WITH REVIEWED CORRECT
ANSWERS LATEST UPDATE
What does the upper GI include? - Answer-esophagus, stomach and duodenum
Where is majority of food digested? - Answer-small intestine
What does the barium swallow/upper GI series look for? - Answer-ulcers, tumors, hiatal
hernias, scarring blockages esophageal damage (often times caused by GERD-
gastroesophageal reflux disease
How to perform barium swallow? - Answer-swallow barium (contrast contains iodine so
confirm there is no shellfish allergy), visualize contrast via XRAY (make sure your
patient is not pregnant), can lead to constipation after so increase fluid intake, once
stool passes could be white or grey due to contrast. if barium not eliminated in 1-2 days
give a laxative
What does an endoscopy look for? - Answer-passes through the mouth and visualizes
the stomach. is prescribed for pts w/ difficulty swallowing, vomiting, bleeding, gastric
reflux (GERD), abdominal pain, chest pain (can be caused by GERD)
What is urinary incontinence? - Answer-involuntary leakage of urine
What is stress incontinence? - Answer-the loss or leaking of urine during exercise,
sneezing, laughing, coughing, or when lifting something heavy
What is urge incontinence? - Answer-sudden urge to void, and cannot hold it. can
happen during sleep
What is overflow incontinence? - Answer-unexpected leakage of small amounts
because bladder is full
What is religion? - Answer-systematic and routine/organized. the structure of spirituality
What is spirituality? - Answer-the searching for the meaning of life. affects behavior
which affects decisions
When to assess spirituality? - Answer-during whole stay but ESPECIALLY after change
in diagnosis (cancer, etc.), before any major procedures
, Who do you typically consent before major procedures/decisions? - Answer-elders,
chaplains, higher authority, etc. patriarchal
Males want male providers - Answer-females want female providers
What to do when patient has routines regarding religion? - Answer-allow them space
and time for their practices
How to face stereotypes? - Answer-educate yourself on their religion
What do you do when their spirituality is against your beliefs or you don't feel
comfortable with it? - Answer-ask another nurse, get a family member, call the chaplain
(but always ask the patient first, don't bring the chaplain without getting permission)
What must the translator be? - Answer-licensed
What to do if the patient has medallions or religious articles on prior to procedure? -
Answer-educate them on why they can't wear it (ie metal in MRI), ask them what their
wishes are and respect their decisions
What to do during emergencies or difficult times for family members? - Answer-keep
patient updated, utilize a translator if needed, stay with family, offer to call family
members or religious leader (chaplain etc.)
What is spiritual distress? - Answer-a disturbance in a persons belief system. approved
nursing diagnosis, defined as- a disruption in the life principle that pervades a persons
entire being and that integrates and transcends ones biological and physiological nature
What can you collaborate on with the patient? - Answer-care plan, can not interpret lab
values (considered education)
describe the vastus lateralis IM injection site - Answer-place one hand above the patella
and place one hand below the greater trochanter. give injection in the middle lower side
of the thigh closer to where your thumbs meet
describe the ventral gluteal IM injection site - Answer-place your non-dominant hands
palm on the greater trochanter with the thumb pointing towards the pubis, the index
finger on the anterior superior iliac spine, and the other 3 fingers on the iliac crest. give
injection between the index finger and other 3 fingers
describe the deltoid IM injection site - Answer-find the acromion process and place
fingers 2-3 breadths below (base of triangle), then draw an imaginary line at the
axilla(tip of triangle). Inject needle into the center of this triangle