Ch 38 ass of dig and gas fun 😜
____ Which is secreted by the Gallbladder is responsible for fat emulsification
Bile
A hormanal Regulatory substance in a bit stomach contraction gastric secretions is
Secretin
Digest carbohydrates and helps form fructose
Sucrose
The nurse has been requested to position a patient for an examination of abdomen. Which position will the nurse place the patient in for the examination
Supine position with the knees flexed to relax the abdomen
The nurse is collecting a stool specimen form a patient. Which characteristic of the stool indicates tit he nurse that a patient may have an upper gi bleed
Tarry and black
A pt is in the outpatient recovery area after having a colonoscopy and informs the nurse of abdominal cramping which is the best response by the nurse
The cramping is caused by the air inflated in the colon during the procedure and it is best to try to expel it
The nurse is assisting the health care provider with a colonoscopy for a pt with rectal bleeding. For which reason is the nurse asked to administer glucagon during the procedure
To relax colonic musculature and reduce spasm
Facilitates the production of dextrins and maltose
amylase
Intrinsic factor is a gastric secretion necessary for the international absorption of vitamin ____ which prevents pernicious anemia.
B12
The stomach, which derives its acidify form hydrochloric acid, has a pH of approximately
1.0 ********!!!!!!!!
Flexible sigmoidoscopy permits how much of the lower bowel to be viewed
16-20 inches
It takes _______ hours after eating for food to pass into the terminal ileum. It takes _______ hours for food to reach & distend the rectum.
4, 12
A pt is being prepared for esophageal manometry. The nurse will inform the pt to withhold which medication for 48 hrs prior to the procedures
Aspirin
Prior to performing a guaiac-based fecal occult blood testing what education of a nurse provide
Avoid red meat, apririn, naisds, for 72 hours
During a colonoscopy with moderate sedation, the pt groans with obvious discomfort and begins bleeding from the rectum. The pt becomes diaphoretic with an increase in abdominal girth. Which complication of this procedure is the nurse aware may be occurring.
Bowel perforation
A pt is scheduled for fiber optic colonoscopy. Which does the nurse inform the pt that fiber optic colonoscopy is most frequently used to diagnose
Cancer screening
Reflux of food into the esophagus from the stomach is prevented by contraction of the
Cardiac sphincter
Manatomical regions
Cardiac, fundus, body, pylorus
Structural changes in the esophagus that occur as a result of age-related changes include
Decreased motility, emptying, weeekend Gaga reflux, decreased sphyncter
A patient reports abdominal pain associated with indigestion. Which is characteristic of this type of pain
Described as cramping or burning
The nurse is performing an assessment of a patient, during assessment the patient informs for Nurse about some recent stomach trouble, which common symptoms does the nurse correlate with G.I. dysfunction
Dyspepsia
The nurse is investigating a patient reports of pain in the duodenal area, where were the nurse perform the assessment
Epigastric area and consider possible radiation or pain to the right subscapular region.
The nurse is providing instructions to a patient scheduled for a gastroscope. Which instructions will the nurse include
Fats for 8 hrs, spray throat w/anesthetic, after gastroscopy the pt cannot drink until the gag reflex returns, 1-2 hours
The nurse auscultation a patient abdomen to assess bowel sounds documenting five to six seconds heard in less than 30 seconds how will the nurse document the character of the bowel sounds
Hyperactive
Describe what the outcomes are when there is an obstruction in the G.I. tract
Increases force of intestinal contraction. Dis tension occurs above the point ob obstruction, causing pain and a sense of bloating.
The nurse is performing an abdominal assessment for a patient in the hospital with reports of abdominal pain. Which part of the assessment with the perform first
Inspection
What will occur if there is a lack of intrinsic factor secreted by the gastric mucosa
Intrinsic factor, also secreted by the gastric mucosa, combines with dietary vitamin B12 so that the vitamin can be absorbed in the ileum. In the absence of
Glucose as a product of his enzymes action
Lactase
The nurse is performing an initial assessment of a patient reports increased stomach acid related to stress. Which neuroregulator will have influence over the symptoms
Norepinephrine
What role do the sympathetic and parasympathetic portions play in autonomic nervous system in gi function?
Para relaxes muscles so u shit Symp constricts so u don't shit
When is magnetic resonance imaging test contraindicated
Patient pacemakers, airtificial heart valves, implanted insulin pumps
The nurse is assisting the health care provider with a gastric acid stimulation test for a pt. Which medication will the nurse prepare to administer subq and o stimulate gastric secretions
Pentagastrin
Digest protein helps form polypeptides
Pepsin
The digestion of starches begins in the mouth with the secretion of the enzyme
Ptyalin
Chyme, partially digested food that is mixed with gastic contents, stimulates segmented contractions, which are ___________ & intestinal peristalsis, which is ____________.
mixed waves that move the intestinal contents back & forth in a churning motion; a movement that propels the contents of the small intestine toward the colon
Helps convert protein into amino acids
trypsin
three pancreatic enzymes
trypsin, amylase, lipase
