Exam (elaborations)
IGGY GI EXAM REVIEW QUESTIONS AND ANSWERS
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IGGY GI EXAM REVIEW QUESTIONS AND ANSWERS...
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IGGY GI EXAM REVIEW QUESTIONS ANDANSWERS
What are diagnostic imagining tests standard for problems of the GI? -
ANSWER x-ray
Barium Enema
CT
MRI
What complication can result from older pt. have decreased hepatic
cells? - ANSWER Risk of drug toxicity.
What are normal changes to the GI tract with age greater then 65 years
old? - ANSWER Reduced HCl production (gastric mucosa atrophy)
Reduced Peristalsis (aka constipation)
Distention/dilatation of the pancreatic duct (decreased fat absorption)
What should questions should a nurse ask in a gastrointestinal
assessment? - ANSWER Health problems/family history
change in apatite
pain
age/gender/culture/social status
caffeine and alcohol consumption
Medications (including OTC and herbal)
Smoking
Travel
Nutrition
What over the counter medications are most important for the nurse to
know a pt is taking? - ANSWER NSAIDs
Laxatives
Aspirin
Enemas
,What is the priority intervention with post endoscopic
esophagogastroduodenoscopy? - ANSWER Signs of infection/sepsis
(Fever, pain, bleeding)
At what point post colonoscopy is NPO lifted? - ANSWER When the pt.
can sit back up.
After a scope in the esophagus when is NPO lifted? - ANSWER When
gag reflex returns.
What frequency is recommend for early detection of cancer of the lower
GI? - ANSWER Flex sigmoidoscopy q5yrs
CT colography q5yrs
Colonoscopy q10yrs
What labs are specifically done when GI issues are expected? -
ANSWER Urine test
Take home yearly guaiac fecal occult blood test (gFOBT)
Single sample fecal immunochemical (FIT)
What does light abdominal palpation used to assess? - ANSWER The
presents of large masses.
What do a "swooshing" sounds indicate in during abdominal oscillation?
(Brood) - ANSWER Aortic Arianism (do not palpate)
What is the normal rate of bowl sounds? - ANSWER q5-30sec
What emergency might be indicated with a "pulsing" abdomen? -
ANSWER Aortic Arianism (do not palpate)
What level or training do you need to preform "deep palpation" of the
abdomen? - ANSWER MD
ARNP
, What assessment is not done if the nurse suspects appendicitis or
abdominal aneurysm? - ANSWER palpation
What order is abdominal assessment preformed? - ANSWER Inspection
Oscitation
Palpation
Deep palpation (advanced)
Percussion (advanced)
At what point during the abdominal assessment do you examine the
area the pt. is complaining about? - ANSWER Last.
This is because it maybe painful for the pt. and it's best practice to know
everything else before making the pt. uncomfortable.
What inherited GI health problem is assassinated with risk of cancer? -
ANSWER familial adenomatous polyposis
What basic symptom can indicate the presents of GI cancer? - ANSWER
Unintentional weight loss
When taking a history for a client with GI problems, which daily client
behavior requires further nursing assessment? (Select all that apply.)
a. Eats multiple servings of vegetables
b. Takes 800 mg of ibuprofen for arthritic pain
c. Walks 30 minutes
d. Chews tobacco
e. Takes senna to assist with bowel movements
f. Listens to music to promote relaxation - ANSWER ANS: B, D, E
Taking routine or larger amounts of NSAIDs places the client at risk for
GI distress. Chewing tobacco places the client at risk for oral cancer.
Senna is an over-the-counter herbal laxative. Taking certain herbal
preparations can affect appetite, absorption, and elimination. Other
behaviors are healthy and do not require further nursing assessment.
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