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68c ph2 exam6
Gastrointestinal System
| Question | Answer |
|---|---|
| What makes up the digestive tract? | Mouth, pharynx, esophagus, small intestine, large intestine, and anus. |
| Why is it important for a patient to expel barium? | The patient is at risk for constipation/impaction |
| What is the term that describes a hand flapping tremor associated with liver disease? | Asterixis |
| What two functions does the pancreas perform? | Endocrine and Exocrine |
| All of the following laboratory values are often abnormal in a patient with liver pathology, except: a)PT b)AST/ALT c)Alkaline phophatase d)Total bilirubin e)Albumin f)CA125 | CA125 (it's a cancer antigen) |
| What is the primary symptom of achalasia? | Dysphagia |
| Define pyrosis | Burning sensation in the esophagus. |
| Patients with gastritis should be instructed to avoid what types of foods? | Avoid irritating foods and medications such as alcohol, spicy foods, high-fat foods, caffeine, and NSAIDs |
| What two medications have been associated with PUDs? | Aspirin and NSAID, i.e. Motrin |
| Current treatment for peptic ulcer disease focuses on eradicating what bacteria? | H. pylori |
| Cimetidine (Tagamet) is an example of: | histamine (H2)-receptor antagonist. |
| : Drug therapy aimed at reducing gastric acid secretions might include which of the following? (Select all that apply.) a)Prokinetic agents b)Antacids c)H2 antagonists d)Proton pump inhibitors e)Coating agents | c & d are used to reduce gastric acid secretions. |
| An example of a PPI is? | Esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec, Prilosec OTC), rabeprazole (Aciphex). |
| what is the best way to administer H2-Antagonists? | With Meals and at Bed time |
| When should you give Antacids? | 1-3 hrs after meals |
| Common side effects of all Anti-infectives? | Nausea, vomiting, diarrhea |
| What does the Antacid Sucralfate (Carafate) do? | Sucralfate creates a barrier over the stomach lining (the ulcer) |
| The H2- receptor antagonist Ranitidine bismuth citrate may temporarily cause ___________ | stools and tongue to appear gray-black |
| Unique side effect of the Anti-Infective Tetracycline (dosycycline)? | Photosensitivity |
| a patient is receiving an aluminum-containing antacid. the nurse will inform the patient to watch for which possible adverse effect? | Constipation |
| Antacids containing magnesiumneed to be used cautiously in patients with which condition? | Renal Failure |
| what potential problem might occur with overdose of sodium bicarbonate? | Metabolic Alkalosis |
| The nurse expects for what drug to be ordered for a patient with Helicobacter Pylori cause Gastritis? | An antibiotic |
| why are calcium antiacids not used as often as other antiacids? | Becasue Ca antiacids might result in kidney stones |
| why can the H2 receptor antagonist, cimetidine (Tagament) be contraindicated in geriatric patients? | A common side effect is Confusion. This drug can cause sever confusion. |
| What are some types of cirrhosis? | Alcoholic/Laennec’s, Post-necrotic, Biliary, Cardiac, |
| WHAT ARE SOME CLINICAL MANIFESTATIONS OF CIRRHOSIS? | ANOREXIA, NAUSEA/VOMITING, CHANGES IN BOWEL HABITS, ASCITES, SPLENOMEGALY, TISSUE WASTING |
| What is the principle aim of managing a patient with cirrhosis? | to prevent further deterioration by abolishing underlying causes and preserving whatever liver function remains. |
| What are two nursing interventions for a patient with hepatitis? | Promote rest, maintain adequate hydration and nutrition |
| Clinical maifestations of Acites? | Clay colored stools, Deep orange color urine, Visible jaundice (eyes, skin), Dyspepsia, Gradual weight loss, Spider telangiectases |
Created by:
AEGO
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