Med-Surg cards on complications in the upper GI tract for nursing
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| Occurs as a result of backflow of gastric and duodenal contents into esophagus. | show 🗑
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| show | GERD
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| Gerd involves inappropriate relaxation of the LES or UES? | show 🗑
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| Which of these are common s/s of GERD? Incontinence, dyspepsia, hyposalivation, odynophagia, acute chough, N/V. | show 🗑
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| The nurse knows that which of these procedures will not be performed if GERD is suspected. 24-hr ambulatory pH monitoring, EGD, bronchoscopy, or esophageal manometry? | show 🗑
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| show | Acute pain
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| Fiber should be avoided in pts with GERD. T or F? | show 🗑
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| show | Try not eating or drinking two hours before bed. Try to have dinner a couple of hours earlier.
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| show | Applesauce
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| show | Tone decreases
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| show | Delayed
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| show | Yes. GI bleed and aspiration pneumonia are serious side effects of GERD.
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| The nurse that which of these pathologic condition can exacerbate GERD? CHF, Asthma, Anaphylaxis, Crohn's disease? | show 🗑
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| show | Barrett's esophagus
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| show | Hyposecretory state. PUD generally causes a HYPERsecretory state.
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| show | Barium enema. The other three would be performed is PUD is suspected.
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| Dyspepsia is a common sign of PUD and GERD. T or F? | show 🗑
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| What s/s in addition to dyspepsia does a person with PUD experience? | show 🗑
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| show | Gastric
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| Hematemesis is more common than melena. Gastric or duodenal? | show 🗑
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| show | Duodenal
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| show | Duodenal
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| show | Duodenal
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| What is a potential complication of PUD? (r/t bleeding) | show 🗑
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| Which of the following is not an appropriate intervention for PUD? Admin saline lavage via NG tube, decrease caffeine, admin blood, dec. stress? | show 🗑
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| Is insertion of an IV necessary for a person with advanced PUD? (think bleeding) | show 🗑
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| Which labs should be monitored for a pt experiencing hypovolemia r/t PUD? (general, not specific labs) | show 🗑
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| show | Yes. Fluid loss leads to orthostatic hypotension
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| Partial gastrectomy with remaining segment anastomosed to the jejunum. AKA gastrojejunostomy. | show 🗑
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| show | Semi-Fowlers
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| Nurse does not need to notify the provider before repositioning or irrigating an NG tube. T or F? | show 🗑
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| This is a complication r/t gastric surgery which causes rapid emptying of gastric contents inton SI and vasomotor symptoms. | show 🗑
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| show | Hypertonic
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| show | Syncope, pallor, palpitations, headache
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| show | Early. 30 min after meals
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| show | Early. 30 min after meals
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| Hunger, dizziness, diaphroeses, tachycardida, shakes, anxiety, and confusion are early or late signs of dumping syndrome? | show 🗑
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| Excessive insulin is a sign of early or late dumping syndrome? | show 🗑
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| Which position should a pt with dumping syndrome be placed in? Fowler's, high fowler's, supine, or prone? | show 🗑
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