NUR 372 GI NUR 372 Exam 4 GI Adult Health/Med Surg
Questions With Complete Solutions
1, 3, 12, 24, 6, 8
(Bowel prep 1-3 days prior --------- Clear liquid diet 12-24 hours
pre-procedure ---------- NPO 6-8 hours pre-procedure --------
Sedation does not require the loss of gag reflex) Correct
Answer Colonoscopy:
1. Bowel prep ____-_____ DAYS prior
2. Clear liquid diet ____-_____ HOURS pre-procedure
3. NPO _____-_____ hours pre-procedure
A
(These S/S are of Gallbladder Disease: Treatment of a patient
with acute cholecystitis includes nothing by mouth NPO status,
IV hydration, correction of electrolyte and fluid imbalances,
pain management, and IV antibiotics as indicated. A Lithotripsy
is for small gallstones..... However, Surgical management in
25% of patients includes a Laparoscopic cholecystectomy)
Correct Answer A patient reports:
RUQ, epigastric, or shoulder pain (especially on right side under
the scapula)
NV after eating high fat food
Dyspepsia
Sometimes guarding, fever, and tachycardia
Steatorrhea - excess fat in stool
Dark urine, clay colored stool
The nurse should plan for what intervention?
,a) NPO status
b) Thin Liquids with high fats
c) Laparoscopic cholecystectomy
d) A statin prescription
AACBC Correct Answer 1. Which of the following
characteristics is more commonly associated with Crohn's
Disease than with Ulcerative Colitis?
A) RLQ pain that does not go away with defecation and worsens
with eating
B) Continuous ulcers beginning in the rectum and spreading
proximally through the colon, commonly causing bloody stools
C) Small intestine rarely involved
D) High pitched bowel sounds and low fever
2. Match the following medications to the disorder they are most
commonly used to treat.
Medications:
i) Metronidazole
ii) Dexamethasone
iii) Sulfasalazine
iv) Loperamide
A) Crohn's Disease B) Ulcerative Colitis C) Both
ABC
(6-8 small meals per day, high in fat and protein, low in complex
sugars to prevent dumping syndrome. Dumping syndrome is
managed primarily by planning dietary intake to allow smaller
boluses of undigested food to enter the intestine. Meals are small
and more frequent. Liquids and solids are taken at separate times
,instead of together to facilitate adequate nutritional intake.)
Correct Answer 1. Dumping Syndrome Occurs after surgeries
that reduce the size of the stomach. For example an
esophagectomy. What best describes Dumping Syndrome?
a) Rapid emptying of the stomach with partially digested food
causes inappropriate gut hormone release and rapid glucose
absorption.
b) Slow passage of food from the stomach to the small intestine
leads to delayed glucose absorption and a decrease in gut
hormone secretion.
c) Enlargement of the stomach pouch and delayed stomach
emptying time, causing prolonged gastric retention of food.
d) Hyperactive stomach peristalsis and slowed intestinal transit
time leading to decreased fluid absorption and constipation.
2. Following an esophagectomy which letter(s) are NOT
recommended to prevent dumping syndrome?
a) Small frequent meals
b) Large meals twice a day
c) Diet low in fats.
d) Diet low in complex sugars.
e) Diet high in protein.
f) Liquids after not during meals
ABCBBBAAAB Correct Answer Manifestations:
i. RLQ abdominal pain that does not resolve with defecation
ii. Continuous ulceration of the colon without skip lesions
iii. Anorexia and weight loss
iv. Mucus and pus in stool
v. LLQ abdominal pain
, vi. Tenesmus - spasms of anal sphincter and urgent need to
defecate
vii. Diarrhea, steatorrhea, Bleeding is uncommon
viii. No dairy
iv. More likely to cause vomiting
Disorders:
A) Crohn's Disease
B) Ulcerative Colitis
C) Both
ABCDFG
(Blood loss due to the rich blood supply to the face...Oral
hemorrhage can compromise the airway. Normal flora in the
mouth increase risk for infection after oral trauma. Surgical
management: Open Reduction Internal Fixation - Using plates
and screws to provide jaw stability or Fixed occlusion - wires to
immobilize the jaw, needed if teeth are lost from the trauma and
are being replaced/realigned.) Correct Answer Which are
important nursing interventions for patients with a LeFort
fracture and oral trauma?
a) Establish and maintain airway
b) Keep a tracheostomy tray at bedside
c) Keep HOB at 30-45 degrees
d) Provide Oral humidification
e) If managing with Open Reduction Internal Fixation make sure
to have wire cutters with patient at all times
f) If managing with Fixed occlusion make sure to have wire
cutters with patient at all times
g) Provide oral care frequently and provide antibiotics
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