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NUR350 GI System Exam Questions And 100% Correct Answers
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NUR350 GI System Exam Questions And 100% Correct Answers What is bariatric surgery? - Answer Surgery that alters the gut of a patient in the attempt to reduce patient weight. Improves quality of life for most. What is the criteria for a bariatric surgery? - Answer - BMI 35kg - one or more conditions such as T2D, HTN, sleep apnea, heart fa ilure, or liver failure What is preoperative care for bariatric surgery? - Answer - a ssess if pt needs cpap What are potential complications of bariatric surgery? - Answer - GI leaks - Gastric remnant distention - ulcers - gallstones - hernias What are clinical manifestations of obesity? - Answer -snoring (th orastic pressure) -trouble sleepiny (thorastic pressure) What are possible complications of obesity? - Answer - sleep apnea Special considerations for bariatric surgery - Answer -pain ma nagement - start on a low sugar diet, clear liquids for 24 hrs - begin 15mL every 10 to 15 mins, if there is no nausea, increase gr adually to 90mL every 30 mins. TID - avoid gulping and use a straw to avoid air swallowing What do we supplement those who have undergome gastric bypa ss? - Answer multivitamin with iron and calcium an vitamin b12 What is dumping syndrome caused by? - Answer - the stomach content dumps into the small intestine too fast - after recovery phase, when they start getting appetite back - they may have not changed their habit - bariatric surgery What are the clinical manifestations of dumping syndrome? - A nswer - epigastric fullness - weakness - dizziness - tachycardia - abdominal cramping - vertigo - diphoresis What is the post operative considerations for those after a ga stric bypass? - Answer - respiratory -> apnea, anesthesia, the tissues during surgery hold the medication (propoful, versed) - continuous pulse ox -> pt may resedate due to amount of medic ation stuck in tissues. What is the priority assessment for those who have undergone bar iatric surgery or a gastric bypass? - Answer respiratory What do we need to make sure we have for those with sleep apnea who have undergone these surgeries? - Answer cpap machine What is diet for bariatric surgery? - Answer Clear liquids and gra dually increase to full liquids then puree then real food. Eat slowly. What is peptic ulcer disease? - Answer Erosion of GI mucosa result ing from digestive action of HCl acid and pepsin. Ulcers. What are clinical manifestations of PUD? - Answer - black tarry stool s - stomach pain - vomiting - coffee ground emesis What are the diagnostics for PUD? - Answer - stool sample -> occu lt blood - upper GI endoscopy - biopsy What lab do we want to focus on for those with PUD? - Answer - hemo globin (assesses for anemia, possible bleeding, and decreased 02) - CBC - liver enzyme serum amylaseThe benefits of buying summaries with Stuvia:
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