Gi Test 3

Front 1

A PATIENT HAS ROTOVIRUS AND HAS VERY BAD DIARRHEA. WHAT IS OF THE MOST CONCERN.

Back 1

FLUID AND ELECTROLYTE IMBALANCE

Front 2

A PATIENT HAS C-DIFF AND IS TAKING FLAGYL TO TREAT IT. WHAT SHOULD THE NURSE TELL THE PATIIENT TO AVOID WHILE TAKING FLAGYL?

Back 2

ETOH

Front 3

A PATIENT HAS TENESMUS WITH BLOOD IN THE STOOL. WHAT IS THIS INDICATIVE OF?

Back 3

BLOOD IN THE STOOL INDICATES PARASITES OR BACTERIA

Front 4

CHRONIC DIARRHEA PERSIISTS FOR HOW LONG?

Back 4

MORE THAN 2 WEEKS

Front 5

WHAT IS THE BIGGEST CONCERN WHEN A PATIENT PRESENTS WITH CHRONIC DIARRHEA?

Back 5

DEHYDRATION AND F/E IMBAL.

Front 6

WHICH LABS ARE USEFUL IN DETERMINING HOW TO TREAT DIARRHEA?

Back 6

BUN, CRATININE, K

Front 7

WHAT IS THE FIRST STEP IN TREATMENT OF DIARRHEA?

Back 7

REPLACE FLUIDS, ELECTROLYTES

Front 8

DEMULCENTS ARE A CLASS OF ANTIDIARRHEAL MEDICATIONS. NAME 3.

Back 8

PEPTO BISMOL
DONNAGEL
KAOPECTATE

Front 9

WHAT CAUTION SHOULD THE NURSE USE WHEN ADMINISTERING PEPTO BISMOL TO A PATIENT?

Back 9

PEPTO CONTAINS ASPERIN.
USE CAUTION WHEN ADMINISTERING TO CARDIAC PATIENTS AND THOSE WITH ASPERIN ALLERGY

Front 10

WHAT IS THE MECHANISM OF ACTION OF DEMULCENTS

Back 10

PROTECTS MUCOUS MEMBRANES
PROMOTES INTESTINAL ABSORPTION OF F/E

Front 11

WHY IS IT IMPORTANT TO ASSESS BS IN THE PATIENT TAKING DEMULCENTS?

Back 11

CAN CAUSE CONSTIPATION

Front 12

NAME 3 ANTICHOLINERGIC ANTIDIARRHEALS

Back 12

DONNAGEL
LOMOTIL
IMMODIUM

Front 13

USE CAUTION IN WHICH PATIENTS WHEN ADMINISTERING ANTICHOLINERGIC ANTIDIARRHEALS

Back 13

PATIENTS WITH GALL BLADDER DISEASE (THEY CAN GET SPASMS)

PATIENTS WITH EMPHYSEMA OR BRONCHITIS (THEY CAN HAVE WHEEZING)

Front 14

WHAT IS THE MECHANISM OF ACTION OF ANTICHOLINERGIC ANTIDIARRHEALS

Back 14

INHIBITS GI MOTILITY

Front 15

CAUTION WHEN ADMINISTERING LOMOTIL WITH WHICH PATIENTS AND WHY? Assess for what?

Back 15

CARDIAC PATIENTS BECAUSE THIS DRUG CONTAINS ATROPHINE.

MONTIOR FOR TACHYCARDIA.

Front 16

IF AN ELDERLY PATIENT IS TAKING IMMODIUM, MONITOR FOR WHAT? WHY?

