GI Hexi exit elsevier

A client with cirrhosis and ascites will require what diet wise

moderate to low fat and low sodium intake (penne pasta, spinach, banana, and decaffeinated iced tea).

salem sump

nasogastric small vent tube within a large suction tube for decompressing the stomach. used for continuous feeding

T-tube irrigation

never irrigate

Avoid eating red meat before what testing

occult stool testing

nasogastric tube vs peg tube

peg tube has less risk for aspiration

PEG tube

percutaneous endoscopic gastrostomy tube - feeding tube

After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested antacids and reports having severe epigastric pain. The nursing assessment reveals an absence of bowel sounds, a pulse rate of 134, and shallow respirations of 32 per minute. WHat condition is likely being presented

perforated ulcer which requires immediate surgery

hernia

protrusion of any organ through the structure that normally contains it

Which fluid would the nurse encourage the client to use initially for oral rehydration once vomiting has subsided?

regular water not chicken broth or carbonated beverage. keep it simple stupid

GI symptoms turn to which side

right side

muscle rigidity is a classic sign of

peritonitis

Stoma adhesive

protects the skin and helps keep the appliance attached to the skin.

abdominoperineal resection

removal of the distal colon and rectum through both abdominal and perineal approaches

s/s inc ammonia levels

serum ammonia level impairs the central nervous system, causing an altered level of consciousness.

increased ammonia indicates

severe liver disease

A client has an abdominoperineal resection. Which position would the nurse encourage the client to assume to promote perineal wound healing?

side lying

irrigating stoma considerations

"I should keep the irrigating container 18 to 24 inches (46-61 cm) above the stoma."

artan

Angiotensin Receptor Blocker (ARB)

hemicolectomy

"No, only part of the colon is removed and the rest is reattached."

Losartan side effects

Anorexia, back pain, constipation, dizziness, dyspepsia, hypotension, hyperkalemia, leg pain, muscle cramps, myalgia, nausea, nephrotoxicity, rash, tachycardia

Normal LDL

100 or less

graft leakage

24 hours after surgery, a sudden increase in abdominal girth most likely is graft related and needs to be investigated.

healthy HDL

40+

1 cup= ? oz

8 oz or 240 ml

A client admitted to the hospital with a small bowel obstruction is scheduled to have an intestinal tube inserted. When preparing the client for the procedure, which action would the nurse take?

Breathing by mouth helps decrease the gag reflex thereby easing the passage of the intestinal tube.

The nurse is caring for a client in the postanesthesia care unit immediately after the client had a subtotal gastrectomy. The nurse identifies small blood clots in the client's gastric drainage. Which action would the nurse take?

Consider this an expected event

A client with colon cancer had surgery for resection of the tumor and creation of a colostomy. During the 6-week postoperative checkup, the nurse teaches the client about nutrition. Which response by the client indicates learning has taken place?

I should follow as close to a normal diet as possible

Amylase

In 90% of clients with acute pancreatitis, the amylase level is elevated up to three times above baseline

Zolpidem

Insomnia (Ambien)

Before a male client signs an operative consent for an abdominoperineal resection, the nurse verifies that the client understands that surgery likely will result in which outcome?

Permanent colostomy and impotence

small bowel obstruction s/s

Nausea and vomiting, accompanied by diffuse abdominal pain

Which clinical manifestation is an early indicator of intestinal strangulation from bilateral inguinal hernias?

Pain is wavelike, colicky, and sharp because of obstruction and localized bowel ischemia

The nurse is caring for a client who has cancer of the rectum and is scheduled for an abdominoperineal resection with creation of a colostomy. For which type of surgery would the nurse prepare the client?

