Campus Collusion
Review Questions for Test Preparation

       
    

  



GI Questions 2Smeltzer (Med-Surg)

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 2
Skip Navigation Links
Question Answer
Roberta is caring for a patient who has IBD. She overhears her patient ordering a lunch of pasta, garlic bread, and crackers. Is this an appropriate diet?
Show Answer
No, the patient should be on a high protein, high fat, and low fiber (less residual).
Why are vitamin B12 injections necessary for Crohn's disease?
Show Answer
Because the SI becomes so damaged it cannot absorb it.
In toxic megacolon, what is the problem?
Show Answer
Happens in ulcerative colitis. The colon is dilated so much it becomes paralyzed - risk for perforation
With Crohn's disease, 1/3 of the patients will develop?
Show Answer
Fistulas
The nurse is assisting with a colonoscopy. Which medication should she anticipate administering if one is needed?
Show Answer
Versed (conscious sedation) or Valium for anxiety
Matilda is going for a colonoscopy and is very worried she will have to put her legs in the "stirrups." What would you tell her as her nurse?
Show Answer
That she will actually be lying on her left side with her knees to her chest
A standard procedure for scopes are to keep the patient NPO for at least 6 hrs before the test - NPO after midnight is best. What other sort of bowel preparations should the nurse do?
Show Answer
Laxatives like Dulcolax or Go-lytely or Fleet enemas
After Matilda returned from her colonoscopy, she exclaimed she was relieved that was over with, for she had a dinner party to go to tonight. What are something things about the after effects of a colonoscopy you should mention?
Show Answer
She should drink plenty of fluids, and warn her there may be increased flatulence because of the air instilled.
Elaborate on the following nursing interventions: - VS - Rectum
Show Answer
Vital signs will show any decrease in RR or increase in HR. The nurse must monitor the rectum for bleeding - assess stool, underwear, bed sheets, etc.
Why will there be decreased libido/impotence with h2 receptor antagonists?
Show Answer
They bind to the h2 receptor antagonists in the gentials
Download these questions to your phone here
What respiratory complications can result from h2 antagonists and PPIs?
Show Answer
RR complications like pneumonia because the decrease gastric acid will allow for bacterial colonization
Which antacids will cause constipation?
Show Answer
Al/Ca
Na antacids will cause ______. Mg _______
Show Answer
Fluid retention. Mg antacids will cause toxicity with renal impairments.
Zofran blocks ______. Compazine blocks _______
Show Answer
Zofran blocks serotonin in the CTZ and antagonizes receptors on the afferent vagal neurons from the GI to CTZ. Compazine blocks the dopamine receptors
The side effects of Compazine are generally more severe than those of Zofran. These are?
Show Answer
EPS, hypotension, sedation, and other anticholinergic effects
Metamucil is a bulk forming laxative, which works by ___________
Show Answer
Softening and increasing bulk
Surfactant laxatives like Colace will decrease________
Show Answer
surface tension and allow more water to penetrate
Osmotics like Lactulose are hypertonic so they.....
Show Answer
Draw water into the intestine to increase the mass - stiiiiiimulate the peristalsis.
Senokot (stimulant laxatives) stimulate what?
Show Answer
Peristalsis
A nurse is assessing a patient in order to give them a laxative. She finds the patient has hyperactive bowel sounds around the ascending colon and hypoactive bowel sounds around the descending colon. Should she give the laxative?
Show Answer
NO. These findings indicate there is an impaction/obstruction.
Loperamid (Imodium) are anti-diarrheals, because the activate the opiate receptors in the CNS. This results in?
Show Answer
Decreased motility and increased absorption of fluid and sodium
  
Page 2 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links