Back 16

MONITOR FOR CONFUSION, SEDATION, AND RESTLESSNESS. BECAUSE OF ANTICHOLINERGIC S/E'S

MONITOR FOR PARALYTIC ILIUS

Front 17

NAME TWO ANTISECRETORY ANTIDIARRHEALS

Back 17

SANDOSTATIN
OSTREOTIDE

Front 18

MECHANISM OF ACTION FOR ANTISECRETORY ANTIDIARRHEALS

Back 18

INHIBITS GASTRIN, INTESTINAL PEPTIDES, FLUIDS AND ELECTROLYTES

DECREASES INTESTINAL SECRETION

INCREASE ABSORBTION OF F/E

Front 19

WHAT ANTIDIARRHEAL IS OFTEN USED IN CANCER PATIENTS. WHAT SHOULD YOU MONITOR FOR?

Back 19

OSTREOTIDE FOR SEVERE WATERY DIARRHEA

MONITOR CLOSELY FOR BS WHICH CAN BE INCREASED OR DECREASED

Front 20

IF A PATINET HAS CANCER AND DIABETES WITH SEVERE DIARRHEA. HOW WOULD THEY BE TREATED?

Back 20

WITH OSTREOTIDE AND INSULIN

Front 21

WHAT ARE 2 NARCOTIC ANTIDIARRHEALS

Back 21

PARAGORIC
DONNAGEL

Front 22

MECHANISM OF ACTION OF NARCOTIC ANTIDIARRHEALS

Back 22

INHIBITS GI PERISTALSIS

CAN CAUSE CONSTIPATION

Front 23

A PATIENT IS TAKING PARAGORIC TO CONTROL DIARRHEA. WHEN DOING PATIENT TEACHING, WHAT SHOULD THE NURSE TELL THE PATIENT?

Back 23

AVOID ALCOHOL B/C SEDATION CAN OCCUR

DO NOT STOP TAKING THE DRUG BECAUSE THEY NEED TO BE WEANED OFF SLOWLY TO PREVENT W/D

REPORT DIFFICULTY URINATING

REPORT RESTLESSNESS

DO NOT INCREASE DOSAGE

Front 24

FECAL INCONTINENCE IS A NORMAL PART OF AGING? TRUE OR FALSE

Back 24

FALSE. IT IS MORE COMMON IN THE ELDERLY BUT IS NOT NORMAL

Front 25

WHEN A PATIENT HAS FECAL INCONTINENCE, WHAT IS THE MOST IMPORTANT NURSING CARE MEASURE?

Back 25

SKIN CARE

ALSO:
BOWEL TRAINING

Front 26

WHAT IS PERIANAL POUCHING AND WHEN IS IT DONE?

Back 26

A POUCH IS PLACED AROUND ANUS TO COLLECT ANY LEAKAGE OF STOOL.

IT IS PART OF A BOWEL TRAINING PROGRAM WHEN A PATIENT HAS FECAL INCONTINENCE.

Front 27

HIRSCHSPRUNG'S DISEASE EFFECTS WHAT?

Back 27

THE GUTS OWN BRAIN OR THE INTERIC SYSTEM. ITS A NEUROLOGIC DISORDER THAT CAUSES CONSTIPATION

Front 28

WHAT TYPE OF DRUGS SHOULD BE GIVEN TO TREAT CONSTIPATION

Back 28

CATHARTIC AGENTS
BULK FORMING AGENTS
STOOL SOFTENERS
SALINE AND OSMOTIC SOLUTIONS
STIMULANTS

Front 29

NAME 2 BULK FORMING AGENTS

Back 29

METAMUCIL
FIBER CON

Front 30

WHAT IS THE ACTION OF BULK FORMING AGENTS

Back 30

ABSORBS WATER
INCREASES BULK

Front 31

WHEN ADMINISTERING METAMUCIL OR FIBER CON TO A PATIENT, WHAT SHOULD THE NURSE KNOW ABOUT INTERACTIONS WITH OTHER DRUGS?

Back 31

BULK FORMING AGENS SUCH AS METAMUCIL OR FIBER CON MAY DECREASE ABSORPTION OF DIGOXIN OR COUMADIN

Front 32

IF A PATIENT IS PRESCRIBED FIBER CON OR METAMUCIL, WHAT SHOULD THE NURSE DO WHEN ADMINISTERING THESE AGENTS.

