Med-Surg Jeopardy

U-L-GI

100

Interprofessional care for Inflammatory Bowel Disease

What is Gastroenterologist, surgeons, dietitians, RN, psychologists?  

200

The tip of this catheter should lie over the superior vena cava.

What is proper placement of a central venous catheter or peripherally inserted central catheter?  

300

Nursing management of bowel obstruction

What is 

1. Make the patient NPO, as ordered.
2. Insert a nasogastric tube to decompress the bowel as ordered.
3. Begin and maintain I.V. therapy as ordered.
4. Administer analgesics, broad spectrum antibiotics, and other medication, as ordered.
5. Keep the patient in semi-Fowler’s or Fowler’s position as much as possible to promote pulmonary ventilation.
6. Look for signs of dehydration.
7. Monitor nasogastric tube drainage for color, consistency, and amount.
8. Monitor intake and output.
9. Monitor vital signs frequently.
10. When administering medication, monitor the patient for the desired effects and for adverse reactions.
11. Continually assess the patient’s pain.
12. Monitor urine output carefully to assess renal function, circulating blood volume, and possible urine retention due to bladder compression by the distended intestine.
13. Teach the patient about his disorder, focusing on his type of intestinal obstruction, its cause, and signs and symptoms.
14. Emphasize the importance of following a structured bowel regimen, particularly if the patient had a mechanical obstruction from fecal impaction.

400

Confirmation by xray, tube length measurement, gastric contents, or pH

What is verification of feeding tube placement?  

500

This tube occludes easily and requires flushing with water before and after medications, and every 4 hours with 30mL of warm water.  

What is a small intestine feeding tube? 

"Down there"

100

This is the gold standard for obstructing BPH

What is TURP? or transurethral resection of the prostate.  

200

This type of cancer found in men is very sensitive to radiation.

What is seminoma?   A form of testicular CA

300

Nursing education provided to post op mastectomy patients for arm protection

What is post mastectomy exercises to relieve shoulder stiffness, pain management, no BP, venipuncture, injections into affected side. No lifting, or carrying with affected side.  Elevate and use compressive sleeve to relieve edema.  

400

Nurse's role in health promotion for young men and women includes encouraging this vaccination.

What is the HPV vaccine?

500

Nodule in upper, outer quadrant of breast; presence of a painless, nonmobile lump; puckering or induration of the breast tissue.  

What are signs of a potentially cancerous lump in the breast?   

Be kind to me

100

DILI-Drug induced liver injury

What is the reasoning behind only giving essential medications to hepatitis patients? 

200

"Thank you for explaining what ascites is to me." 

What is when your liver doesn't work like it should, pressure builds up in the portal vein, the main vein that supplies blood to your liver. The extra pressure blocks blood flow in the liver. Over time, the raised pressure affects your kidneys, too. When these organs can't remove excess salt from your blood, fluid builds up in your body. The extra fluid leaks out of your veins and collects in your belly.

300

Results in esophageal and gastric varices, peripheral edema and ascites, and hepatic encephalopathy

What is portal hypertension?  

400

Post-op instructions provided to patient's s/p cholecystectomy

What are observe for obstruction-jaundice (elevated bilirubin levels), bleeding (decreased prothrombin), clear liquid diet/ADAT to low fat for several weeks to allow bowel to adjust, monitor 1-4 surgical insertion sites for s/s of infection?

500

Lung, gallbladder, peritoneum, diaphragm may be affected

What are common sites for liver cancer metastasis?  

GI BIL

100

A clue that a duct is blocked by gallstone

What is jaundice?

200

A procedure used to retrieve distal gallstones in the common bile duct, dilate strictures, biopsy, and diagnose pseudocysts.  

What is ERCP?  Endoscopic Retrograde Cholangiopancreatography.  

300

Placed in common bile duct to keep the duct patent and allows bile to drain to a closed gravity drainage system. 

What is a T-Tube? 

400

Biliary stones and alcohol abuse can cause inflammation of this organ

What is the pancreas?  

500

Position that relieves post op shoulder pain after laparoscopic abdominal surgery

What is left lateral sims? 

Uro renal

100

Less than 15mL/min

What is the GFR limit when dialysis is required as a lifesaving measure?  

200

Avoiding triggers that can cause voiding difficulty like, Sudephed and ephedrine

What is nursing management of patients with BPH?

300

The nurse performing the initial assessment of the patient has suspicion for this when the male patient complains of pain in hips and lower back. 

What is metastatic prostate cancer?

400

A surgically created valve and reservoir with stoma that prevents involuntary leakage of urine with no external attachment.  

What is continent diversion?

500

Related to the risk for pylonephritis, urosepsis and kidney damage.  

What is complicated UTI?