GI Jeopardy

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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


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