Permanent sigmoid colostomy

Clopidogrel

Plavix Antiplatelet medication

clay colored stool

Post-hepatic (obstructive) jaundice

PASS

Probability of difficulty swallowing, Account for prior swallowing issues, Screen for signs and symptoms of dysphagia, and Speech-language pathologist referral

Dumping syndrome

Rapid emptying of gastric contents into small intestines. Client experience ab pain, nausea, vomiting, explosive diarrhea, weakness, dizziness, palpitations & tachycardia.

stoma emptied

The appliance should be emptied when it is one-third to one-half full

jello is considered

a part of a clear liquid diet

sitz bath

a warm soak of the perineal area to clean perineal wounds and reduce inflammation and pain. used for internal hemorrhoids

diverticulosis

abnormal outpouchings in the intestinal wall of the colon high fiber diet recommended

croup

an acute respiratory syndrome in children and infants characterized by obstruction of the larynx, hoarseness, and a barking cough

salmonellosis

an infectious disease of the intestines that is transmitted by food contaminated with feces

ulcerative colitis

chronic inflammation of the colon with presence of ulcers. involvement starts distally with rectal bleeding that spreads continuously up the colon to the cecum

Psoriasis

chronic skin condition producing red lesions covered with silvery scales. immunocompromised

ileostomy

creation of an artificial opening into the ileum, dark green stool expected

Which is the priority intervention for a dependent client with peptic ulcer disease (PUD) who is vomiting bright red blood?

side position tp prevent aspiration on own blood

swallowing frequently

sign of bleeding

herniorrhaphy

surgical repair of a hernia

Sengstaken-Blakemore tube

three-lumen tube used in treating esophageal bleeding. (esophageal compression) -keep scissors at bedside.

Darifenacin

treats overactive bladder antispasmadic

nasogastric tube

tube inserted through the nose into the stomach

A client has a surgical creation of a colostomy for cancer of the rectum. The client asks, "What's the difference between irrigating a colostomy and having an enema?" The nurse should differentiate between the two procedures by explaining that the colostomy irrigation procedure involves which step?

using a cone shaped catheter

Glipizide MOA

Stimulates insulin release from the pancreatic beta cells; reduces glucose output from the liver; insulin sensitivity is increased at peripheral target sites

Losartan MOA

blocks the binding of angiotensin II

A client is admitted to the hospital with a diagnosis of liver disease, and a liver biopsy is performed. Postoperatively, how often and for how long would the nurse take the client's vital signs?

every 15 minutes for 2 hours

steatorrhea

fat in the feces; frothy, foul-smelling fecal matter Bulky and foul smelling

Hepatitis A transmission

fecal-oral route

The nurse is caring for a client who had a subtotal gastrectomy. Which assessment finding indicates the client is ready for postoperative oral feedings?

flatulence

cholelithiasis

gallstones in the gallbladder

right lower quadrant pain

appendicitis

Hep B transmission

blood and body fluids

Hep D transmission

blood and body fluids

Hep C transmission route

bloody and body fluids, tattoo needles, peircing with dirty needles, drug users

A client with cancer of the tongue has radon seeds implanted. The plan of care states that the client is to receive meticulous oral hygiene. How would the nurse implement the plan? Providing an antiseptic mouthwash or Using a gentle spray of normal saline

gentle spray of normal saline. Gentle sprays are effective in cleaning the mouth and teeth without disturbing the sensitive tissues or radon seeds.

A tube drains via

gravity

postpone a liver biopsy if

hemoglobin deficient marked ascites

Cobalamin is absorbed

in the ileum -its needed to make RBC

Dumping syndrome nursing interventions

increase fat and protein, small frequent meals, lie down after meal to decrease peristalsis. Wait 1 hr after meals to drink

Yankaeur Suction

just a different tip for a regular suction

Which nursing intervention would the nurse implement for a client in the immediate postoperative period after an abdominal cholecystectomy with common duct exploration?

encouraging cough deep breathing In an abdominal cholecystectomy, the incision is high, causing pain when the client is deep breathing. Self-splinting results in shallow breathing, which does not aerate or expand the lungs adequately, particularly the lower right lobe, and leads to pneumonia. The client should be encouraged to deep-breathe and cough while splinting the incision with a pillow to help decrease the pain yet expanding the lungs to decrease lung atelectasis or pneumonia.