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13 Cards in this Set
- Front
- Back
The nurse recognizes that increased peristalsis resulting in diarrhea can be r/t?
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Parasympathetic stimulation
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Total measurement of direct/indirect bilirubin is?
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0.2-1.3 mg/dl
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Direct testing of serum bilirubin is a measurement of _____ bilirubin
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conjugated
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Indirect testing of serum bilirubin is a measurement of ________ bilirubin
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unconjugated
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A patient has an elevated blood level of indirect (unconjugated) bilirubin. One cause of this finding is that?
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bilirubin is not being conjugated and excreted into the bile by the liver
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Is it an elevation or decrease in bilirubin that results in jaundice and hepatocellular and hemolytic conditions?
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elevation
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As gastric contents move into the small intestine, the bowel is normally protected from the acidity of gastric contents by the release of ?
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bicarbonate by the pancreas
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A patient is jaundice and her stools are clay colored (gray). This is most likely r/t?
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decreased bile flow into the intestine
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during an exam of the abdomen the nurse should:
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listen in the epigastrium and all four quadrants for 2-5 min for BS
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What is a normal physical assessment finding of the GI system?
Mouth: Abdomen: Anus: |
Mouth:
moist & pink lips pink/moist mm tongue is midline pink uvula & midline swallow smoothly Abdomen: flat no tenderness BS in all quadrants nonpalpable liver and spleen liver is 10cm in R Midclavicular line generalized tympany Anus: good sphincter tone smooth/soft rectal walls stool is soft, brown and heme (-) |
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In preparing a patient for a colonoscopy, the nurse explains that before the procedure:
after the procedure |
Bowel prep is done
clear liquids 1-2 days or Cathartic and/or enema the night b4 Alternative: give 1 gal polyethylene glycol night b4 w/ 8 oz explain flexible scope inserted in side--lying position sedation is given |
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In preparing a patient for a colonoscopy, the nurse explains that after the procedure:
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abdominal cramps caused by peristalsis b/c the bowel is inflated w/ air during procedure
rectal bleeding signs of perforation Vital signs |
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Name signs and symptoms of perforation?
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malaise
abdominal distention tenesmus |