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CMSRN Exam GI and Electrolytes-Fluids- Questions and Answers
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CMSRN Exam GI and Electrolytes-Fluids- Questions and Answers
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CMSRN Exam: GI and Electrolytes-Fluids- Questions and Answers
GI - Answer -non-sterile tube system
function to supply nutrients to body cells through ingestion, digestion, and absorption
GI system accessory organs - Answer -liver
pancreas
biliary system
salivary glands
GI system main organs - Answer -esophagus
stomach
small and large intestines
nursing assessment for GI system - Answer -history/family history
eating habits
surgeries
medications
social history
GI system symptoms - Answer -pain
unexplained weight loss
change in eating/bowel habits
food intolerance
nausea
vomiting
right upper quadrant pain - Answer -gallbladder
right lower quadrant pain - Answer -appendix
left upper quadrant pain - Answer -stomach
left lower quadrant pain - Answer -inflammatory bowel disease
flank pain - Answer -kidneys
GI system assessment - Answer -inspection: skin appearance and contour
,auscultation: bowel sounds
palpation
percussion
diagnostic labs for GI system - Answer -bilirubin
liver enzymes
pancreatic enzymes
H. pylori stool
contrast studies
angiography: assess perfusion
scopes: endoscopy, colonoscopy, sigmoidoscopy, ERCP
ultrasound
bilirubin - Answer -conjugated
unconjugated
liver enzymes - Answer -AST
ALT
albumin
PT
pancreatic enzymes - Answer -lipase
amylase
protease
contrast studies of GI system - Answer -upper and lower tract with small bowel follow
through
nursing consideration for contrast studies of the GI system - Answer -assess for allergy
adequate prep
NPO
nursing consideration for angiography of the GI system - Answer -assess for bleeding
nursing consideration for scopes of the GI system - Answer -sedation considerations
return of swallow
need for biopsy
major complication from ERCP - Answer -pancreatitis
acid neutralizers - Answer -contain aluminum hydroxide and/or magnesium hydroxide
common acid neutralizers - Answer -Maalox
Amphogel
TUMS
, side effect of acid neutralizer that contains magnesium - Answer -diarrhea
side effect of acid neutralizer that contains aluminum - Answer -constipation
nursing consideration for acid neutralizers - Answer -patients should take at least 1-2
hours after other medications
follow with 8 oz of water
proton pump inhibitors - Answer -blocks the H+K pump, which is the final pathway of
HCL production
common proton pump inhibitors - Answer -Prilosec
Prevacid
Protonix
side effects of proton pump inhibitors - Answer -increase risk of gastric cancer, GI
infections, and C. diff
nursing consideration for proton pump inhibitors - Answer -can potentiate warfarin and
may also interact with antibiotics
should only use for 4-8 weeks
can decrease magnesium level
gastric motility stimulants - Answer -prokinetic agents that stimulate peristalsis to
prevent HCL reflux into the esophagus
common gastric motility stimulant - Answer -Reglan
nursing considerations for gastric motility stimulants - Answer -administer 30 minutes
before meals
side effects of gastric motility stimulants - Answer -CNS changes
dry mouth
hypotension
tachycardia
three lobes of stomach - Answer -fundus
body
pylorus
stomach - Answer -absorption is minimal
secretes HCL and enzymes
gastroesophageal reflux disease description - Answer -backflow of acid and stomach
contents into the esophagus
leads to inflammation
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