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Med surg ch 32-35
Chapters 32-35
| Question | Answer |
|---|---|
| Which medication is a proton pump inhibitor used to treat GERD? | Omeprazole |
| Which medications reduce gastric acid secretion? | Famotidine, Omeprazole |
| A nurse assesses a stoma that appears bluish. What is the priority interpretations? | Decreased blood supply (ischemia) |
| Which stoma finding requires immediate intervention? | Black discoloration (necrosis) |
| Which finding indicates lever transplant rejection? | Temp 101.5 (fever=rejection) |
| Which are nursing priorities for a comatose client receiving tube feedings? | Elevate HOB, Monitor residuals, Monitor electrolytes |
| What is the priority teaching for a client after a barium swallow? | Drink fluids (Fluids prevent constipation) |
| Which symptom is most associated with cholelithiasis? | RUQ pain after fatty meals |
| Which are manifestations of bowel obstruction? | Abdominal distention, Nausea and vomiting, No flatus |
| What is the correct order of abdominal assessment? | Inspect, auscultate, percuss, palpate |
| Why is auscultation performed before palpation? | Preventing altering bowel sounds |
| Age-related GI changes include: | Decreased gastric acid, Decreased liver function |
| Which is a complication of GERD? | Barrett's esophagus |
| Risk factors for gastric cancer include: | Smoking, High-salt diet, H. pylori |
| Which finding indicates hypovolemic shock? | BP 80/50 |
| What is a lifelong concern after gastrectomy? | Dumping syndrome |
| Risk factors for constipation include: | Immobility, Low fluid intake, Opioid use |
| After a barium enema, which stool is expected? | White/clay |
| Diet modifications for Crohn's disease include avoiding: | Dairy, Spicy foods, High fiber |
| Which triggers ulcerative colitis excerbations? | Stress |
| Which instruction is appropriate after cholecystectomy? | Bedrest for 2 weeks |
| Which are ways to prevent hepatitis? | Hand hygiene, Vaccination, Safe food handling |
| Which hepatitis is transmitted fecal-orally? | Hep A |
| Which pre-op teaching is correct for laparoscopic cholecystectomy? | Deep breathing excerises |
| Which finding is most indicative of gallbladder disease? | RUQ tenderness |
| Symptoms of gallbladder disease include: | Jaundice, Nausea, Biliary colic |
| What causes peptic ulcer disease? | H. pylori |
| Which medication coats ulcers? | Sucralfate |
| Signs of intestinal obstruction include: | Distention, Vomiting, No flatus |
| Which bowel sound is expected early in obstruction? | High-pitched |
| What is a key sign of lower GI bleeding? | Bright red stool |
| Complications of ulcerative colitis include: | Toxic megacolon, Perforation, Hemorrhage |
| Which finding suggests pancreatitis? | Severe abdominal pain radiating to back |
| Risk factors for gallstones include: | Obesity, Female, Sedentary lifestyle |
| Which diet is recommended for IBS? | Low FODMAP |
| Signs of hepatic encephalopathy include: | Confusion, Asterixis, Ammonia increase |
| Which medication lowers ammonia levels? | Lactulose |
| Which symptom occurs in acute pancreatitis? | Hypotension |
| Complications of pancreatitis include: | ARDS, Kidney injury, Infection |
| Which stool change is expected after barium study? | White |
| Which indicates shock in GI bleeding? | BP 90/60 |
| Which are symptoms of Crohn's disease? | Weight loss, Diarrhea, Fluid imbalance |
| Which complication occurs with gallstones? | Pancreatitis |
| Which indicates dumping syndrome? | Rapid gastric emptying |
| Post-op ostomy care includes assessing: | Color, Moisture, Perfusion |
| Which is a priority for bowel obstruction? | NG tube |
| Which indicates necrotic stoma? | Black |
| Which is expected in hypovolemia? | Tachycardia |
| Practice Bow-tie: A client presents with abdominal distention, vomiting, and no bowel movements for 3 days | Condition: Bowel movement Actions: Insert NG tube, Keep NPO Monitor: Distention, bowel sounds |
| Prilosec is a medication that is used to treat GERD | True |
| Client has had a weight loss surgery on their GI tract. Which lifelong complication is associated with this surgery? | Pernicious anemia |
| What are the normal characteristics of a healthy functional stoma? | Shiny and moist |
| Which of the following is NOT a manifestation of cholestasis? | Ingestion |
| What type of bowel sounds indicates a mechanical bowel obstruction> | High pitched tinkling sounds |
| How does the medication on famotidine work in the treatment of a peptic ulcer? | Inhibits gastric acid secretion |
| What location of pain indicates appendicitis? | McBurney's point |
| The abdomen being rigid upon palpitation after emergency abdominal surgery is white concerning and needs to be reported? | True |
| Which of the following nursing interventions would NOT need to be performed with a client having encephalopathy? | Administer PRN acetaminophen |
| Which of the following is NOT a function of the liver? | Bile storage |
| Side effect of lactulose is loose stools? | True |
| Which of the following is NOT a diet modification to help prevent exacerbations of irritable bowel syndrome? | High fiber should be included in the diet |
| Client is status post cholecystectomy. Should the client be encouraged to increase fluids to rid of excess bilirubin? | False |
| Carafate should be taken on an empty stomach? | True |
Created by:
efilchner