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13 Cards in this Set

  • Front
  • Back
The nurse recognizes that increased peristalsis resulting in diarrhea can be r/t?
Parasympathetic stimulation
Total measurement of direct/indirect bilirubin is?
0.2-1.3 mg/dl
Direct testing of serum bilirubin is a measurement of _____ bilirubin
conjugated
Indirect testing of serum bilirubin is a measurement of ________ bilirubin
unconjugated
A patient has an elevated blood level of indirect (unconjugated) bilirubin. One cause of this finding is that?
bilirubin is not being conjugated and excreted into the bile by the liver
Is it an elevation or decrease in bilirubin that results in jaundice and hepatocellular and hemolytic conditions?
elevation
As gastric contents move into the small intestine, the bowel is normally protected from the acidity of gastric contents by the release of ?
bicarbonate by the pancreas
A patient is jaundice and her stools are clay colored (gray). This is most likely r/t?
decreased bile flow into the intestine
during an exam of the abdomen the nurse should:
listen in the epigastrium and all four quadrants for 2-5 min for BS
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 (-)
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
In preparing a patient for a colonoscopy, the nurse explains that after the procedure:
abdominal cramps caused by peristalsis b/c the bowel is inflated w/ air during procedure
rectal bleeding
signs of perforation
Vital signs
Name signs and symptoms of perforation?
malaise
abdominal distention
tenesmus