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38 Cards in this Set
- Front
- Back
- 3rd side (hint)
achlorhydria
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abnormal condition characterixed by the absence of hydrochloric acid in the gastric juice
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lumen
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the cavity or channel within a tube or tubular organ
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occult blood
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blood that is obscure or hidden from view
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intussception
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infolding of one segment of the intestine into the lumen of another.
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pathognomonic
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signs and symptoms specific to a disease condition
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leukoplakia
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a white firmly attached patch on the mouth or tongue mucosa, may appear on the lips and buccal mucosa.
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anastomosis
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a surgical joining of two ducts or blood vessels to allow flow from one to the other.
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dysphagia
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difficulty swallowing
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achalasia
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caridospasm, is an abnormal condition characterized by the inability of a muscle to relax, particularly the cardiac sphincter of the stomach.
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hematemesis
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vomitting blood
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melena
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tarlike, fetid smelling stool containing undigested blood
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tenesmus
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ineffective and painful straining with defecation
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exacerbations
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increase in the severity of the disease or any of its symptoms
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remissions
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decrease in the severity of the disease or any of its symptoms
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stoma
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artificial opening of an internal organ on the surface of the body.
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volvulus
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a twisting of bowel onto itself
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intussusception
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prolapse of one segment of bowel into the lumen of another segment
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carcinoembryonic antigen CEA
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an oncofetal glycoprotein found in colonic adenocarcinoma and other cancers and in non malignent conditions
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Because the small intestine needs bile only a few times a day, bile is stored and concentrated in the:
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2
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1. pancreas
2. gallbladder 3. liver 4. small intestine |
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Although food is digested throughout the alimentary canal, up to 90% of digestion is accomplished in the
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3
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1. gallbladder
2. mouth 3. small intestine 4. large intestine |
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The exit from the stomach is called the
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2
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1. cardiac sphincter
2. pyloric sphincter 3. lesser curvature 4. greater curvature |
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The intrinsic factor is a gastric secretion necessary for the intestinal absorption of vitamin
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2
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1. B
2. B12 3. C 4. K |
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Which organ manufactures heparin, prothrombin, and fibrinogen
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2
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1. gallbladder
2. liver 3. pancreas 4. salivary glands |
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The digestive enzyme present in saliva is called:
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1
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1. ptyalin
2. sucrase 3. lipase 4. trypsin |
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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
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4
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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 |
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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.
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2
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1. Maalox and kayexalate
2. Tagamet and zantac 3. erythromycin and flagyl 4. dyazide and carafate |
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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
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2
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1. decrease the bulk of colon contents
2. reduce the bacteria content of the colon 3. Soften stool 4. prevent pneumonia |
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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
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1
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1. dysphagia
2. malnutrition 3. pain 4. regurgitation of food |
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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
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1
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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 |
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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
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3
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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 |
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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:
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3
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1. aspiration
2. pneumothorax if the chest cavity has been entered 3. shallow respirations to minimize pain. 4. not forcing fluids |
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Which of the following tests can distinguish between peptic ulcer disease and gastric malignancy
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4
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1. Radiographic GI series
2. Breath test for H pylori 3. Serum test for H. pylori 4. Endoscopy with biopsy |
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a recently approved medication for the treatment of Crohn's disease, infliximab is classified as which type of drug?
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4
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1. enzyme
2. antimetabolite 3. alkylating agent 4. monoclonal antibody |
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During assessment of the patient with esophageal achalasia, the nurse would expect the patent to report
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3
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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 |
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A nursing intervention that is most appropriate to decrease postoperative edema and pain in the male patient following an inguinal herniorrhapy is
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3
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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 |
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The use of nonabsorbable antibiotics as preparation for bowel surgery is don primarily to
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1
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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 |
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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
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3
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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 |
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Which group of medications should be avoided in patients with E coli 0157:h7
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2
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1. antemetics
2. antimotility drugs 3. antilipidemic agents 4. beta blockers |