patient care
Two nursing interventions that measure fluid volume status.
Medication class that is prioritized and used to treat GERD, gastritis and/or GI bleed.
What is a PPI?
Elevated bilirubin is caused by this physiologic abnormality.
What is a common bile duct occlusion?
Clinical finding of perforation in a client with a diagnosis of diverticulitis.
What is a rigid abdomen?
Transmission through blood or body fluids.
What is hepatitis B?
True or False - Individualized plan of care is key to proper planning of patient care.
True
Patient education for this GI disorder includes changes in diet such as no spicy foods or no carbonated drinks.
What is GERD? (or really all of the GI disorders: gastritis, PUD, hiatal hernia,)
The purpose of Vitamin K in the liver.
What is clotting?
Mid epigastric pain, nausea and/or vomiting.
What is H. Pylori?
This is the purpose of an NG tube for a small bowel obstruction.
What is decompression?
Order reads: administer 0.9NS 1000ml/12 hours. Rate per hour calculation is this rate.
What is 83ml/hr?
Elevated amylase and/or lipase are associated with this GI disorder.
What is pancreatitis?
Prolonged alcohol abuse could cause this late-stage liver complication.
What is hepatic encephalopathy?
Yellow sclera, skin, urine and/or elevated bilirubin.
What is jaundice?
A client had 4 liters of fluid removed during a paracentesis and the nurse is concerned about hypovolemia. This is the priority data that is needed.
What are vital signs? (without the baseline data, one would not know if the hypovolemia is causing physiological changes)
An 84-year-old c/o decreased appetite, less energy, and loss of 5 pounds over a year.
What are typical age related changes?
Simple treatment includes increasing fluid intake and increasing activity.
What is constipation?
Following a paracentesis for ascites, loss of fluid can cause this.
What is hypovolemia or volume depletion?
Confusion, erratic behavior
What are early symptoms of hepatic encephalopathy?
Diet most appropriate for a client with diverticulosis.
What is a high fiber diet? (it would be different if it asked about diverticulitis)
One of the biggest problems with polypharmacy.
What is the unwanted side effects?
This is the type of stool noted with an upper GI bleed.
What is black tarry stool?
Side effect of lactulose administered for elevated ammonia level.
What is diarrhea?
The nurse may be unable to do this if a PEG tube is clogged.
What is easily flush water?
Route of administration for TPN.
What is a PICC or central line?