Back 32

ADMINISTER WITH A FULL GLASS OF WATER AND FOLLOW WITH ADDITIONAL FLUIDS TO PREVENT CONSTIPATION

Front 33

NAME 2 STOOL SOFTENERS

Back 33

COLACE
PERICOLACE

Front 34

MECHANISM OF ACTION OF COLACE, PERICOLACE

Back 34

DRAWS WATER INTO STOOL
LUBES INTESTINAL TRACT AND SOFTENS FECES

Front 35

STOOL SOFTENERS TAKE HOW LONG TO WORK?

HOW SHOULD THEY BE ADMINISTERED?

Back 35

UP TO 72 HOURS

ADMINISTER WITH A LARGE AMOUNT OF WATER OR LIQUID FOR BEST RESULTS

Front 36

NAME 5 DIFFERENT TYPES OF SALINE AND OSMOTIC SOLUTIONS

Back 36

MOM
FLEETS ENEMA
PHOSPHOSODA
EPSOM SALT
GO-LIGHTLY

Front 37

WHEN WOULD A SODIUM OR OSMOTIC SOLUTION BE CONTRAINDICATED?

Back 37

IF PT HAS OBSTRUCTION

Front 38

WHEN MIGHT MOM BE CONTRAINDICATED

Back 38

IF PT HAS RENAL FAILURE

Front 39

WHICH IS THE PREFERRED SODIUM/OSMOTIC SOLUTION IN CARDIAC/RENAL PATIENTS

Back 39

GO-LIGHTLY BECUASE IT HAS F/E THAT REPLACES THAT WHICH WOULD BE LOST

Front 40

NAME 4 TYPES OF STIMULANTS

Back 40

CASCARA
EX-LAX
DUCOLAX
SNOCOT

Front 41

HOW DO STIMULANTS WORK

WHAT IS THE ONSET

Back 41

IRRITATE COLON, INCREASE PERISTALSIS

ONSET 12 HR

Front 42

ONSET OF SALINE/OSMOTIC SOLUTIONS

Back 42

15 MIN TO 3 HR

Front 43

HOW DOES SENOCOT WORK? WHEN DO YOU ADMINISTER IT AND HOW DO YOU ADMINISTER IT?

Back 43

SENOCOT DOESN'T SOFTEN BUT IT IRRITATES THE LINING

GIVE AT BEDTIME WITH A LOT OF FLUIDS

MAY BE GIVEN WITH A GLYCERINE SUPPOSITORY

Front 44

WHAT ARE SOME COMPLICATIONS OF CONSTIPATION

Back 44

VALSAVA - LEADS TO BRADYCARDIA AND DROP IN BP WHICH CAN LEAD TO SYNCOPE, MIA

DIVERTICULOSIS
FECAL IMPACTION
PERFORATION
BLEEDING HEMORRHOIDS

Front 45

NURSING CARE OF PATIENT SUFFERING FROM CONSTIPATION

Back 45

INSOLUBLE AND SOLUBLE FIBER
INCREASE FLUIDS TO 3000ML/D
EXERCISE
ESTABLISH ROUTINE FOR ELIMINATION
AVOID OVERUSE OF LAX/ENEMA
DO NOT DELAY DEFICATION
EAT GOOD, NUTRITIOUS FOOD
AVOID ALCOHOL (IT DEPLEATS BODY OF WATER)

Front 46

LONG TERM DIARRHEA CAN LEAD TO DEFICIENCIES IN _______ AND _______ WHICH RESULT IN WHAT?

Back 46

IRON AND FOLATE

LEAD TO ANEMIA

Front 47

WHAT LABS WILL BE ABNORMAL IN DIARRHEA?

