NURS319 Exam 3: GI EXAM 2024
GRADED A
why would a patient need enteral nutrition? - answer-✔they have a functioning GI
tract bu are unable to get nutrition orally (d/t safety, or physically unable)
what is the safety precautions for those receiving EN? - answer-✔check for
dislodged tubing
ensure HOB is elevated 30-45 degrees 30-60 after feeding to prevent aspiration
check placement/patency (X-ray, aspirating contents)
med admin: crushed meds, warm tap water
assess bowel sounds
what is the nursing management for barium swallow? - answer-✔drinking contrast,
ensure pt can swallow
NPO, no smoking after midnight
fluids and laxatives after to excrete barium
white stool up to 72 hr
what is the nursing management for barium enema? - answer-✔laxatives and
enemas before to keep clear of stool
clear liquid diet the night before, NPO for 8hr
educate about receiving enema, cramping, urge to defecate, different positions on
the tilt table
fluids and laxatives after to excrete barium
white stool up to 72 hr
, what is the side effect of RYGB? - answer-✔dumping syndrome: gastric contents
empty too rapidly into the small intestine and overwhelming the ability to digest
nutrients
Sx: N/V, weakness, sweating, faintness
what is the nursing management for RYGB? - answer-✔low sugar clear liquid
15 mL q10-15min, increase to 90 mL q30min
multivitamins: Ca, D, B12, high protein, low carb
who is at risk for oral cancer? - answer-✔people over 35 (typically diagnosed at
65)
more common in men than women
hx of: tobacco, alcohol, tobacco
has an outdoor occupation, fx sunlight exposure, poor oral hygiene, HPV
what is the nursing management for pt w/ oral cancer? - answer-✔patent airway
pain relief or discomfort
adequate nutrition
able to communicate (writing, yes/no ?/white board)
who is at risk for esophageal cancer? - answer-✔men 65-75
people who smoke, consume excess alcohol, obese, barrets esophagus
what are the causes of PUD? - answer-✔H.pylori
NSAIDs
GRADED A
why would a patient need enteral nutrition? - answer-✔they have a functioning GI
tract bu are unable to get nutrition orally (d/t safety, or physically unable)
what is the safety precautions for those receiving EN? - answer-✔check for
dislodged tubing
ensure HOB is elevated 30-45 degrees 30-60 after feeding to prevent aspiration
check placement/patency (X-ray, aspirating contents)
med admin: crushed meds, warm tap water
assess bowel sounds
what is the nursing management for barium swallow? - answer-✔drinking contrast,
ensure pt can swallow
NPO, no smoking after midnight
fluids and laxatives after to excrete barium
white stool up to 72 hr
what is the nursing management for barium enema? - answer-✔laxatives and
enemas before to keep clear of stool
clear liquid diet the night before, NPO for 8hr
educate about receiving enema, cramping, urge to defecate, different positions on
the tilt table
fluids and laxatives after to excrete barium
white stool up to 72 hr
, what is the side effect of RYGB? - answer-✔dumping syndrome: gastric contents
empty too rapidly into the small intestine and overwhelming the ability to digest
nutrients
Sx: N/V, weakness, sweating, faintness
what is the nursing management for RYGB? - answer-✔low sugar clear liquid
15 mL q10-15min, increase to 90 mL q30min
multivitamins: Ca, D, B12, high protein, low carb
who is at risk for oral cancer? - answer-✔people over 35 (typically diagnosed at
65)
more common in men than women
hx of: tobacco, alcohol, tobacco
has an outdoor occupation, fx sunlight exposure, poor oral hygiene, HPV
what is the nursing management for pt w/ oral cancer? - answer-✔patent airway
pain relief or discomfort
adequate nutrition
able to communicate (writing, yes/no ?/white board)
who is at risk for esophageal cancer? - answer-✔men 65-75
people who smoke, consume excess alcohol, obese, barrets esophagus
what are the causes of PUD? - answer-✔H.pylori
NSAIDs
