Assessment
What is a basic non-invasive test that should be done on patients with lower abdominal pain?
Urinalysis
What lab test should be done on every patient with a complaint of lower abdominal pain.
UA
A patient taking broad-spectrum antibiotics is at risk for what condition?
Clostridium difficile
What test is done to diagnose GERD?
Endoscopy
A client with ulcerative colitis should limit what in their diet?
fiber
caffeine
large meals
A client with severe epigastric pain that radiates to the back left flank or left shoulder should be worked up for what condition?
pancreatitis
A client with cholelithiasis w/ bile duct obstruction would be expected to have elevated levels in which 3 lab tests?
WBCs
direct bilirubin
alk phosphatase
What are 2 instructions to provide as client teaching for proton pump inhibitors?
take 1 hr before meals
limit NSAIDs
do not crush or chew
What are the 2 methods of screening for colon cancers?
colonoscopy
fecal occult blood
The most important patient teaching for a patient with IBS is _______.
avoiding foods that are triggers
A client with a duodenal ulcer will report pain is ________ by eating.
relieved
What is the normal range for albumin?
3.5-5 g/dL
Name 3 classifications of medications used to treat GERD.
Antacids neutralize gastric acid which irritates the esophagus during reflux
Histamine 2 receptor antagonists decrease and secretion
Proton pump inhibitors decrease gastric acid production
What diagnostic test is used to diagnose ulcerative colitis?
Colonoscopy
What are 2 dietary instructions you to provide to a client being discharged with IBS?
eat small and frequent meals
increase fiber to 30-40g
drink 2-3L of fluid daily
A client with epigastric pain and tenderness, bloating, and pain 30 to 60 min after a meal is indicative of what condition?
gastric ulcer
Which 2 specific lab tests should you expect to be drawn and the results to be elevated in a patient with pancreatitis?
amylase
lipase
What are the drug classes that will be used to treat H. Pylori?
antibiotics
histamine 2 receptor
When can you give a patient who received procedural sedation something to drink?
after return of the gag reflex
What are 2 nursing interventions for a patient with an NG tube?
check placement before using
document drainage
assess bowel sounds often
provide frequent oral hygiene
A client with abdominal pain, high-pitched bowel sounds and vomiting large amounts with a fecal odor are signs and symptoms of ____________?
bowel obstruction
What lab test would you expect to be elevated in a client with Crohn's that would show inflammation?
Erythrocyte sedimentation rate
WBCs would also be elevated
What is the biggest risk factor for a client taking steroids for an IBD exacerbation?
infection due to immunosuppression
What are 3 diagnostic studies for the abdomen?
x-ray
CT
ultrasound
What type of diet is recommended for patients with Crohn's disease?
high-protein