The most common type of bowel obstruction, often seen in patients with a history of abdominal surgery.
What is a small bowel obstruction?
100
Reglan is in this class of drugs, used to increase peristalsis.
What are prokinetics?
100
Foleys should be removed within this number of days after surgery, UNLESS the physician has documented a contraindication.
What is two?
100
NGs to suction should be irrigated with this to prevent worsening electrolyte imbalances.
What is normal saline?
100
In a patient with compromised circulation, bruits may be heard over the renal or iliac arteries on the abdomen exam.
This part of the stethoscope is best for assessing these low pitched sounds.
What is the bell?
200
An obstruction of the large bowel often seen in the elderly population, occuring when the bowel twists on itself.
What is a volvulus?
200
A mu opioid receptor blocker drug approved for use in preventing postoperative ileus.
What is alvimopan/Entereg?
200
Your diabetic patient should have this done immediately before surgery.
What is a fingerstick glucose?
200
The mnemonic, Always Be On Guard, is a tool to help nurses remember these priorities when caring for postoperative patients.
What is Ambulation, Breathing, Output and GI function.
200
Except for water, vitamin K and B vitamins, most of the nutritional value of your food is absorbed in this part of the small intestine.
What is the distal ileum?
300
Crampy pain, nausea, vomiting, distension and dehydration are all signs & symptoms of bowel obstruction; however, profuse nausea & vomiting is usually seen in this type of bowel obstruction.
What is a small bowel obstruction?
300
The number one one side effect from PCA use.
What is respiratory depression?
300
A new Medicare program that will tie hospital reimbursements to their performance on quality measures.
What is value based purchasing?
300
The nurse may suspect this when Mr. C complains of right arm tingling and numbness after his total colectomy.
What is a nerve compression injury?
300
The four functions of the GI tract.
What is ingestion, digestion, absorption and elimination?
400
A partial small bowel obstruction (PSBO) is generally treated conservatively, but an ischemic or strangulated bowel is considered this.
What is a surgical emergency?
400
The antiemetics known as dopamine antagonists may exacerbate Parkinson's symptoms. This is an example of a dopamine antagonist.
What is promethazine/Phenergan OR
prochlorperazine/Compazine OR
chlorpromazine/Thorazine OR
droperidol/Inapsine?
400
Ventilator associated pneumonia (VAP), UTIs & PICC line infections are examples of this.
What is a HAI - hospital acquired infection?
400
Your 42 year old female patient is POD #1 from a lap colectomy. When clearing her PCA you notice she had 100 attempts and 24 doses in the last 8 hours.
You know this needs to be assessed.
What are fear & anxiety levels?
400
90% of gallstones are asymptomatic. A person with acute cholecystitis may present with this physical assessment sign that causes pain when the patient takes a deep breath & the examiner presses their fingers beneath the right costal margin.
What is Murphy's sign?
500
A postoperative ileus (POI) is believed to be caused by anesthesia, manipulation of bowel during surgery, analgesics and inactivity. These sources fit into this category of causes of bowel obstructions.
What is neurogenic?
500
The two antibiotics commonly prescribed together for GI infections.
What are Cipro & Flagyl?
500
Stage 3 & 4 pressure ulcers, injuries from falls & blood incompatibility are examples of this.
What is a HAC - hospital acquired condition?
500
A special tourniquet consideration when drawing a peripheral lactic acid level.
What is not left on over 2 minutes?
500
Mrs. C is an 81 year old female that comes to the ED complaining of diffuse abdominal pain that is NOT worse on palpation.
The nurse suspects this may be the origin of her visceral pain.