Pancreatitis
Which lab level do you test to rule out pancreatitis?
Lipase and Amylase
After a liver biopsy the patient is placed on his right side for a minimum of _______?
2 hours to splint the incision site. This reduces the chances of hemorrhage and bile leaks.
A patient is prescribed Flagyl for Peptic Ulcers. What is the rationale for this medication?
It eradicates H. Pylori
A patient is POD 1 from a gastrectomy. The nurse is doing patient teaching. How should they educate the patient in regard to mealtime?
Eat 6 small meals a day
A patient just returned from surgery with a T tube. The nurse knows the collection bag should be placed________?
Below the incision site and the tubing should be free from kinks.
It is important for the nurse to assess the medical history of a patient with pancreatitis and ask about _________?
ETOH abuse
A patient just returned to the floor after a liver biopsy and is complaining of shortness of breath. The nurse knows this patient is at risk for_________?
A Pneumothorax
Bluish white lesions on the mucus membranes of the mouth could be________?
Thrush
Omeprazole is in what class of GI drugs?
Proton Pump inhibitor.
After abdominal surgery the nurse instructs the patient to ________ while taking deep breaths.
Splint the incision with a pillow.
Most patients are NPO when they are diagonsed with Pancreatis because_______?
Eating stimulates the pancreas and will cause the patient more pain.
A patient with cirrhosis is on the floor and are showing some acute signs of confusion. The nurse knows this is caused by an increase in ________?
Ammonia levels
A patient has been diagnosed with Achalasia and has undergone esophageal dilation. The nurse is educating the patient on drinking fluids with meals. What is the minimum amount of fluid the patient should drink with each meal?
10 oz, helps push food into the stomach.
A patient who has had a subtotal gastrectomy will need to supplement which vitamin?
Vitamin B12
When undergoing a intravenous cholangiography, the nurse knows to assess for which allergy______?
An allergy to iodine
True or False: Pancreatitis is a pre cursor to pancreatic cancer?
True
A patient is receiving vasopressin for esophageal varices. The nurse knows to carefully assess for which complication when receiving that drug?
Evidence of cardiac ischemia. Vasopressin is a strong vasoconstrictor, and it constricts all vessels including vessels in the heart which could cause Cardiac Ischemia.
A patient had a Billroth 2 procedure and is experiencing dumping syndrome. The nurse educates the patient to eat______?
6 small meals a day high in protein and fat
A patient with PUD was given an antacid before breakfast. The nurse understands that she must wait at least _______ before administering an H2 antagonist
2 hrs
A patient presents to the hospital with right upper abdomen pain that radiates to the back and the right scapula. The nurse knows this is common with what type of infection?
cholecystitis
The priority nursing intervention for a patient with pancreatitis is?
Controlling pain
A patient is admitted to the hospital with cirrhosis and has an elevated Albumin level. The nurse expects to find______?
Edema
A patient was prescribed viscous lidocaine for mucositis. The nurse knows to instruct the patient to wait ________ before eating?
30 minutes
A nurse inserts a GI tube in a patient who has peptic ulcer disease and bright red blood comes out. The nurse knows this patient is at risk for________?
Perforation
ERCP is looking and removing ________
Gallbladder stones from the common bile duct