Back 47

HGB, HCT, BUN,WILL BE ELEVATED

Front 48

STOOL FAT AND UNDIGESTED MUSCLE FIBERS MAY INDICATE WHAT

Back 48

FAT AND PROTEIN MALABSORPTION CONDITIONS,INCLUDING PANCREATIC INSUFFICIENCY.

Front 49

WHAT ARE SOME CLINICAL MANIFESTATIONS OF ACUTE ABDOMINAL PAIN

Back 49

PRIMARY SYMPTOM IS PAIN (DULL OR SHARP)
REBOUND TENDERNESS
ABDOMINAL DISTENTION/RIGIDITY
N/V
DIARRHEA
HEMATEMESIS (BLOOD IN VOMIT)
MELENA
HYPOVOLEMIC SHOCK
INCREASED TEMP
INCREASED ABD GIRTH

Front 50

WHEN A PATIENT PRESENTS WITH ACUTE ABD PAIN, WHAT MUST BE RULED OUT

Back 50

PREGNANCY

Front 51

MOST IMPORTANT NURSING CARE MEASURES IN THE PATIENT WITH ACUTE ABD PAIN

Back 51

CHECK VITALS OFTEN (Q 15, 30, HOUR)
I&O
ASSESS ABDOMEN
PALPATION OF ABD
MONITOR B/S, N/V

Front 52

A PATIENT HAS AN INCREASED PULSE, DECREASED BP, AND ACUTE ABD PAIN. WHAT COULD THIS BE INDICATIVE OF

Back 52

HYPOVOLEMIC SHOCK

Front 53

I & O IS IMPORTANT TO ASSESS IN A PATIENT WITH ACUTE ABD PAIN BECAUSE IT IS INDICATIVE OF WHAT?

Back 53

VASCULAR VOLUME

Front 54

WHEN ASSESSING THE ABDOMEN, LOOK FOR PULSATIONS. THIS IS INDICATIVE OF WHAT

Back 54

PULSATING AORTA

Front 55

DIMINISHED OR HIGH PITCHED B/S IN A PT. WITH ACUTE ABD PAIN CAN INDICATE WHAT

Back 55

PARALYTIC ILIUS

Front 56

ABSENT B/S IN A PT WITH ACUTE ABD PAIN CAN INDICATE WHAT?

Back 56

OBSTRUCTION

Front 57

HOW SHOULD PALPATION BE DONE IN A PT WITH ACUTE ABD PAIN AND WHY

Back 57

GENTLY. SO YOU DO NOT BURST TUMOR

WILMS TUMOR IS A TYPE FOUND IN CHILDREN THAT BURSTS EASILY WHEN PALPATED.

Front 58

GENERAL CARE OF A PT. WITH ACUTE ABD. PAIN CONSISTS OF WHAT?

Back 58

MANAGEMENT OF FLUID AND ELECTROLYTE BAL
PAIN
ANXIETY
MONITOR VITALS
MONITOR I&O
MONITOR LOC

Front 59

ER MGT OF PT WITH ACUTE ABD PAIN

Back 59

AIRWAY
O2
IV ACCESS WITH LG BORE NEEDLE
BLOOD SAMPLE FOR CBC, ELECTROLYTES
DIAGNOSTIC TESTING ORDERS
URINARY CATH
URINALYSIS
NG TUBE AS NEEDED

Front 60

A PATIENT WITH ABD PAIN MAY NEED AN NG TUBE BEFORE OR AFTER SURGERY. WHY?

Back 60

DECOMPRESSION

Front 61

AFTER SURGERY, WHAT SHOULD DRAIINAGE LOOK LIKE FROM AN NG TUBE

Back 61

IF THE TUBE REACHES THE UPPER GI, IT WILL BE DARK RED-BROWN FOR THE 1ST 12 HOURS. LATER IT SHOULD HAVE YELLOW-GREEN TINGE.

