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CMSRN Exam. GI and Electrolytes-Fluids Questions and Answers 2024 $13.49   Add to cart

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CMSRN Exam. GI and Electrolytes-Fluids Questions and Answers 2024

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CMSRN Exam. GI and Electrolytes-Fluids

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  • September 22, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CMSRN
  • CMSRN
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julianah420
CMSRN Exam. GI and Electrolytes-
Fluids

GI - answer on-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 - answerpain
unexplained weight loss
change in eating/bowel habits
food intolerance
nausea
vomiting

right upper quadrant pain - answergallbladder

right lower quadrant pain - answerappendix

left upper quadrant pain - answerstomach

left lower quadrant pain - answerinflammatory bowel disease

flank pain - answerkidneys

GI system assessment - answerinspection: skin appearance and contour
auscultation: bowel sounds
palpation
percussion

,diagnostic labs for GI system - answerbilirubin
liver enzymes
pancreatic enzymes
H. pylori stool
contrast studies
angiography: assess perfusion
scopes: endoscopy, colonoscopy, sigmoidoscopy, ERCP
ultrasound

bilirubin - answerconjugated
unconjugated

liver enzymes - answerAST
ALT
albumin
PT

pancreatic enzymes - answerlipase
amylase
protease

contrast studies of GI system - answerupper and lower tract with small bowel follow
through

nursing consideration for contrast studies of the GI system - answerassess for allergy
adequate prep
NPO

nursing consideration for angiography of the GI system - answerassess for bleeding

nursing consideration for scopes of the GI system - answersedation considerations
return of swallow
need for biopsy

major complication from ERCP - answerpancreatitis

acid neutralizers - answercontain aluminum hydroxide and/or magnesium hydroxide

common acid neutralizers - answerMaalox
Amphogel
TUMS

side effect of acid neutralizer that contains magnesium - answerdiarrhea

side effect of acid neutralizer that contains aluminum - answerconstipation

, nursing consideration for acid neutralizers - answerpatients should take at least 1-2
hours after other medications
follow with 8 oz of water

proton pump inhibitors - answerblocks the H+K pump, which is the final pathway of HCL
production

common proton pump inhibitors - answerPrilosec
Prevacid
Protonix

side effects of proton pump inhibitors - answerincrease risk of gastric cancer, GI
infections, and C. diff

nursing consideration for proton pump inhibitors - answercan potentiate warfarin and
may also interact with antibiotics
should only use for 4-8 weeks
can decrease magnesium level

gastric motility stimulants - answerprokinetic agents that stimulate peristalsis to prevent
HCL reflux into the esophagus

common gastric motility stimulant - answerReglan

nursing considerations for gastric motility stimulants - answeradminister 30 minutes
before meals

side effects of gastric motility stimulants - answerCNS changes
dry mouth
hypotension
tachycardia

three lobes of stomach - answerfundus
body
pylorus

stomach - answerabsorption is minimal
secretes HCL and enzymes

gastroesophageal reflux disease description - answerbackflow of acid and stomach
contents into the esophagus
leads to inflammation
25-35% incidence in the US

GERD risk facotrs - answerhiatal hernia

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