128 Test #5

Front 1

What is the Third leading cancer type?

Back 1

Cancer of the bowels

Front 2

to prevent cancer avoid what type of diet?

Back 2

fats, red meats, fried, and bbq foods

Front 3

What exams are done to screen for cancer of the bowels?

Back 3

fecal occult blood and digital rectal exam

Front 4

Colon cancer usually begins as a ______ and spred by these 3 ways.

Back 4

polyp
direct extension
lymph and blood
seeding

Front 5

what to look for as signs of cancer?

Back 5

change in bowl habits,
bloody stool,
fullness, pain, fatigue, obstruction, gassy, crampy distension.

Front 6

Tests that detect cancer

Back 6

cbs, fecal occult, radiographics, live scan, colonoscopy, sigmoid oscopy

Front 7

3 things that determine staging of cancer?

Back 7

Depth of invasion of tumor
lymph nodes
signs of mastasticis

Front 8

Hemicoletomy is what?

Back 8

cutting tumor out

Front 9

abdominoperineal resection is what?

Back 9

invasive, extensive, removal "clean out"

Front 10

what would you hear for bowel sounds if there is an obstruction?

Back 10

hyperactive to diminished

Front 11

swollen veins do to intrabdominal pressure, straining, pregnancy and obesity

Back 11

herrorrhoids

Front 12

Good management/prevention to prevent hemorrhoids

Back 12

hygiene, sitz baths, tucks, fluids hi fiber

Front 13

interference with intestianl ability to absorb nutrients

Back 13

malabsorption

Front 14

Bile salt, enzyme deficiency are signs of what?>

Back 14

malabsorption

Front 15

bacteria that interferes with intestianl ability to absorb results in what?

Back 15

malabsorption

Front 16

changes in intestinal mucosa result in what?

Back 16

malabsorption

Front 17

appendix is attatched to what?

Back 17

cecum

Front 18

causes of appendicitis are what?

Back 18

obstruction
ulceration of mucosa

Front 19

where does the pain start with appendicitis?

Back 19

preiumbilical then moves to lower right quadrent

Front 20

the site of pain associated with appendicitus is also called what?

Back 20

mcburneys

Front 21

rebound tenxderness is found when checking for what?

Back 21

appendicitis

Front 22

leukocytes are what? when appendicitis is suspected?

Back 22

mildly hi

Front 23

inflamation of the stomach , intestinal tract, especially small bowels.

Back 23

gastroenteritis

Front 24

how is gastroenteritis transmitted?

Back 24

fecal/oral

Front 25

types of gastroenteritis are

Back 25

Viral
bacterial
parasitic

Front 26

e-coli, campylobacter, shigellosis are what type of gastroenteritis?

Back 26

bacterial

Front 27

how to manage gastroenteritis

Back 27

fluids, rest bowel, antibiotics, antidiarrheals, hand washing

Front 28

what ethnicity is 5x as likely to develope Chronic inflammatory bowel disease?

Back 28

jewish, european descent.

Front 29

inflammatory bowel disease is more common in rural or urban areas?

Back 29

urban

Front 30

more superficial, continous inflammation limited to colon and rectum

Back 30

ulcerative colitis

Front 31

with ulcerative colits, mucosa is what?

Back 31

red with edematous lesions

Front 32

Bloody diarrhea, pain cramping, anorexia are common signs associated with what?

Back 32

ulcerative colitis

Front 33

Toxic Megacolon is very common with what disease?

Back 33

COLITIS

Front 34

What IS TOXIC MEGACOLON

Back 34

PARALYZED BOWEL

Front 35

complications that can arise from colitus are:

Back 35

hemorrhage,
hypovolemia, perforation
fistulas

Front 36

medication management for Colitis includes:

Back 36

salicylate compunds
corticosteroids
immunosuppressives, anti diarrheals

Front 37

management for colitis includes

Back 37

medications, diet , surgery

Front 38

What is gastritis?

Back 38

Inflammation of gastric mucosa

Front 39

What are signs (manifestations) of Gastritis?