Front 62

POST OP NURSING CARE FOR ACUTE ABD PAIN

Back 62

VITALS Q15, Q30, Q1HR
NG TUBE MONITOR
I&O
FOLEY DRAINAGE
WOUND
PARENTERAL FLUIDS
ANTIEMETICS
PAIN MGT
B/S
EARLY AMBULATION

Front 63

IF NG TUBE IS OBSTRUCTED, WHAT SHOULD THE NURSE DO?

Back 63

GET DR ORDER TO IRRIGATE WITH 20-30 ML OF NORMAL SALINE

Front 64

IF A PT IS N/V WITH NG TUBE, WHAT IS THAT INDICATIVE OF

Back 64

NG TUBE IS IMPROPERLY PLACED

Front 65

IF A FOLEY IS NOT DRAINING CONTINUOUSLY, WHAT COULD BE A POTENTIAL CAUSE?

Back 65

NICK OR CLOT IN BLADDER

Front 66

PROLONGED GASTRIC SUCTIONING COULD LEAD TO WHAT COMPLICATION

Back 66

LOSS OF ELECTROLYTES AND HCL

Front 67

WHAT IS AN IMPORTANT PALLIATIVE CARE MEASURE FOR A PT WITH AN NG TUBE

Back 67

MOUTH CARE. MOUTH GETS DRY, CRACKED, STINKY

Front 68

PATIENT SHOULD NOTIFY MD OF WHAT COMPLICATIONS FOLLOWING ABD SURGERY

Back 68

ABD DISTENTION
ABD RIGIDITY
VOMITING
PAIN
WEIGHT LOSS
INCISION DRAINAGE
CHANGE IN BOWEL FUNCTION

Front 69

S/S OF HYPOVOLEMIC SHOCK

Back 69

DROP IN BP
TACHYCARDIA
COOL/CLAMMY SKIN
DROP IN URINE OUTPUT (LESS THAN 0.5ML/KG/HR)

Front 70

COMMON ASSESSMENT FINDINGS IN PT WITH ABD TRAUMA

Back 70

S/S HYPOVOLEMIC SHOCK
ABD DISTENTION/RIGIDITY
HEMATURIA
REBOUND/RADIATING PAIN

Front 71

NURSING CARE IN ABD TRAUMA

Back 71

ABC'S
FREQ VITALS
MONITOR FOR SHOCK
O2
CONTROL BLEEDING WITH DIRECT PRESSURE
MULTIPLE IV'S WITH LG NEEDLES
CBC'S TYPE AND CROSS MATCH
FOLEY

Front 72

IF A PT HAS AN IMPAILED OBJECT SHOULD YOU MOVE IT

Back 72

NO. CAN CAUSE MASSIVE BLEEDING

Front 73

NURSING CARE OF PT WITH IMPAILED OBJECT

Back 73

STABILIZE OBJECT WITH DRESSING DO NOT REMOVE IT
COVER ORGANS WITH STERILE SALINE DRESSING
NGT IF ORDERED
POSSIBLE PERITONEAL LAVAGE WITH NS
PREPARE FOR OR

Front 74

WHAT DISORDER IS CLASSIFIED AS A FUNCTIONAL DISORDER IN WHICH THE BOWELS DO NOT WORK LIKE THEY ARE SUPPOSED TO

Back 74

IRRATIBLE BOWEL SYNDROME

Front 75

S/S OF IRRATIBLE BOWEL

Back 75

DIARRHEA AND/OR CONST
FLATUELENCE
ABD DISTENTION/BLOATING
URGENCY
STRESS CAN TRIGGER
FOOD INTOLERANCES
FEELING OF INCOMPLETE EVAC OF BOWELS

Front 76

HOW IS IRRATIBLE BOWEL DIAGNOSED

Back 76

H AND P
R/O OTHER DO'S
ROME CRITERIA

Front 77

ROME CRITERIA

Back 77

TO DIAGNOSE IBS. ABD PAIN FOR AT LEAST 12 WEEKS WITHIN 12 MONTHS. DOESN'T HAVE TO BE CONSISTANTLY FOR 12 MONTHS. MUST HAVE TWO OF THE FOLLOWING CHARACTERISTICS:
1. RELIEVED WITH DEFICATION
2. ONSET ASSOC WITH CHANGE IN STOOL FREQUENCY
3. ONSET ASSOCIATED WITH A CHANGE IN STOOL APPEARANCE.

