Health Deviations Ii Ch 5 Blue Words

Front 1

achlorhydria

Back 1

abnormal condition characterixed by the absence of hydrochloric acid in the gastric juice

Front 2

lumen

Back 2

the cavity or channel within a tube or tubular organ

Front 3

occult blood

Back 3

blood that is obscure or hidden from view

Front 4

intussception

Back 4

infolding of one segment of the intestine into the lumen of another.

Front 5

pathognomonic

Back 5

signs and symptoms specific to a disease condition

Front 6

leukoplakia

Back 6

a white firmly attached patch on the mouth or tongue mucosa, may appear on the lips and buccal mucosa.

Front 7

anastomosis

Back 7

a surgical joining of two ducts or blood vessels to allow flow from one to the other.

Front 8

dysphagia

Back 8

difficulty swallowing

Front 9

achalasia

Back 9

caridospasm, is an abnormal condition characterized by the inability of a muscle to relax, particularly the cardiac sphincter of the stomach.

Front 10

hematemesis

Back 10

vomitting blood

Front 11

melena

Back 11

tarlike, fetid smelling stool containing undigested blood

Front 12

tenesmus

Back 12

ineffective and painful straining with defecation

Front 13

exacerbations

Back 13

increase in the severity of the disease or any of its symptoms

Front 14

remissions

Back 14

decrease in the severity of the disease or any of its symptoms

Front 15

stoma

Back 15

artificial opening of an internal organ on the surface of the body.

Front 16

volvulus

Back 16

a twisting of bowel onto itself

Front 17

intussusception

Back 17

prolapse of one segment of bowel into the lumen of another segment

Front 18

carcinoembryonic antigen CEA

Back 18

an oncofetal glycoprotein found in colonic adenocarcinoma and other cancers and in non malignent conditions

Front 19

Because the small intestine needs bile only a few times a day, bile is stored and concentrated in the:

Back 19

2

Hint 19

1. pancreas
2. gallbladder
3. liver
4. small intestine

Front 20

Although food is digested throughout the alimentary canal, up to 90% of digestion is accomplished in the

Back 20

3

Hint 20

1. gallbladder
2. mouth
3. small intestine
4. large intestine

Front 21

The exit from the stomach is called the

Back 21

2

Hint 21

1. cardiac sphincter
2. pyloric sphincter
3. lesser curvature
4. greater curvature

Front 22

The intrinsic factor is a gastric secretion necessary for the intestinal absorption of vitamin

Back 22

2

Hint 22

1. B
2. B12
3. C
4. K

Front 23

Which organ manufactures heparin, prothrombin, and fibrinogen

Back 23

2

Hint 23

1. gallbladder
2. liver
3. pancreas
4. salivary glands

Front 24

The digestive enzyme present in saliva is called:

Back 24

1

Hint 24

1. ptyalin
2. sucrase
3. lipase
4. trypsin

Front 25

In preparing the patient for endoscopic examination of the upper GI tract, the patients pharynx is anesthetized with lidocaine. Nursing interventions for postendoscopic examination include

Back 25

4

Hint 25

1. allowing fluids up to 4 hours before the examination
2. withholding anticholinergic medication
3. prohibiting smoking before the test
4. keeping patient NPO until gag reflex returns

Front 26

Mr. S., a 35 yo pt has been admitted with a diagnosis of peptic ulcers. The nurse recognizes which drugs as the most commonly used in theses patients to decrease acid secretions.

Back 26

2

Hint 26

1. Maalox and kayexalate
2. Tagamet and zantac
3. erythromycin and flagyl
4. dyazide and carafate

Front 27

Ms P. is scheduled in the morning for a hemicolectomy ofr removal of a cancerous tumor of the ascending colon. The physician hdas ordered intestinal antibiotics for her preoperatively to

Back 27

2

Hint 27

1. decrease the bulk of colon contents
2. reduce the bacteria content of the colon
3. Soften stool
4. prevent pneumonia

Front 28

Ms B is 78 yo and was admitted during the evening shift with a tenative diagnosis of cancer of the esophagus. The nurse in her intial assessment finds the patients major complaint is

Back 28

1

Hint 28

1. dysphagia
2. malnutrition
3. pain
4. regurgitation of food

Front 29

Deficient knowledge is a commonly used nursing diagnosis when patients need information regarding their conditions and diagnostic tests. Before a gastrocopy, the nurse should inform the patient that

Back 29

1

Hint 29

1. fasting for 6 to 8 hours is necessary before the examination.
2. a general anesthetic will be used
3. after gastroscopy, the patient may eat or drink immediately
4. it is necessary to be an inpatient in the hospital

Front 30

In evaluating the care of Ms K. a young executive admitted with bleeding peptic ulcer, the nurse focuses on nursing inter vention. A nursing intervention associated with this type of patient is

Back 30

3

Hint 30

1. checking the blood pressure and pulse rates each shift.
2. frequently monitioring arterial blood gas levels.
3. observing vomitus for color, consistency, and volume
4. checking the patients low residue diet

Front 31

Mr L. the staff nurse on the surgical floor, is aware of pulmonary complications thatfrequently follow upper abdominal incisions. These are most frequently related to:

Back 31

3

Hint 31

1. aspiration
2. pneumothorax if the chest cavity has been entered
3. shallow respirations to minimize pain.
4. not forcing fluids

Front 32

Which of the following tests can distinguish between peptic ulcer disease and gastric malignancy

Back 32

4

Hint 32

1. Radiographic GI series
2. Breath test for H pylori
3. Serum test for H. pylori
4. Endoscopy with biopsy

Front 33

a recently approved medication for the treatment of Crohn's disease, infliximab is classified as which type of drug?

Back 33

4

Hint 33

1. enzyme
2. antimetabolite
3. alkylating agent
4. monoclonal antibody

Front 34

During assessment of the patient with esophageal achalasia, the nurse would expect the patent to report

Back 34

3

Hint 34

1. a history of alcohol use
2. a sore throat and hoarseness
3. dysphagia, especially with liquids
4. relief of pyrosis with the use of antacids

Front 35

A nursing intervention that is most appropriate to decrease postoperative edema and pain in the male patient following an inguinal herniorrhapy is

Back 35

3

Hint 35

1. applying a truss to the hernial site
2. allowing the patient to stand to void.
3. elevation of the crotum with a support or small pillow
4. supporting the incision during routine coughing and deep breathing

Front 36

The use of nonabsorbable antibiotics as preparation for bowel surgery is don primarily to

Back 36

1

Hint 36

1. reduce the bacterial flora in the colon
2. prevent additional formation of ammonia
3. prevent postoperative formation of intestional gas
4. stimulate bowel bacteria to increase production
of vitamin K

Front 37

In planning care for the patient with ulcerative colitis, the nurse recognizes that a major difference between ulcerative colitis and Crohn's disease is that ulcerative colitis

Back 37

3

Hint 37

1. causes more nutritional deficiencies than does Crohns disease
2. causes more abdominal pain and cramping than does Crohns
3. is curable with a colectomy, whereas Crohns disease often recurs after surgery
4. is more highly associated with a familial relationship than is Crohns disease

Front 38

Which group of medications should be avoided in patients with E coli 0157:h7

Back 38

2

Hint 38

1. antemetics
2. antimotility drugs
3. antilipidemic agents
4. beta blockers