GI Jeopardy
Hepatic encephalopathy
A complex cognitive syndrome that results from liver failure and cirrhosis
IBS
A functional GI disorder that causes chronic or recurrent diarrhea, constipation and/or abdominal pain and bloating
Heart rate and rhythm
A nurse assesses a patient who has UC and severe diarrhea. Which assessment would the nurse complete first?
Mid sternal chest pain
A nurse assesses a patient who is prescribed an infusion of vasopressin (Pitressin) for bleeding esophageal varices. Which clinical manifestation would alert the nurse to a serious adverse effect?
"Diarrhea is expected, that's how your body gets rid of ammonia."
A nurse cares for a patient prescribed lactulose (Heptalac). The patient states "I don't want to take this medication because it causes diarrhea." How would the nurse respond?
Request an EKG
A patient has a pyloric obstruction and reports sudden muscle weakness and chest pain. What action by the nurse takes priority?
Risk of hemorrhage
A patient has been diagnosed with liver cirrhosis. The nurse knows that which nursing diagnosis will be of highest priority:
Willingness to adhere to drug therapy
A patient is being taught about drug therapy for H pylori infection. Which assessment by the nurse is most important?
Metabolic alkalosis
A patient is hospitalized for nausea and vomiting. Which clinical manifestation would the nurse expect to find?
Reduce fatty foods
A patient is recovering from laparoscopic cholecystectomy surgery. What must the nurse teach their patient about their diet?
Bile salts accumulate on the skin and cause itching
A patient who is being treated for obstructive jaundice asks, "why is my skin so itchy?" How would the nurse respond?
Dumping syndrome
A postgastrectomy condition that refers to a group of vasomotor symptoms that occur after eating
Crohn's disease
A chronic inflammatory disease of the SMALL intestine (most often), the colon, or both; terminal ileum is most often affected
Perotinitis
An abdominal infection in which the abdomen is tender, rigid and boardlike
dyspepsia
An epigastric burning sensation often referred to as heartburn
Gastric analysis
Aspiration of gastric content to evaluate for abnormal constituents such as abnormal pH, malignant cells etc
Melena
Dark, tarry, sticky stool indicating occult blood caused by digestion of blood within the small intestine
Dysphagia
Difficulty swallowing
stomatitis
Inflammation of the oral mucosa; characterized by painful ulcerations/canker sores in the mouth
Lower GI series
Instillation of barium into colon via rectum for fluoroscopy x-rays to view tumors, polyps, strictures, ulcerations or obstructions of the colon
0-1
Reference range for INR
PQRST
The acronym that stands for the order in which we ask GI assessment questions
H. pylori
The patient with PUD is prescribbed Amoxicillin, Clarithromycin, and Omeprazole. What is the cause of their PUD?
PPI, 2 antibiotics
The triple therapy tx for PUD includes a combination of which type of drugs?
endoscopy
The visualization of esophagus, stomach and or duodenum by means of a flexible fiberoptic tube introduced into the mouth
Hematemesis
Vomiting bright red or coffee ground blood
Mucosal barrier fortifier
What best describes the mechanism of action of sucralafate (Carafate)?
Maintain NPO, administer IV fluids
What intervention would the nurse implement for a patient with acute pancreatitis to reduce pain and discomfort?
Flatulence/passage of flatus in last 12-24 hrs
What method provides the most accurate data about resumption of peristalsis in abdominal sx patients