digestive process occurs in what organ?
Small intestine
In teaching your patient about his new diagnosis of peptic ulcer disease, you explain the physician has ordered an antibiotic to start today. Which of the following is the purpose of antibiotic therapy in treating peptic ulcers?
It eradicates H. pylori
What is the most important post procedure instruction to give a patient who has had an upper gastrointestinal study with barium?
Increase fluid intake
Which enzyme, secreted by the salivary glands destroys bacteria, protecting the mucous membrane from infection and the teeth from decay?
Lysozyme
What are the positive reasons for utilizing a scope procedure to diagnose an intestinal ailment?
Able to visualize the intestine
Able to remove specimens, if needed
Able to dilate strictures, if any
The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:
Vitamin B12 due to the loss of the intrinsic factor for B12 absorption
Your patient has been diagnosed with a peptic ulcer. What is the most lethal complication of a peptic ulcer?
Perforation
The patient had a capsule endoscopy. Which discharge instruction should the nurse give to the patient?
The capsule will pass in 2-3 days; no need to retrieve
Sodium bicarbonate neutralizes hydrochloric acid in the gastric juices during digestion. Sodium bicarbonate originates from which organ?
Pancreas
The endoscopy procedure, EGD, enables visualization of the following areas:
Esophagus, stomach and duodenum
The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube; the patient complains of pain and has become hypotensive. Which condition should the nurse recognize these as signs of?
Perforation of the gastric wall
What portion of the brain contains two appetite centers that affect eating?
Hypothalamus
Current medical recommendations for colorectal screening includes a flexible sigmoidoscopy should be performed every ________ years.
Five
According to research, removal or disease of the appendix could theoretically affect which function?
Immunologic response
A patient had a sigmoidoscopy this morning. Two hours after the procedure, the patients is complaining of abdominal pain. During your assessment, which symptoms would be present with bowel perforation?
Bleeding and distention
What should a nurse do when obtaining a stool specimen to be examined for ova and parasites?
Obtain three different stool specimens on subsequent days
The large intestine is the site of bacterial action that produces Vitamin K. Potentially, loss of the large colon or disruption of this bacterial action could disrupt which body function?
Blood clotting
With Irritable Bowel Syndrome, diagnosis occurs with exclusion. An example of this is which of the following?
A diagnosis that is left over after all other possible diagnoses have been excluded
A patient is being treated with Carafate (sucralfate) for gastroesophageal reflux disease. Which teaching point would the nurse emphasize?
Coating action may interfere with the absorption of other drugs- separate by 2 hours