Anatomy
Secreted during the gastric cephalic stage.
What is HCI acid, pepsinogen, mucus?
Length of time to listen in before determining absent bowel sounds.
What is 5 minutes?
Name the procedure where the physician will view the esophagus, stomach and duodenum.
What is an esophagogastroduodenoscopy?
Position for abdominal Assessment.
What is supine with knees slightly bent or supported with towel or pillow?
When caring for the pt with heart failure, the nurse knows that which gastrointestinal process is most dependent on cardiac output and may affect the patient's nutritional status?
A. Ingestion
B Absorption
C. Digestion
D. Elimination
What is B. Absorption
Two organs that are found in all four abdominal quadrants.
What are the small and large intestines?
Name for a loud prolonged gurgle
What is borborygmus?
Diagnosic study done if pt is suspected of having an hiatal hernia.
What is a esophagram?
(Barium swallow, upper GI)
Flat without masses or scars, no bruises. Bowel sounds normoactive in all quadrants. No abdominal tenderness, the liver and spleen are nonpalpable.
What are normal/expected findings/assessment? (Documentation)
An elderly patient is receiving a large amount of laxative as part of a bowel preparation for a diagnostic study. Which side effect is most likely to occur?
A. constipation
B. dehydration
C. rash
D. chest pain
What is B. dehydration?
Laxatives and other bowel preparations cause diarrhea. Elderly patient are more likely to develop dehydration due to the diarrhea.
The appendix is located in this quadrant.
What is the right lower quadrant?
Start here and move in this direction when auscultating the abdomen.
What is the right lower quadrant and move clockwise?
The preferred diagnostic study for appendicitis.
What is a CT?
Pt states he has had N/V for 2 days. States he can only drink a little Sprite. He states he has taken Pepto, but it does not help. (Hint*Do not try to dx)
What is subjective data?
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?
A. Sudden decrease in abdominal pain
B. Absent Rovsing's sign
C. Flaccid abdomen
D. Low-grade fever
What is A. Sudden decrease in abdominal pain?
A sudden decrease in abdominal pain should indicate to the nurse that the appendix might be ruptured. If the appendix ruptures, the pain can disappear for a short period and the client might feel suddenly better. However, once peritonitis sets in, the pain returns and can spread into the whole abdomen.
The landmark determining the point of intersection of the four abdominal quadrants.
What is the umbilicus?
Vascular sounds (2) you do not want to hear in the abdomen.
What are a bruit or venous hum?
A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority?
What is C. Gag Reflex?
The greatest risk to the client's safety following an EGD is aspiration. Until the client's gag reflex returns, the nurse must keep the client NPO and prepare to intervene to keep the airway open and unobstructed.
A pt was involved in a motor vehicle crash and reports an inability to have a bowel movement. What is the best response by the nurse?
A. Your parasympathetic nervous system is now working to slow the GI tract.
B. The circulation in the GI system has been increased, so less waste is removed.
C. Your sympathetic nervous system was activated, so there is slowing of the GI tract.
D. You may have bruised your intestines, so no stool will be produced for a few days.
What is c. Your sympathetic nervous system was activated, so there is slowing in the GI tract.
A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. Which of the following conditions should the nurse suspect?
A. Ulcerative colitis
B. Cholecystitis
C. Paralytic ileus
D. Wound dehiscence
What is C. Paralytic Ileus?
A paralytic ileus in a postoperative client is indicated by the absence of bowel sounds, abdominal distention, and the client passing no stool or flatus. It is often caused by bowel handling during surgery and opioid analgesic use.
The pt will have these assessment findings when the lower esophogeal sphincter pressure decreases. (Name 2)
What is epigastric distress, dysphagia, aspiration and possible hiatal hernia?
Listen over the liver and spleen to assess this abnormal sound.
What is a friction rub?
NPO means no food or liquids. Name 2 more often forgotten no-nos.
What is cigarettes and gum?
A patient reports severe pain when the nurse assess for rebound tenderness. What may this assiessment finding indicate?
A. Hepatic cirrhosis
B. Hyperspenomegaly
C. Gallbladder distention
D. Pertoneal inflammation
What is D. Peritoneal inflammation?
Instructions given to pt with GERD. Select all that apply.
A. Limit alcohol consumption to 1 drink per day.
B. Stop smoking.
C. Take antacids 1 and 3 hours after meals and bedtime.
D. Sleep with bed flat
E. Follow a high-fat, low- carb, low-fiber diet.
F. Avoid caffiene and carbonated drinks.
What is
B. Stop smoking.
C. Take antacids 1 and 3 hours after meals and bedtime.
F. Avoid caffiene and carbonated drinks?