Med/Surg worksheet chapters 44 and 46 – Flashcards
Unlock all answers in this set
Unlock answersquestion
The nurse is performing an initial assessment of a patient complaining of increased stomach acid related to stress. The nurse knows that the physician will want to consider the influence of what neuroregulator?
answer
Norepinephrine
question
The nurse is performing an assessment of a patient. During the assessment the patient informs the nurse of some recent "stomach trouble." What does the nurse know is the most common symptom of patients with GI dysfunction?
answer
Dyspepsia
question
The nurse is investigating a patient's complaint of pain in the duodenal area. Where should the nurse perform the assessment?
answer
Epigastric area and consider possible radiation of pain to the right subscapular region.
question
A patient is complaining of abdominal pain associated with indigestion. What is characteristic of this type of pain?
answer
Described as crampy or burning
question
The nurse is collecting stool specimen from a patient. What characteristics of the stool indicates to the nurse that the patient may have an upper GI bleed?
answer
Tarry and black
question
The nurse is performing an abdominal assessment for a patient in the hospital with complaints of abdominal pain. What part of the assessment should the nurse perform first?
answer
Inspection
question
The nurse has been directed to position a patient for an examination of the abdomen. What position should the nurse place the patient in for the examination?
answer
Supine position with the knees flexed to relax the abdominal muscles.
question
The nurse auscultates the abdomen to assess bowel sounds. She documents 5 to 6 sounds heard in less than 30 seconds. How does the nurse document the bowel sounds?
answer
Hyperactive.
question
The nurse is providing instructions to a patient scheduled for a gastroscopy. What should the nurse be sure to include in the instructions?
answer
The patient must fast for 8 hours before the examination. The throat will be sprayed with a local anesthetic After gastroscopy, the patient cannot eat or drink until the gag reflex returns (1 to 2 hours).
question
A patient is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently use to diagnose?
answer
Cancer screening.
question
A patient is being prepared for esophageal manometry. The nurse should inform the patient to withhold what medication for 48 hrs. prior to the procedure?
answer
Aspirin
question
The nurse is assisting the physician with a gastric acid stimulation test for a patient. What medication should the nurse prepare to administer subcutaneously to stimulate gastric secretions?
answer
Pentagastrin
question
What helps convert protein into amino acids?
answer
Tryspin
question
What facilitates the production of dextrins and maltose?
answer
Amylase.
question
What digests protein and helps form polypeptides?
answer
Pepsin
question
What digests carbohydrates and helps form fructose?
answer
Sucrase
question
Glucose is a product of which enzyme's action?
answer
Maltase.
question
What helps form galactose?
answer
Lactase.
question
The nurse is performing an assessment for a patient who presents to the clinic with a lip lesion. The lesion is erythemic, is fissuring, and has white hyperkeratosis. What does the nurse suspect that these findings are characteristic of?
answer
Actinic cheilitis
question
A patient is experiencing painful, inflamed, and swollen gums, and when brushing the teeth, the gums bleed. What common disease of the oral tissue does the nurse understand these symptoms indicate?
answer
Gingivitis.
question
The nurse is caring for a patient after drainage of dentoalveolar or periapical abscess. What should the care of the patient include in the postoperative phase?
answer
Soft diet after 24 hours. External heat by pad or compress to hasten the resolution of the inflammatory swelling. Warm saline mouthwashes every 2 hours while awake.
question
A patient complains about an inflamed salivary gland below his right ear. The nurse documents probable inflammation of which gland?
answer
Parotid.
question
An older adult patient who has been living at home alone is diagnosed with parotitis. What causative bacteria does the nurse suspect is the cause of the parotitis?
answer
Staphylococcus aureus
question
A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. What are in the oral cavity would the nurse examine?
answer
Buccal mucosa next to the upper molars
question
The nurse is obtaining a history on a patient who comes to the clinic. What symptom described by the patient is one of the first symptoms associated with esophageal disease?
answer
Dysphagia.
question
A patient tells the nurse that it feels like food is "sticking" in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate?
answer
Achalasia.
question
What are ulcerated and painful white papules?
answer
Lichen planus
question
What is a reddened area or rash associated with itching?
answer
Contact dermatitis.
question
What are painful, inflamed, swollen gums?
answer
Gingivitis.
question
What is a white overgrowth of the horny layer epidermis?
answer
Actinic cheilitis
question
What is a shallow ulcer with a red border and white or yellow center?
answer
Canker sore.
question
What are hyperkeratotic white patches usually in the buccal mucosa?
answer
Leukoplakia.
question
What are reddened circumscribed lesions that ulcerates and becomes encrusted?
answer
Chancre.
question
What are white patches with rough, hairlike projections usually found on the tongue?
answer
Hairy leukoplakia
