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NURS319 Exam 3 GI With 100% Verified Solutions
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NURS319 Exam 3 GI With 100% Verified Solutions...
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NURS319 Exam 3 GI With 100% Verified SolutionsWhy would a pt need enteral nutrition? They have a functioning GI tract but are unable
to take nutrition in orally for safety or physically unable to
What is the safety precautions for those receiving EN? Check for dislodged tubing
Have HOB elevated 30-45 degrees 30-60 after feeding to prevent aspiration
Verify placement/patency-X-ray, aspirating contents
Med admin-crushed meds, warm tap water
Assess bowel sounds
what is the nursing management for barium swallow? -Answer drink contrast, make
sure pt can swallow
NPO, np smoking after midnight
fluids and laxatives x to eliminate barium
white stool up until 72 hr
what is the nursing management for barium enema? -Answer laxatives and enemas prior
to keep free of stool
clear liquid diet night prior to, NPO for 8hr
educate about receiving enema, cramping, urge to defecate, different positions on the
tilt table
fluids and laxatives after to excrete barium
white stool up to 72 hr
what is the side effect of RYGB? - Answer dumping syndrome: gastric contents empty
too rapidly into the small intestine and overwhelming the ability to digest nutrients
Sx: N/V, weakness, sweating, faintness
, what is the nursing management for RYGB? - Answer low sugar clear liquid
15 mL q10-15min, increase to 90 mL q30min
multivitamins: Ca, D, B12, high protein, low carb
who is at risk for oral cancer? - Answer people > 35 (typically dx @ 65)
more common in men vs. women
hx of: tobacco, alcohol, tobacco
has an outdoor occupation, fx sunlight exposure, poor oral hygiene, HPV
What is the nursing management for pt w/ oral cancer? - Answer patent airway
pain relief or discomfort
adequate nutrition
able to communicate-writing, yes/no ?/white board
Who is at risk for esophageal cancer? - Answer men 65-75
people who smoke, consume excess alcohol, obese, barrets esophagus
What are the causes of PUD? - Answer H.pylori
NSAIDs
lifestyle (ETOH, smoking, coffee, stress)
hypersecretion of gastric acid
What is the nursing management for PUD? -Answer pt adheres to med regimen
stop NSAID use
stop smoking, ETOH, coffee
if perforated can lead to peritonitis
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