GI/GU 1

Oncology

100

These growths are surrounded by fibrous tissue that prevent spread

Benign Growth

200

Patient has lost 10lbs in 3 weeks - what is the cause of this rapid weightloss? 

Malignancy's high nutrl demand

300

X-ray tech wear badges to monitor frequency and measure amounts of radiation.  They are a high risk for developing which type of cancer?

Leukemia

400

Smoking is a "promoter" name another promoter of cancer?

Heavy alcohol use

500

What is the staging T3, N2, M2 indicate?

Large tumor with extensive lymph node involvement

Upper GI

100

People with constant stress can cause which alteration to the GI system?

Increase in digestive juices resulting in gastric ulcers

200

Important nursing act to perform when a patient returns from undergoing an upper GI series or testing.

Hint: we want to expel contrast and want to avoid impaction

Administer Laxative

300

Patients taking Rifampin for TB & INH - What is a potential side effect?

Liver disorders

400

Patient undergoing extensive bowel prep for colonoscopy should be closely monitored for which potential complication?

Metabolic accidosis

500

After auscultating each quadrant for 30 seconds and no sounds are heard - this is considered what kind of bowel sounds 

Hypoactive BS

Upper GI

100

Auscultating bowels and loud bowel sounds are heard every 3 seconds indicates what condition.

Diarrhea

200

Absent bowel sounds are determined when the bowel is auscultated for what period of time and no sounds are heard?

5 minutes

300

Dull thud in the right upper quadrant of a patients abdomen is?

Percussing the liver

400

If a pt displays bulging flanks when supine with the knees flexed - What action should you take?

Measure the pt abdominal girth

500

Laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery? 

restrictive

Upper GI

100

What is a common occurrence in patients who have bariatric surgery?

Gallstones

200

Pt with suspected dysphagia 

What action should be taken before meals?

Practice swallows

300

Patients with GERD shuld avoid what types of foods?

Spicy or highly seasoned

400

Pt taking ibuprofen for daily arthritis pain is at a greater risk for developing what condition? 

Peptic ulcers 

500

Patient being treated for extensive burns - has presence of coffee-ground material in the salem sump catheter. What is the likely cause of this?

Physiologic stress ulcer

**Prolonged physiologic stress produces what is known as a Physiologic stress ulcer, which is believed to be the result of unrelieved stimulation of the vagus nerves & decreased perfusion to the stomach.it is more acute and more likely to produce hemorrhage. 

Oncology

100

A person exposed to carcinogens (ex. chemical, pesticides and sun) are a risk for?

Higher risk for developing cancer

200

Mammograms are done how often?

Once Yearly 

300

What in a diet is helpful in preventing cancer?

Citrus fruits

400

Men receiving estrogen therapy can experience what side effect?

Gynecomastia

500

29yr male who has had Crohn's Disease since age of 13yrs old is high risk for developing what type of cancer?

Colo-rectal cancer