Exam (elaborations)
CMSRN Exam. GI and Electrolytes-Fluids Questions and Answers 2024
- Course
- Institution
CMSRN Exam. GI and Electrolytes-Fluids
[Show more]
Content preview
CMSRN Exam. GI and Electrolytes-Fluids
GI - answer on-sterile tube system
function to supply nutrients to body cells through ingestion, digestion, and absorption
GI system accessory organs - answer liver
pancreas
biliary system
salivary glands
GI system main organs - answer esophagus
stomach
small and large intestines
nursing assessment for GI system - answer history/family history
eating habits
surgeries
medications
social history
GI system symptoms - answerpain
unexplained weight loss
change in eating/bowel habits
food intolerance
nausea
vomiting
right upper quadrant pain - answergallbladder
right lower quadrant pain - answerappendix
left upper quadrant pain - answerstomach
left lower quadrant pain - answerinflammatory bowel disease
flank pain - answerkidneys
GI system assessment - answerinspection: skin appearance and contour
auscultation: bowel sounds
palpation
percussion
,diagnostic labs for GI system - answerbilirubin
liver enzymes
pancreatic enzymes
H. pylori stool
contrast studies
angiography: assess perfusion
scopes: endoscopy, colonoscopy, sigmoidoscopy, ERCP
ultrasound
bilirubin - answerconjugated
unconjugated
liver enzymes - answerAST
ALT
albumin
PT
pancreatic enzymes - answerlipase
amylase
protease
contrast studies of GI system - answerupper and lower tract with small bowel follow
through
nursing consideration for contrast studies of the GI system - answerassess for allergy
adequate prep
NPO
nursing consideration for angiography of the GI system - answerassess for bleeding
nursing consideration for scopes of the GI system - answersedation considerations
return of swallow
need for biopsy
major complication from ERCP - answerpancreatitis
acid neutralizers - answercontain aluminum hydroxide and/or magnesium hydroxide
common acid neutralizers - answerMaalox
Amphogel
TUMS
side effect of acid neutralizer that contains magnesium - answerdiarrhea
side effect of acid neutralizer that contains aluminum - answerconstipation
, nursing consideration for acid neutralizers - answerpatients should take at least 1-2
hours after other medications
follow with 8 oz of water
proton pump inhibitors - answerblocks the H+K pump, which is the final pathway of HCL
production
common proton pump inhibitors - answerPrilosec
Prevacid
Protonix
side effects of proton pump inhibitors - answerincrease risk of gastric cancer, GI
infections, and C. diff
nursing consideration for proton pump inhibitors - answercan potentiate warfarin and
may also interact with antibiotics
should only use for 4-8 weeks
can decrease magnesium level
gastric motility stimulants - answerprokinetic agents that stimulate peristalsis to prevent
HCL reflux into the esophagus
common gastric motility stimulant - answerReglan
nursing considerations for gastric motility stimulants - answeradminister 30 minutes
before meals
side effects of gastric motility stimulants - answerCNS changes
dry mouth
hypotension
tachycardia
three lobes of stomach - answerfundus
body
pylorus
stomach - answerabsorption is minimal
secretes HCL and enzymes
gastroesophageal reflux disease description - answerbackflow of acid and stomach
contents into the esophagus
leads to inflammation
25-35% incidence in the US
GERD risk facotrs - answerhiatal hernia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now