Procedures and Conditions
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
Which enzyme, secreted by the salivary glands destroys bacteria, protecting the mucous membrane from infection and the teeth from decay?
Lysozyme
The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate (Pepto-Bismol) to combat Helicobacter pylori. A side effect of this medication is a change in the color of the stool to the color _________.
Gray-black
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
What is the first factor in the disease process of Celiac disease that will trigger most symptoms?
Ingestion of gluten
The endoscopy procedure, EGD, enables visualization of the following areas:
Esophagus, stomach and duodenum
During the digestive process, 90% of the digestive process occurs in what organ?
Small intestine
Why are peptic ulcers a common problem of aging?
Because of overuse of NSAIDs
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
What is the most lethal complication of a peptic ulcer?
Perforation
A patient presents to the ER with sudden onset of abdominal pain. The physician is requesting a radiographic procedure to assess the internal organs, as the suspected condition may be perforation. Gastrograffin will be used for visualization for what reason?
Gastrograffin is water soluble and rapidly absorbed, not interfering with the ability to interpret or see any future radiology readings
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
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
Which of the following is the purpose of antibiotic therapy in treating peptic ulcers?
It eradicates H. pylori
Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes. What would the nurse suggest to reduce the risk of dumping syndrome?
Eating six small daily meals high in protein and fat
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
What portion of the brain contains two appetite centers that affect eating?
Hypothalamus
According to research, removal or disease of the appendix could theoretically affect which function?
Immunologic response
The Bernstein test is a test for reproducing the symptoms of which disease process?
Gastroesophageal reflux
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
_________ is considered to be a functional disorder characterized by altered bowel function and intermittent and recurrent abdominal discomfort and pain.
Irritable bowel
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
What is the most important post procedure instruction to give a patient who has had an upper gastrointestinal study with barium?
Increase fluid intake
Sodium bicarbonate neutralizes hydrochloric acid in the gastric juices during digestion. Sodium bicarbonate originates from which organ?
Pancreas
A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, and is a gnawing, burning sensation in the epigastric region. The nurse recognizes a diagnostic sign of which condition?
Peptic ulcer