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GI System

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Question
Answer
Process of breaking down the complex food into simple nutrients the body can absorb and convert to energy   Digestion  
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Inflammation and ulcerations in the mouth caused by infections   Stomatitis  
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Primary nursing intervention for stomatitis   Oral care  
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Appropriate food for stomatitis   Less acidic food, avoid fresh fruit cuz of bacteria  
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Varice veins inside the esophagus   Esophageal varices  
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Gastric secretions flow upward into the esophagus, damaging the tissues   GastroEsophageal Reflux Disease (GERD)  
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Causes of GERD development   Poor developed sphincter, high stress, smoking, drinking and obesity  
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Treatment of Gastroesophageal Reflux Disease (GERD)   Treat with diet, medications, weight loss.  
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Passage of dark stools stained with altered blood   Melena  
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Inflammation of the stomach mucosa   Gastritis  
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Tx of gastritis   Neutralize acid in the stomach or decrease acid production  
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Nursing intervention for gastritis   Stop smoking, avoid food that can cause indigestion, avoid aspirin or ibuprofen or take with food  
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Erosions that form in esophagus, stomach, or duodenum (anywhere on the elementary canal)   Ulcers  
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Causes of Peptic ulcers   Imbalance of Acid/Pepsin  
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Causes of Stress ulcers   Erosive gastritis that starts to bleed  
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Function of Appendix   Stores and repopulate GI tract with good bacterias  
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Inflammation of the vermiform appendix   Appendicitis  
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What is the best assessment tool to detect appendicitis   Pain level  
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Nursing interventions for appendicitis   Assess pain, monitor vital signs, keep client NPO, assess bowel sounds, monitor lab  
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Saclike protrusions of intestinal wall   Diverticula  
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A condition characterized by the presence of numerous diverticula in the colon   Diverticulosis  
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Inflammation of a diverticulum or of diverticula in the intestinal tract, causing fecal stagnation and pain   Diverticulitis  
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Diverticulosis and Diverticulitis   LOSIS, it’s OK, no problem, you just have it, but risk for inflammation, which is LITIS, dangerous.  
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Diet for Diverticulosis   High fiber diet  
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Diet for Diverticulitis   NPO, no fiber and very low residue food, complete liquid  
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Severe inflammation and ulcerations of the bowel   Crohn’s disease and ulcerative colitis  
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Diet for Crohn’s disease   Total parenteral IV nutrition.  
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The contents cannot pass through the intestine   Intestinal Obstruction  
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Medical treatment for intestinal obstruction   Insert an NG tube for decompression, provide IV fluids for rehydration, and treat the cause  
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Occur when the wall of a muscle weakens and the intestine protrudes through the muscle wall   Hernias  
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Where are the common hernias located?   Abdomen  
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Lining of abdominal cavity   Peritonium  
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Inflammation of the peritoneum   Peritonitis  
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Swollen vascular tissues in the rectal area   Hemorrhoids  
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Treatment of Hemorrhoids   Sitz baths, creams, and suppositories to decrease inflammation and swelling, fiber supplements, stool softeners, or surgery  
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Hard, infrequent stools that are difficult and/or painful to pass   Constipation  
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Treatment for constipation   Fiber supplements, stool softeners, laxatives, enemas, diet modifications, increased activities, and increased fluids  
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Chronic, degenerative changes in the liver cells and thickening of surrounding tissue   Cirrhosis  
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Swollen liver   Hepatomegaly  
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Swollen spleen   Splenomegaly  
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Chronic or acute inflammation of liver caused by virus, bacteria, drugs, alcohol abuse, or other toxic substances   Hepatitis  
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Transmission of Hepatitis A and E   Fecal-Oral route  
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Acute or chronic inflammation of the pancreas   Pancreatitis  
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Inflammation of the gallbladder   Cholecystitis  
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Presence of gallstones (calculi) in the gallbladder   Cholelithiasis or gallstones  
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Tx for Cholecystitis and Cholelithiasis   Low-fat diets, analgesics, and surgery  
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Risk factor for cholicystitis   Pregnant women, using hormone replacement therapy, taking birth control pills, over age 60, American Indians, Mexican Americans, overweight or obese men and women, family history, diabetes, cholesterol-lowering drugs  
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Forms of oral cancer   Lips, tongue, oral cavity, and pharynx  
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Grow in the lining of intestine   Polyp  
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Is chemotherapy effective against oral cancers?   No, Treatment is primarily surgical, remove the affected part  
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Third most common site of new cancers and deaths in the United States   Colorectal Cancer  
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Liver cancer is primary or secondary?   Secondary, usually metastases from other sites in the body and are asymptomatic until later stages  
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Where in the GI are most nutrients absorbed?   In the small intestine, stomach, simple sugar in mouth, water in large intestine  
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What will the consistency of stool evacuated from small intestine/large intestine look like?   More normal in the end of rectum, more watery in small intestine or at beginning of small, because the function of large is to absorb water.  
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What is the function of the colon?   Recycling, reabsorption of water  
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When will a client be most likely to have a BM?   After a meal, the new food pushes the old one, when resting.  
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How will this affect your planning/implementation of a bowel training program?   Plan accordingly. Plan to eliminate incontinence, Client should have a regular BM, develop a routine, risk for skin break down, help to wipe them good.  
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Use of Bedpan   2 types, regular and fracture  
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Use of BSC, bed side commode   Closest to the bed  
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The process of wavelike muscle contractions of alimentary tract that moves food along   peristalsis  
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What factors reduce or increase peristalsis?   Age, Smoking, gastritis…  
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What is “fecal occult test”?   Test performed at home in which you collect specimens of your stool that are tested for traces of blood  
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What are sign that you need to test this?   If suspected blood in stool.  
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Blockage of bowel   Bowel obstruction  
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Constipation   Ask for last BM, difficult to go,  
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Digital removal of bowel that is obstructed just at the end   Fecal impaction  
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Bag in small intestine   Ileostomy  
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Bag in the colon   Colostomy  
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Giving an enema: supplies, position, procedure   keep nearby towel, BSC or bedpan by the bed, about 2 inches inside, look at the instructions  
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