Front 78

TX FOR IBS

Back 78

HIGH FIBER DIET/METAMUCIL
AVOID GASSY FOODS
ANTISPASMATIC AGENTS
STRESS MGT

Front 79

ANTISPASMATIC AGENTS

Back 79

BENTYL
IMMODIUM
LOTRONEX
ZELNORM

Front 80

BENTYL

Back 80

TX IBS
DECREASES MOTILITY
TAKE BEFORE MEALS TO ALLEVIATE PAIN WITH INGESTION OF FOOD
ANTICHOLINERGIC EFFECTS

Front 81

IMMODIUM

Back 81

TX IBS WITH DIARRHEA

Front 82

LOTRONEX

Back 82

FOR IBS THAT CAUSES DIARRHEA. APPROVED ONLY IN WOMEN
SEVERE S/E'S SUCH AS SEVERE CONST. ISCHEMIC COLITIS

Front 83

ZELNORM

Back 83

INCREASES MVT. OF STOOL THROUGH COLON FOR THOSE WHO EXPERIENCE CONST. WITH IBS

Front 84

INFLAMMATORY DISEASES CONSIST OF WHICH 3

Back 84

APPENDICITIS
GASTROENTERITIS
PERITONITIS

Front 85

APPENDICIITS

Back 85

INFLAMMATION OF APPENDIX CAUSED BY ACCUMULATION OF FECES, FOREIGN BODY, TUMOR

Front 86

WHAT WILL YOU SEE IN A PT. WITH AN APPENDICITIS

Back 86

PERIUMBILICAL PAIN
ANOREXIA
N/V
PAIN USUALLY IS PERSISTANT AND USUALLY SHIFTS TO LOWER L QUAD AND LOCALIZES HALFWAY B/T THE UMBILICUS AND ILIAC CREST
LOCALIZED AND REBOUND TENDERNESS

Front 87

MANIFESTATIONS OF APPNDICITIS

Back 87

GUARDING
MAY BEND KNEES TO RELIEVE ABD PRESSURE
LOW GRADE FEVER MAY/MAY NOT BE PRESENT
ROVSINGS SIGN

Front 88

ROVSINGS SIGN

Back 88

PALPATE LEFT LOWER QUAD AND PAIN OCCURS IN RIGHT LOWER QUAD.

Front 89

WHY IS IT DIFFICULT TO ASSESS APPENDICITIS IN A PT ON STEROIDS?

Back 89

STEROIDS SUPPRESS IMMUNE SYSTEM. PT. GENERALLY HAVE A FEELING ILLNESS. THEY MAY NOT PRESENT THE SAME AS A PT. WHO IS NOT ON STERIODS.

Front 90

WHAT ARE SOME COMPLICATIONS OF APPENDICITIS

Back 90

ABSCESS
PERITONITIS
PERFORATION

Front 91

WHY ARE LAXITIVES CONTRAINDICATED IN A PT. WITH ABD PAIN

Back 91

PERF COULD OCCUR

Front 92

SHOULD ICE OR HEAT BE APPLIED TO AREA IF A PT HAS APPENDICITIS

Back 92

APPLY ICE TO DECREASE BLOOD FLOW TO THE AREA.

Front 93

HOW SOON SHOULD A PT AMBULATE AFTER APPENDICITIS

Back 93

ASAP. EITHER THE SAME DAY OR THE DAY AFTER

Front 94

PERITONITIS

Back 94

INFLAMMATION OF PERITONEAL CAVITY