ATI Med-Surg: GI – Flashcards
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when reviewing prescriptions for pt with Campylobacter Enteritis which should the nurse clarify with provider
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NO Milk of Mag - increases GI motility and increases risk of electrolyte imbalances
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GERD and new prescription for Metoclopramide. monitor for what side effect
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ATAXIA
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pt with colorectal cancer receiving chemo asks why blood is drawn for Carcinoembryonic Antigen (CEA) level. response by nurse...
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CEA Determines efficacy of chemo - will DECREASE if effective
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discharge teaching for pt with Chronic Cholecystiti. which food choice proves teaching was effective
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Eat BANANAS (Low-fat)
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discharge teaching for pt with gastritis and prescription for Famotidine which statement indicated teaching was effective
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"I should Make sure the water i drink is filtered"- food and water should have NO contaminants
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expected assessment findings for client with Peritonitis
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BOARD-LIKE ABDOMEN
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expected assessment finding for client with Appendicitis
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Oral temp 101.1, Nausea/Vommiting, RLQ pain
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assessment Post-Op Gastrectomy - indication of ACUTE GASTRIC DILATION
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HICCUPS - ensure patency of NGT
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client with Hepatic Encephalopathy asks nurse if she can have a larger portion of beef for dinner, what response by the nurse is appropriate
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"you should Limit your animal protein intake. Can i get you a veggie burger instead?"
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discharge teaching for pt with Hepatitis C, what statement indicates understanding of teaching?
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'I will Avoid medications containing ACETAMINOPHEN" - Hepatotoxic
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discharge teaching for client with mild Diverticulitis, what statements indicates understanding of teaching?
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"I should Eat foods that are LOW fiber"
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discharge teaching for client with GERD, what statement indicates teaching was effective?
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"I will Decrease the amount of carbonated beverages i drink"
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when reviewing labs for pt with Cirrhosis, what lab value should be reported to provider
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Report Ammonia 180 mcg/dL = ENCEPHALOPATHY
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PUD - which medication inhibits gastric acid secretion?
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Famotidine - H2 Receptor Antagonist
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to Prevent Dumping Syndrome post-op following gastrectomy, which food should be included in diet
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Increase proteins - EGGS
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following an Ileostomy, pt should be taught to report what finding after discharge
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Report purple stoma
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when reviewing lab values for pt with Colorectal Cancer, what findings are expected
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Expect decreased hgb (9.1 g/dL)
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when reviewing lab values for pt with acute Pancreatitis, what findings are expected
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Expect increased serum Amylase
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pt with DUODENAL Ulcer, what findings are expected
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Pain occurs 1.5-3 hr after meals and at NIGHT
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pt with Hepatitis B, what findings are expected
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JOINT PAIN
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pt with Crohn's Disease, what findings are expected
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Fatty, diarrheal stools
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teaching for pt with cirrhosis on prescription for Lactulose
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Expect to have 2-3 soft stools per day
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first action nurse should take for admission who has acute Pancreatitis
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PAIN SCALE - first identify level of pain
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instructions nurse needs to include for a pt Preparing for a colonoscopy
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Drink clear liquids for 24 hr prior to procedure and then NPO for 6 hr before
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interventions to include in care plan for pt with Cirrhosis and Ascites
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Measure abdominal girth daily
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expected assessment findings for pt with Upper GI bleed
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Expect HYPOTENSION
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pt with Ulcerative Colitis who has experienced several exacerbation in the past 3 yrs. which instructions should be included to minimize risk of exacerbations
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Use progressive relaxation techniques, arrange activities to allow for daily rest periods, and restrict intake of carbonated beverages; NO increase in fiber; NO dairy
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assessment immediately following aParacentesis for treatment of ascites. what indicates procedure was effective
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Decreased SOB
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pt with new Colostomy concerned about flatus and odor. what food should the nurse recommend?
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Eat YOGURT!
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assessing a client with Cirrhosis, what is priority to be reported to the provider
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Report bloody stools - at risk for hemorrhaging and indicates GI bleed
