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RNSG 1443 – Gastrointestinal Questions With Complete Solutions
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RNSG 1443 – Gastrointestinal Questions With Complete Solutions
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RNSG 1443 – Gastrointestinal QuestionsWith Complete Solutions
How can oral cancer be prevented? Correct Answer Education
How do Sulfasalazine (Azulfidine) and Mesalamine (Asacol)
work? Correct Answer Decreases GI inflammation through
direct contact with bowel mucosa
How does Remicade (Infliximab) work? Correct Answer
Suppresses immune function by Inhibiting the cytokine tumor
necrosis factor (TNF)
How is esophageal cancer diagnosed? Correct Answer Biopsy
Endoscopic Ultrasonography (EUS)- to stage the cancer
Barium Swallow- shows narrowing
CT, MRI - shows mets
How is oral cancer diagnosed? Correct Answer Biopsy
If a TPN bag is empty and a new bag is not yet available, what
do you do? Correct Answer If Central line - Hang a bag of D10
until new bag arrives
If peripheral line - Hang D5 until new bag arrives
What are common dietary restrictions in a patient with IBD?
Correct Answer Avoid dairy, fried food, high fat and high fiber-
these may cause more diarrhea
May need a diet high in calories and nutrients, and lactose free
allowing the more distal bowel to rest
, What are common drug therapies for IBD? Correct Answer
*Aminosalicylates:*
sulfasalazine (Azulfidine)--suppresses inflammation
*Antimicrobials:*
Flagyl, Cipro
*Corticosteroids:*
Prednisone. Helps with remission and acute flare-ups but not for
long-term.
*Immunosuppressants*
Methotrexate
*Biologic and targeted therapy-immunogenic*
What are complications of IBD? Correct Answer Hemorrhage,
strictures, perforation with peritonitis, fistulas
Nutritional problems - Crohn's
Colorectal cancer - Ulcerative Colitis
What are malabsorption syndromes? Correct Answer Inability
to absorb nutrients, fats, carbohydrates, vitamins, etc
What are nursing considerations for lactase deficiency? Correct
Answer Avoid milk and milk products or replace the lactase
Watch for calcium deficiency
What are polyps? Correct Answer A growth in the colon that
can lead to cancer, (5-10% chance that cancer will develop)
What are post-operative complications for a patient with
stomach cancer? Correct Answer Dumping syndrome
Postprandial hypoglycemia
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