Back 39

pain, gas, N&V, reflux, fullness, belching, indigestion, possible diarrhea

Front 40

How is pernicious anemia (associated with gastritis)controled?

Back 40

Vit B-12 shots

Front 41

elderly hae pernicious Anemai due to?

Back 41

thinned stomach mucosa and atrophy

Front 42

loss of the intrinsic factor that aids in absorption of Vitamine b-12 leads to what?

Back 42

pernicious Anemia

Front 43

Management for gastritis include

Back 43

medication
diet
stress reduction
surgery

Front 44

A diet for Gastritis is as follows

Back 44

bLAND, SMALL MEALS

Front 45

what type of meds are used with Gastritis?

Back 45

Antacids, H2 receptors, mucosa barriers, antibacterials, b12

Front 46

Post op problems with Gastritis are?

Back 46

ulcerations
hemorrhage, reflux,
distention, fistulas, pyloric obstruction

Front 47

Nursing interventions for Gastritis include

Back 47

monitor for complications
ng tub placement
comfort
small frequent meals

Front 48

Complications with Peptic ulcer disease

Back 48

Bleeding, perforation, obstruction

Front 49

sudden, sharp pain in mid-epigastric area could be what?

Back 49

perforation r/t peptic ulcer disease

Front 50

obstruction of the pyloric r/t Peptic ulcer disease are because of what?

Back 50

scarring, edema and inflammation

Front 51

management for pt with peptic ulcers include what labs?

Back 51

i and o, hct, hgb, cbc

Front 52

Common meds used with peptic ulcer disease include?

Back 52

antiinfective, prilosec, prevacid, zantac, carafate

Front 53

Diet involved with Peptic Ulcer disease is as followed?

Back 53

limit irritating foods, no bed time snacks

Front 54

Common surgical procedures involved with peptic ulcers disease are?

Back 54

Gastroenterrostomy,
Vagotomy,
Gastrectomy
anterectomy

Front 55

in a pt with peptic ulcer disease, a vagotomy surgery is required to do what?

Back 55

eliminate gastric acid secreting cells

Front 56

in a pt with peptic ulcer disease, a gastrectomy is performed by doing what>

Back 56

remove part of the stomach (billroth i or ii, or total

Front 57

A patient with peptic ulcer disease is in need of an antrectomy. What does this operation do?

Back 57

removes antrum the curved part of the stomach

Front 58

post op concerns with a patient with peptic ulcer disease include:

Back 58

Nutrition
dumping syndrome

Front 59

common after billroth ii, happens half hour after eating meals, pt gets dizzy, tacy, sweating syncope, fullness, distention, cramping this is a sign of what?

Back 59

dumping syndrome

Front 60

post op concerns related to nutrition with peptic ulcer disease include DEFICIENCIES IN THESE?

Back 60

VIT B 12, FOLIC ACID,AND CALCIUM ABSORPTION DEFICIENCEIS

Front 61

increase protein and fat and decrease carbs, no liquid with meals and lay down on left side

Back 61

post op concerns with peptic ulcer disease

Front 62

disorder of GI motility related to diet and lifestyle

Back 62

IBD

Front 63

Pickled fods, smoking, alcohol, familial, hpyloric infection are risk factors for?

Back 63

Gastric Cancer

Front 64

predisposition, tumor marker

Back 64

familial

Front 65

High fats, fresh fruit, gas producing foods, alcohol, analgesics use, stress, lactose intolerant are risk factors for?

Back 65

IBD

Front 66

management of IBD are

Back 66

client education,
diet changes
medications
stress management

Front 67

medications for ibd

Back 67

anti laxative, prevacid, nexium, reglan

Front 68

weakness in abdominal wall through which a segment of bowel or other abdominal structure protrudes through

Back 68

Hernia

Front 69

this hernia occures in elderly men due to weakness of muscles

Back 69

inguinal

Front 70

This hernia occures in obese or pregnant woman

Back 70

femoral

Front 71

this type of hernia occure in obese or pregnant woman and babies at birth

Back 71

unbilical hernia

Front 72

this type of hernia occurs after surgeries

Back 72

incisional

Front 73

three classification of hernias are

Back 73

Reducible
irreducible
strangulated

Front 74

Reducible hernai is one that ?

