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MS1 EXAM 4 LATEST UPDATED
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MS1 EXAM 4 LATEST UPDATED....
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MS1 EXAM 4 LATEST UPDATEDpinpoint abdominal pain - ANSWER where the pain is originated
referred pain - ANSWER perceived in body areas away from the pain
source
GI studies are better with - ANSWER clean-out
--enema, lavage
if geriatrics have clean out, pay attention to... - ANSWER pay attention
to electrolyte
diagnostic tests of the GI system - ANSWER serum lab studies
CBC, CMP
stool tests
CT, MRI, PET
serum lab studies can - ANSWER -confirm
-stage
-rule out problems
-diagnose
occult blood - ANSWER not visible but detected in lab (edu)
endoscopic procedures - ANSWER - EGD
- Colonoscopy
- Anoscopy, proctoscopy, and sigmoidoscopy
- Small bowel enteroscopy
- Endoscopy through an ostomy
The patient must be NPO a minimum of ____ hours before the small
bowel series. - ANSWER 8
,may require bowel prepping procedures... - ANSWER (clear liquid or low
residue diet, laxatives, enemas)
EGD - ANSWER patient will be in left lateral position or sitting- help with
smooth entry
through the mouth
why screening? - ANSWER educate if patient has chronic diarrhea
fecal incontinence
collitis
GI hemorrhage ulcers
yearly screening for polyps/ rectal cancer
colonoscopy - ANSWER success is how well the bowel is prepped
screen for rectal cancer/ polyps
endoscopy - ANSWER through an ostomy/ the intestines
atropine - ANSWER helps decrease secretion will give them med for
anxiety
GI nursing interventions - ANSWER provide needed info
provide instructions
provide health info and procedural edu
help pt cope with anxiety
assess for hydration status
oral: sore throat - ANSWER avoid hot foods
check for hydration-fluids
enteric= - ANSWER intestines are receiving nutrients
purpose of enteric tubes - ANSWER intestines are receiving nutrients
meeting nutritional requirements when... - ANSWER oral intake is
inadequate or not possible, and the GI tract is functioning.
nutrition enterally population= - ANSWER anorexia
, orofacial fractures
head/neck cancer
neurologic or psychiatric conditions
extensive burns or critical care pt
chemotherapy and radiation
enteric tubes - ANSWER intestines receiving tube in the GI tract
NG - ANSWER nurse insert
short term <6weeks
nose/mouth
nutrition supplements/ suctioning gastric contents
Esophagostomy - ANSWER long term >6 weeks
via abdomen
Gastrostomy/Jejunostomy - ANSWER feeds for 4 weeks or longer
nasoduodenal tube - ANSWER stomach-1st part of the small intestine
when esophagus and stomach are bypassed -at risk for aspiration
Intermittent bolus feedings - ANSWER 30-50ml syringe
4-6 feeds daily
intermittent gravity drip - ANSWER no pump
drains by gravity-positioned over pt head
(higher formula, the faster the rate)
continuous infusion - ANSWER kangaroo pump
continuous- 24hr
cyclic feeding - ANSWER throughout the day
PEG tube - ANSWER percutaneous endoscopic gastrostomy tube -
feeding tube
LONG term tube
nursing care of pt with GI tube - ANSWER patient edu
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