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24 Cards in this Set
- Front
- Back
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anorexia
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lack of appetite
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anorexia nervosa
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eating disorder
refusal to maintain weight at minimal level for body height & size |
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bulimia nervosa
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compulsive eating w/self-induced vomiting
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obesity
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BMI w/more than 30 kg/m2
caused by caloric intake that exceeds energy expenditure |
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Roux-en-Y bypass
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gastric bypass surgery
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gastroplasty
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plastic surgery of stomach
used to treat morbid obesity |
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aphthous stomatitis
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AKA canker sores
inflammation of oral cavity (stomatitis) causing ulcers on inner cheeks, lips, tongue, gums, palate, or pharynx typically lasts for several days to 2 weeks can be caused by trauma to tissue, stress, or irritating food |
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hiatal hernia
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lower part of esophagus & stomach slides up through hiatus of diaphragm into thorax
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gastroesophageal reflux disease (GERD)
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gastric secretions reflux into esophagus
caused primarily by conditions affecting ability of lower esophageal sphincter to close tightly (hiatal hernia) S/S: heartburn - regurgitation - dysphagia - bleeding |
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gastritis
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inflammation of stomach mucosa (acute or chronic)
results when mucosal barrier is broken down & allows autodigestion from hydrochloric acid & pepsin to occur S/S: abdominal pain - nausea - anorexia |
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Helicobacter pylori
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bacterial cause of gastritis
responsible for >80% of gastric ulcers & >90% of duodenal ulcers |
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peptic ulcer disease
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primarly caused by infection w/gram-negative bacterium H. pylori
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gastrectomy
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surgical removal of stomach tissue (partial)
used to treat cancer in lower 2/3 of stomach |
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gastroduodenostomy
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surgical removal of distal portion (75% of stomach)
remainder of stomach anastomosed (surgically attached) to duodenum |
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gastrojejunostomy
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removal of distal 50% of stomach
involves reanastomosis of proximal remnant of stomach to proximal jejunum |
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steatorrhea
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fat in stools
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Which one of the following is the most important intervention for anorexia nervosa?
a. Weigh the patient daily b. Restore nutritional health c. Assist w/ADLs d. Document I&Os |
b. Restore nutritional health
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Which of the following is the priority nursing diagnosis for a patient w/peptic ulcer disease?
a. Activity intolerance related to epigastric pain b. Deficient knowledge related to lack of information on ulcers c. Acute pain related to epigastric erosion & acid buildup d. Ineffective coping r/t diagnosis of peptic ulcers |
c. Acute pain related to epigastric erosion & acid buildup
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Which of the following is the purpose of H2 antagonists?
a. Neutralize gastric acid b. Form a protective paste c. Determine gastric pH levels d. Inhibit secretion of gastric acid |
d. Inhibit secretion of gastric acid
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Which one of the following is primarily the cause of peptic ulcers?
a. Eating spicy foods b. A stressful life c. A bacterial infection d. Excessive caffeine intake |
c. A bacterial infection
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Which one of the following actions should the nurse take first for a patient who has just returned from surgery after a total gastrectomy and begins to vomit bright red blood?
a. Increase the IV rate b. Administer oxygen c. Place patient on side d. Irrigate nasogastric tube |
c. Place patient on side
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1_____ 1_____ 1_____(VBG) is the most commonly used 2_____ surgery for weight reduction and control today. About 3_____ of pts who have had VBG achieve normal weight.
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1 vertical banded gastroplasty
2 restrictive 3 30% |
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The highest incidence of oral cancer is found in the 1_____, with the lowest incidence on the 2_____. It's most common in pts who use 3_____ or 4_____.
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1 pharynx
2 lips 3 alcohol 4 tobacco |
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The goal of treatment for a massive GI bleed is to prevent/treat 1_____ 1_____ and prevent 2_____, 3_____ imbalance, and further bleeding.
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1 hypovolemic shock
2 dehydration 3 electrolyte |
