Adult Health -Biliary and GI

C Diff, obstruction

IBS pt on imodium must report abdominal distention because it could be _____ or ____

barium enema

IBS tool shows spastic colon

straining/constipation or pregnancy

2 causes of hemorrhoids

-Whole grains -Cooked fruits and vegetables -Milk and eggs

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be appropriate to include in the teaching plan? Select all that apply. -Whole grains -Cooked fruits and vegetables -Nuts and seeds -Lean red meats -Milk and eggs

hemorrhage, gastric perforation, pyloric obstruction

3 complications of PUD

-Oatmeal, sliced bananas, whole wheat toast, and milk

The diet prescribed for a client with diverticulosis includes 30 grams of fiber a day. Which breakfast items should the nurse encourage the client to select? -Cream of wheat, milk, and cranberry juice -Unstrained orange juice, pancakes, and bacon -Oatmeal, sliced bananas, whole wheat toast, and milk -Poached eggs on whole wheat toast, tomato juice, and tea

colonoscopy

cancer is diagnosed through this

polyp

cancer starts as this and then develops into cancer

avoid drinking alcohol

chronic pancreatitis patients are advised to

-Consume a high-fiber diet and drink adequate water

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the nurse advise the client to do to help prevent future hemorrhoidal episodes? -Exercise to improve circulation -Eat bland foods and avoid spices -Consume a high-fiber diet and drink adequate water -Use laxatives to avoid constipation and the Valsalva maneuver

Eat small meals with low carbohydrate and moderate fat content

A nurse is caring for a client who just had a gastrectomy. What should the nurse emphasize when teaching the client how to avoid dumping syndrome?

-Jelly sandwich -Lean roast beef -Scrambled eggs

A nurse provides dietary teaching for a client with an acute exacerbation of ulcerative colitis, and afterward the client makes a list of foods that can be included on the diet. Which food choices indicate that the teaching by the nurse is effective? Select all that apply. -Orange juice -Creamed soup -Jelly sandwich -Lean roast beef -Scrambled eggs

fistula

complication with Crohn's

distention - not normal B12 problems Ca+ and vit D problems

complications after removal of top of stomach

ultrasound

diagnostic tool for cholecystitis

high fiber, high fluids

diet for diverticular

high fiber

An older client's colonoscopy reveals the presence of extensive diverticulosis. Which type of diet should the nurse encourage the client to follow? -Low-fat -High-fiber -High-protein -Low-carbohydrate

LLQ pain

diverticular disease pain location

Billroth I

duodenal ulcer

GERD

dyspepsia, fullness and discomfort after eating, bloating, flatulence, burping

Billroth II

gastric ulcer results in dumping syndrome

temporary ostomy

Crohn's may result in a

RLQ unrelieved by defecation

Crohn's pain location

carfate

given on empty stomach 1 hr before a meal, lines stomach, PUD

pancreatic enzyme

given to pt with pancreatitis before meals

bentyl

guru of slowing the bowels pancreatitis

low fat, high fiber and water

have/at high risk for cancer, diet should be

lavage through NG with saline

hemorrhage treatment

high in fluids and fiber

hemorrhoid diet

IBS diet

high fiber, high fluids, stress management

dumping syndrome

high protein, high fat, low carb, dry diet small meals 6x/day

through symptoms

how to diagnose PUD

fever (tachycardia too)

in addition to a rigid abdomen, which finding is indicative of peritonitis

IV D5W + 20K replacement of Ca and Mag

intervention for pancreatitis (IV)

volvulus

kills bowel where it is twisted

lipase and amylase

labs increased in pancreatitis

nissen fundoplication

last resort treatment of GERD NG placed at least for 24h elevate head

increased blood sugar and insulin levels

late manifestations (2-3h after meal) in dumping syndrome

sleeping, pooping

IBS pt have relief only when

gallbladder

located directly beneath liver

cholecystitis

low fat diet

risks for PUD

NSAIDs smoking/alcohol caffeine on empty stomach steroids stress genetics

appendicitis

RLQ McBurney's point

gallbladder

RUQ pain that radiates to shoulder

UC diet

low residue, low fat, high protein, high calorie, no dairy low fiber, no: lactulose, pepper, smoking, alcohol, caffeine

pancreas

next to liver and gallbladder

heat, laxatives

no ___ and ____ for appendicitis

GERD diet

no chocolate, alcohol, pepper, coffee, fatty foods, laxatives eat slow do not overeat

remicade

UC and Crohn's drug IV controller causes immunosuppression - avoid crowds

scrambled eggs

UC most appropriate diet OJ scrambled eggs vanilla milkshake creamed potato soup

Crohn's

anywhere on GI tract, patchy areas

lavage with antibiotics

appendectomy, laparoscopy and it ruptures, what do you do besides NPO, O2, and pain meds?

high fever and bleeding

bad signs in diverticular

Ulcerative colitis

begins at rectum and moves up colon

constipation

biggest sign for diverticular

intussesception

bowel tunneling inside of itself and dies

gastric ulcer

pain 30 min before eat related to GERD do not want to eat - anorexic Billroth II

Murphy's sign

pain on inspiration cholecystitis

duodenal ulcer

pain relieved by food intake Billroth I

cullen's sign

pancreatitis gray/blue color of abdomen especially around belly button

turner's sign

pancreatitis gray/blue flank area

IBS

periods of extreme diarrhea and constipation

semi fowlers

position for appendicitis

semi fowlers

position for peritonitis

NG, NPO, watch B12, K+

post op cancer

permanent or temporary

post op cancer ostomies may be

barrett's esophagus

precancerous

Blumberg's sign

rebound tenderness cholecystitis

hernia

retractable or nonretractable common in inguinal area or groin

peritonitis

rigid boardlike abdomen

hemorrhoid treatment

sitz bath, ice packs, topical anesthetics

pancreatitis diet

small frequent meals high carb high protein low fat no alcohol no caffeine

borborygmi

sounds heard above an obstruction

IBS

spastic colon caused from stress

steatorrhea

stools with Crohn's

hemoptysis

symptom of PUD - vomit and stool affected

colonoscopy

test for both UC and Crohn's

barium enema

this is a test and treatment for obstruction

S/S of cancer

unexplained blood in stool, changes in stool

cauterizes ulcer

what does a gastroscopy EGD do