LGI-MedSurg Word Scramble
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Question | Answer |
This is known as inflammation, obstruction or infection of the appendix | Appendicitis |
A pt with appendicitis is most likely to have which of the following findings? WBC 8000 w/ left shift, WBC 15000 w/ left shift, WBC 8000 w/ right shift, WBC 15000 w/ right shift? | WBC 15000 w/ left shift |
Which two diagnostic procedures should be performed to diagnose appendicitis? (Imaging) | Ultrasound and CT scan on the abdomen |
Which intervention is reccomended for a person with appendicitis? | Appendectomy |
A late sign of appendicits includes pain in the: RLQ, RUQ, LUQ, or LLQ? | RLQ |
Cramping, not pain, is an early sign of appendicitis? T or F? | True |
When palpating for appendicitis, the nurs would expect the pt to feel pain as the nurse presses or releases the abdomen? | Releases. This is known as rebound tenderness. |
Pain increased with cough, muscle rigidity/guarding, and high temp indicate which complication of appendicitis? | Perforation or peritonitis |
Which of these orders should a nurse question for a pt with appendicitis? NPO, IV hydration, Semi-Fowler's, admin of Milk of mag? | Admin of milk of mag. NO LAXATIVES!!! |
When is the greatest risk of peritonitis due to perforation from appendicitis? | within the first 48 hours. |
A person with peritonitis will have an (increased/decreased) urine output? | decreased |
Which of the following is not a sign of peritonitis? Board-like abdomen, Fever, Dyspepsia? | Dyspepsia. The rest are signs of peritonitits |
May affect entire GI tract. Crohn's or UC? | Crohn's |
Sporadic lesions, fistulas, and risk for colon CA. Crohn's or UC? | Crohn's |
Mostly rectum/distal colon. Crohn's or UC? | UC |
Continous lesions, less frequent in smokers, risk for colon CA. Crohn's or UC? | UC |
Which of hte following symptoms is true only of Crohn's? Abdominal pain, distention, fever, or fatty stool (steattorhea)? | Fatty stool (Steattorhea). The rest represent Crohn's and UC |
A person with ____ has diarrhea 5-10x/day and the person with _____ has diarrhea 15-20x/day. | Crohn's, UC. |
Weight loss and anorexia are signs of Crohn's and UC. T or F? | True |
Which of these abnormal labs is specific to UC? Inc. ESR, Inc. WBC, Inc. CRP, Dec. B12? | Dec. B12. The other three apply to Crohn's and UC. B12 is normal in Crohn's. |
Elytes are (increased/decreased) with Crohn's and UC | Increased |
Occult Blood Stools are (positive/Negative) with Crohn's and UC? | Positive |
What is the only way to definitively diagnose Crohn's or UC? (think cancer) | Biopsy |
The nurse should be aware of s/s such as rigidity, guarding, and fever with UC and Crohn's. T or F? | True. These are signs of perforation. |
Inflammation of the diverticula is known as | Diverticulitis/Diverticulosis |
Pain with diverticultitis is normally found in the: RLQ, RUQ, LUQ, LLQ? | LLQ |
Pt with rebound tenderness is found not to have appendicits. What other disease process could the person be experiencing? (think LLQ) | Diverticulitis. Rebound tenderness in the LLQ. |
Rectal bleeding is not common in people with diverticulitis. T or F? | False |
Diverticulitis causes an _____ in WBC and a ____ occult blood test. | Increase, positive |
Colonoscopy and Barium enema? What's the deal with these | I have no freaking idea. Sargsyan says they are contraindicated. Putnam and book says they are used. |
For which disease might a patient need a hemicolectomy? | Diverticultits |
Created by:
Blitzkid22
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