Assessment Findings
Pain originating from the upper right quadrant that is referred to the upper right shoulder is an indication of inflammation of what organ
What is the gallbladder
Your patient is preparing for a colonoscopy tomorrow morning. What diet will you anticipate them being on?
What is NPO/clear liquid diet
An enternal feeding modality that is placed through the abdominal wall into the small intestine to provide nutrition.
What is J- tube/ jejunostomy tube?
Patients preparing for a diagnostic gastrointestinal procedure are at risk for this complication after receiving bowel prep
What is fluid and electrolyte disturbances?
A patient complaining of dark tarry stools will be given this diagnostic test to determine if there is blood in the stool
What is an occult fecal test?
How often do tube feeding lines need to be changed
What is every 24 hours
A type of eternal feeding modality that doubles in gastric decompression and nutrition.
What is an NG tube?
Medication given during gastrointestinal procedures to decrease gastric secretions
What is atropine?
Bonus point 100:
What dysrhythmia does atropine treat?
Pernicious anemia is caused by an under secretion of what digestive enzyme
What is intrinsic factor?
Bonus 100 points:
What vitamin is absorbed using intrinsic factor?
When administering enteral feedings the head of the bed must be atleast
What is 30 degrees?
This type of enteral feeding is utilized for patients who have chronic disabilities and is administered over 24 hours commonly at a rate of ml/hr.
Continuous feeding.
Bonus question for 100 points
What is the device called used to administer this type of tube feed?
This medication is given before GI procedures to alleviate anxiety and provide concious sedation.
What is Midazolam?
The two main functions of gastric enzymes
What is to break down food into more absorbable components and to aid in the destruction of most ingested bacteria?
You enter your patient's room and notice their IV pump is unplugged and turned off thus the patient is not receiving ordered TPN. This is your priority assessment
What is assess for signs of hypoglycemia and obtain CBG?
Due to its hypotonicity, it is recommended that TPN be given through this type of modality
What is a central venous catheter?
For this procedure the patient is lying on the left side with their legs drawn up to their chest
What is a colonscopy?
The priority assesment for patients preparing to undergo a CT exam for diagnostic testing
What is allergies?
Bonus 100 points:
What are serum laboratory values that should be considered before administration of CT contrast?
The patient had a J-tube placed in the AM. The physician has ordered for continous feeding to begin at 1100. You begin feeds and reassess the patient and notice abdominal distension and nausea. What complication are you concerned for?
What is tube feed intolerance?
Bonus 100 points:
What is your two priority nursing actions?
As you assess your patient receiving TPN you find that the patient has course crackles in bilateral lung bases and new onset tachycardia. What complication of TPN may be experiencing?
What is fluid volume overload?
Your patient is newly awake from an EGD with moderate sedation this is your priority assessment before they are sent back to the floor
What is gag reflex/ ability to maintain airway?