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Adult 1 GI site Group 1 Mr. Justice (Tamara, Anissa)

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Swollen, twisted veins  
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show Muscular wave-like movement that transports food through the digestive system  
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Amylase   show
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What are the 4 main functions of the GI system?   show
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Villi   show
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Which is the only organ in the body that has both endocrine and exocrine functions?   show
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show Contributes to the process of digestion – secretes pancreatic enzymes  
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What nerve is involved in “bearing down” to have a bowel movement?   show
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What are the functions of the liver?   show
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show The esophagogastric junction remains in the normal position, but the fundus and greater curvature of the stomach roll up through the diaphragm forming a pocket alongside the esophagus  
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Ulcer   show
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Dyspepsia   show
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show Bulge or nodule in abdomen, usually appearing on straining  
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show Thromboses veins in rectum and anus  
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Fissure   show
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What do you assess for pain r/t GERD?   show
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show Encourage fluids to get rid of barium , Monitor BM – may be whitish d/t barium, Be observant for constipation, Stool softeners and laxatives as ordered  
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show Abdominal Ultrasound, CT scan, MRI-MRCP, Gastric emptying  
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EGD (Esophagogastroduodenoscopy)   show
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show To assess for sites of bleeding, Identify ulcerations/lesions, Detect strictures, masses or tears, Repair of acute bleed, Biopsy  
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Invasive Diagnostics can also be used to:   show
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Lab Work   show
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show Occurs when food is dumped out of stomach quickly such as after gastric stapling or resection of stomach  
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A 68 year old patient awakens at night with heartburn & belching. The nurse recognizes that these symptoms may occur when there is abnormal relaxation of the   show
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show keep the patient NPO until the gag reflex returns  
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show acetaminophen  
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show slow the feeding flow rate  
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A patient with chronic GERD is experiencing increasing discomfort. During assessment of pt's current management of the problem, the nurse determines that further teaching is needed when the patient states   show
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show coffee, tea and chocolate  
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show Structural abnormalities in the esophagus, stomach, & duodenum  
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Nrsg. Considerations for barium tests   show
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show whitish color, constipation  
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Abd Ultrasound assesses for   show
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show Abdominal US, CT scan, MRI/MRCP, and gastric emptying  
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NPO status with most GI tests   show
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show sites of bleeding, identifies ulcerations/lesions, detects strictures, masses or tears, repair of acute bleeding, biopsy  
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show Under MAC, "twilight sleep", pt. able to communicate if needed, can be done outside the OR  
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show into the esophagus through the stomach and into the duodenum of the small intestine  
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Liver functions tests include   show
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If ammonia level is elevated, patient will show s/s of   show
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show potassium  
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show RBC Hgb  
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show Bowel sounds; Normal GI tract functioning  
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show If NPO for longperiod; need to bypass stomach due to disease,surgery,trauma,or lack of emptying;any sit. where need more nutrition than able to retain orally(chem,rad,burns,dysphagia),at risk for aspiration,anorexia, orofacial fx ,head/neck surg  
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What should the nurse be assessing while first introducing fluid into the GI tract?   show
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show when food is dumped out of the stomach quickly such as after gastric stapling or resection of the stomach  
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show start with more dilute feeding & increase concentration as tolerates; if symptoms occur, get orders for more dilute concentration; lie down after bolus feeding in case have BP drop, etc.,  
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How do you maintain patency of gastric feeding tube   show
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Feedings should hang no longer than?   show
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Thrush   show
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show Nystatin or Amphotericin B  
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Stomatitis   show
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What should you do with suction when performing abd assessments   show
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What is GERD   show
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show milk, antacids & water (milk feels better, but inc. HCl production makes it worse)  
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show Hx, endoscopy (shows edema & erosion), Ambulatory pH monitoring  
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Complications of GERD   show
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show Life style changes, Diet changes, avoid nicotine because it decreases bicarbonate prod., loose weight if obese, do not eat in pm, upright for 2 hours after eating, elevate HOB 6-8 inches  
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show chocolate, peppermint, caffeine, onions, fatty foods, alcohol  
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What foods should GERD patients avoid that cause inc. acid production   show
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When should a patient with GERD take an antacid   show
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What do antacids do   show
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Types of antacids   show
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show Same as GERD, Belching, possible GI bleed,  
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show barium swallow, endoscopy, CXR  
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Complication of Hiatal Hernias   show
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Tx of Hiatal Hernias   show
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show Antacids for reflux  
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show Nissen Fundoplication; Angelchik prosthesis  
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Dysphagia results from   show
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Tx of dysphagia   show
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Gastritis   show
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show med or chem related; self healing; minimal damage to mucosal lining  
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Chronic gastritis   show
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S/S of Gastritis   show
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show Gastroscopy, Bx, Gastric secretion evaluation  
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show small meals, soft/bland diet, avoid alcohol & aspirin, take B12 supplement  
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show erosion of the mucous membrane of the GI tract from digestive action of HCl & pepsin  
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Sites of peptic ulcers   show
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show gnawing epigastric pain with pain -food relief patterns, may radiate to back, relieved by antacids, worse when lean forward, worse when stomach empty  
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show barium swallow, endoscopy, gastrin level studies, H.pylori detection  
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Complication of ulcers   show
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S/S of a small vessel bleed from an ulcer   show
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S/S of a large vessel bleed from an ulcer   show
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show loud peristalsis with large visible waves, pain worse as eats more, vomit contains food long after eating, belching or vomiting dec. pain  
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show NG tube for decompression, f/e replacement, surgery to open pyloric sphincter  
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show rigid abd., sever abd pain, pain radiating to R shoulder, absent bowel sounds, signs of shock  
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show relieve pain, heal ulcer, prevent complications, educate in lifestyle changes  
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show Antacids, Proton Pump Inhibitors, Histamine receptor blockers, Cytoprotective agents  
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What s/s occur with dumping syndrome   show
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Measures to avoid dumping syndrome   show
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