UGI-MedSurg Word Scramble
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Question | Answer |
Occurs as a result of backflow of gastric and duodenal contents into esophagus. | GERD |
Characterized by symptoms of heart burn and epigastric pain. | GERD |
Gerd involves inappropriate relaxation of the LES or UES? | LES |
Which of these are common s/s of GERD? Incontinence, dyspepsia, hyposalivation, odynophagia, acute chough, N/V. | Dyspepsia, odynophagia, N/V. Hypersalivation is common, as well as Chronic cough. |
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? | Bronchoscopy |
What is a priority nsg dx for a person with GERD? | Acute pain |
Fiber should be avoided in pts with GERD. T or F? | False. High fiber is recommened. |
A pt complains of GERD exacerbations frequently. He also claims he eats a decent sized dinner before bed each night. How should the nurse respond? | Try not eating or drinking two hours before bed. Try to have dinner a couple of hours earlier. |
Which of these foods should a person have for a snack if they have GERD? Cheese, chocolate cake and coffee, candy cain, applesauce? | Applesauce |
What happens to thoe LES with age? | Tone decreases |
Gastric emptying is sped up or delayed? | Delayed |
Should the nurse caring for a client with GERD be concerned if there is occult blood or crackles in the lung? | Yes. GI bleed and aspiration pneumonia are serious side effects of GERD. |
The nurse that which of these pathologic condition can exacerbate GERD? CHF, Asthma, Anaphylaxis, Crohn's disease? | Asthma |
What disorder is known as a malignant change in the epithelium of the esophagus r/t GERD? | Barrett's esophagus |
Which of these is not a risk factor or condition r/t PUD? H. pylori, NSAID use, hyposecretory states, or stress? | Hyposecretory state. PUD generally causes a HYPERsecretory state. |
Which of these is a test the nurse would not expect to be performed when testing for PUD? EGD, Barium enema, H. pylori test, occult blood? | Barium enema. The other three would be performed is PUD is suspected. |
Dyspepsia is a common sign of PUD and GERD. T or F? | True |
What s/s in addition to dyspepsia does a person with PUD experience? | Abdominal tenderness and bloating |
Sharp midepigastric pain occuring 30 to 60 min after a meal. Gastric or Duodenal? | Gastric |
Hematemesis is more common than melena. Gastric or duodenal? | Gastric |
Buring midepigastric pain 1.5 to 3 hrs after a meal and during the night. Gastric or Duodenal? | Duodenal |
Melena is more common than hematemesis. Gastric or Duodenal? | Duodenal |
Pain is often relieved by the ingestion of food. Gastric or Duodenanl? | Duodenal |
What is a potential complication of PUD? (r/t bleeding) | Intravascular depletion and shock |
Which of the following is not an appropriate intervention for PUD? Admin saline lavage via NG tube, decrease caffeine, admin blood, dec. stress? | Decrease caffeine. Though a dec. in caffeine can help with other GI disorder, it is not specific to PUD. |
Is insertion of an IV necessary for a person with advanced PUD? (think bleeding) | Yes. Admin of fluids and blood for hypovolemic state |
Which labs should be monitored for a pt experiencing hypovolemia r/t PUD? (general, not specific labs) | Elytes |
Do pts with PUD need special considerations when standing up and ambulating? | Yes. Fluid loss leads to orthostatic hypotension |
Partial gastrectomy with remaining segment anastomosed to the jejunum. AKA gastrojejunostomy. | Billroth II procedure |
Which position should a pt post-gastric surgery be place in? Fowlers, Semi-fowlers, low-fowlers, or high fowler's. | Semi-Fowlers |
Nurse does not need to notify the provider before repositioning or irrigating an NG tube. T or F? | False |
This is a complication r/t gastric surgery which causes rapid emptying of gastric contents inton SI and vasomotor symptoms. | Dumping Syndrome |
In dumping syndrome, a(hypertonic or hypotonic) food bolus draws fluid into the SI. | Hypertonic |
Which of these are signs of dumping syndrome? Syncope, pain in lower abdomen, pallor, palpitations, GI bleed, dyspepsia, headache? | Syncope, pallor, palpitations, headache |
N/V, dizziness, tachycardia, and palpitations are early or late signs of dumping syndrome? | Early. 30 min after meals |
Rapid emptying is a sign of early or late dumping syndrome? | Early. 30 min after meals |
Hunger, dizziness, diaphroeses, tachycardida, shakes, anxiety, and confusion are early or late signs of dumping syndrome? | Late. at least 90 min after meal |
Excessive insulin is a sign of early or late dumping syndrome? | Late. at least 90 min after a meal |
Which position should a pt with dumping syndrome be placed in? Fowler's, high fowler's, supine, or prone? | Supine |
Created by:
Blitzkid22
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