Back 74

can be pushed back in with use of a binder or with gental pressure

Front 75

irreducible hernia is one that

Back 75

cant be pushed back in, could become ischemic and turn into a strangulated hernia

Front 76

this type of hernia requires a surgical emergency,

Back 76

strangulated hernia

Front 77

assessment for a hernia is to do what?

Back 77

look for a bulge, if no bowel sounds could have obstruction or strangulation

Front 78

Colorectal cancer risks include"

Back 78

genetics, age, diet , ibd

Front 79

to reduce risk for colorectal cancer you should change your diet by?

Back 79

reducing fats, fried foods, red meat

Front 80

symptoms of cancer of the colon include?

Back 80

changes in bowel habits

Front 81

partial or complete impairment of intestinal flow, common to the small bowel especially the ileum

Back 81

intestinal obstruction

Front 82

mechanical causes of intestianl obstruction include

Back 82

tumors, adhesions, hernia, fecal impaction and cancer, telesscoping

Front 83

nonmechanical causes of intestinal obstruction are?

Back 83

toxin, bacteria, neurogenic (paralytic ileus)

Front 84

vascular causes of intestinal obstruction are>

Back 84

occlusion to celiac, mesenteric areteries, ischemia sets in this is serious

Front 85

Assessment of abdomial pain is typically the higher the obstruction the_______ the pain

Back 85

more sever

Front 86

localized pain in the abdomin means

Back 86

it is bad and could be strangulation

Front 87

generalized pain in the abdomen could be sign of what?

Back 87

bowel obstruction and not as bad as if it was locallized

Front 88

clear vomit means what?

Back 88

pyloric

Front 89

if you vomit up bile and mucous it is a problem where?

Back 89

small bowel

Front 90

If you vomit up orange.brown and it smells like feces you may have what>

Back 90

ileus obstruction along with bacteria invasion, Poor prognosis

Front 91

altered bowel sounds heard with an obstrucion are like this?

Back 91

hyperactive up until obstruction then they diminish

Front 92

swollen and distended veins in the rectal area

Back 92

hemorrhoids

Front 93

management of hemorrhoids include?

Back 93

hygiene, sitz bath , tucks

Front 94

a good diet for hemorrhoids is what>?

Back 94

increased fluids and high fiber

Front 95

surgical management for hemorrhoids include freezing and is no longer done is called what>?

Back 95

cryosurgery

Front 96

topical meds used for hemorrhoids are

Back 96

lidocanine, nupercainal,

Front 97

if itching and inflamation is present with hemorrhoids, the health care provider perscribes what?

Back 97

steroid such as hydrocortisone.

Front 98

interference with intestinal ability to absorb nutrients is called

Back 98

malabsorption syndrome

Front 99

signs of malabsorption syndrom include

Back 99

fatty stools, bloating gas brusing, bone pain.

Front 100

bile salt and enzyme deficiencey bacteria changes in intestinal mucosa, altered lymphatic vascular circulation are all causes for what?

Back 100

malabsorption syndromes

Front 101

a diet that should be avoided with malabsorption syndrom include

Back 101

WHEAT BARLEY GLUTEN

Front 102

malabsorption syndrome is more common in what type of individual?

Back 102

female
fair, fat, forty

Front 103

if you see gray stooks and dark uring that is foamy during an assessment, this could mean what?

Back 103

malabsorption syndrome

Front 104

malabsorption syndrome diagnostics would be?

Back 104

liver function
cbc
serum/urin amylase
abd untrasound, chalangiography

Front 105

inflammation of pancreas due to activation of pancreatic enzymes that destroy the pancreas

Back 105

Acute pancreatitis

Front 106

what is the main function of the gall bladder?

Back 106

store bile

Front 107

inflammation of the panrewas dut to activation of pancreatic enzymes thatdestroy the pancreas (autodigestion)

Back 107

Acute pancreatitis

Front 108

what are some causes of acute pancreatitis?

Back 108

gallstone obstrucion
excessive alcohol
trama, tumors
metabolic, renal , gi complications
viral , drug toxicity