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38 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
abnormal condition characterixed by the absence of hydrochloric acid in the gastric juice
the cavity or channel within a tube or tubular organ
occult blood
blood that is obscure or hidden from view
infolding of one segment of the intestine into the lumen of another.
signs and symptoms specific to a disease condition
a white firmly attached patch on the mouth or tongue mucosa, may appear on the lips and buccal mucosa.
a surgical joining of two ducts or blood vessels to allow flow from one to the other.
difficulty swallowing
caridospasm, is an abnormal condition characterized by the inability of a muscle to relax, particularly the cardiac sphincter of the stomach.
vomitting blood
tarlike, fetid smelling stool containing undigested blood
ineffective and painful straining with defecation
increase in the severity of the disease or any of its symptoms
decrease in the severity of the disease or any of its symptoms
artificial opening of an internal organ on the surface of the body.
a twisting of bowel onto itself
prolapse of one segment of bowel into the lumen of another segment
carcinoembryonic antigen CEA
an oncofetal glycoprotein found in colonic adenocarcinoma and other cancers and in non malignent conditions
Because the small intestine needs bile only a few times a day, bile is stored and concentrated in the:
1. pancreas
2. gallbladder
3. liver
4. small intestine
Although food is digested throughout the alimentary canal, up to 90% of digestion is accomplished in the
1. gallbladder
2. mouth
3. small intestine
4. large intestine
The exit from the stomach is called the
1. cardiac sphincter
2. pyloric sphincter
3. lesser curvature
4. greater curvature
The intrinsic factor is a gastric secretion necessary for the intestinal absorption of vitamin
1. B
2. B12
3. C
4. K
Which organ manufactures heparin, prothrombin, and fibrinogen
1. gallbladder
2. liver
3. pancreas
4. salivary glands
The digestive enzyme present in saliva is called:
1. ptyalin
2. sucrase
3. lipase
4. trypsin
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
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
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.
1. Maalox and kayexalate
2. Tagamet and zantac
3. erythromycin and flagyl
4. dyazide and carafate
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
1. decrease the bulk of colon contents
2. reduce the bacteria content of the colon
3. Soften stool
4. prevent pneumonia
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
1. dysphagia
2. malnutrition
3. pain
4. regurgitation of food
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
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
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
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
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:
1. aspiration
2. pneumothorax if the chest cavity has been entered
3. shallow respirations to minimize pain.
4. not forcing fluids
Which of the following tests can distinguish between peptic ulcer disease and gastric malignancy
1. Radiographic GI series
2. Breath test for H pylori
3. Serum test for H. pylori
4. Endoscopy with biopsy
a recently approved medication for the treatment of Crohn's disease, infliximab is classified as which type of drug?
1. enzyme
2. antimetabolite
3. alkylating agent
4. monoclonal antibody
During assessment of the patient with esophageal achalasia, the nurse would expect the patent to report
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
A nursing intervention that is most appropriate to decrease postoperative edema and pain in the male patient following an inguinal herniorrhapy is
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

The use of nonabsorbable antibiotics as preparation for bowel surgery is don primarily to
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
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
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
Which group of medications should be avoided in patients with E coli 0157:h7
1. antemetics
2. antimotility drugs
3. antilipidemic agents
4. beta blockers