RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
1. define nausea feeling of discomfort in epigastric area; need to vomit
2. define emesis (vomiting) forceful ejection of partially digested food and secretions
3. many causes GI disorders or infections; CNS disorders; CV problems;
for vomiting pregnancy; en- docrine/metabolic disorders; side ettects of
includ- ing medications, anesthesia, or chemotherapy; psychologic factors;
or motion
4. vomiting reflex Stimuli from GI tract, kidneys, heart, or brain send impulses via
atterent pathways to receptors in medulla (vomiting center) to initiate
vomiting reflex. Complex act involving several structures
5. vomiting- stimuli from drugs, toxins, and motion; activates ANS:
Chemorecepto
r trigger
zone (CTZ)
in
brainstem
responds
to SNS- tachycardia, tachypnea, diaphoresis
6. ANS results PNS- Relaxes LES, increased gastric motility, increased saliva
from vomiting
7. N/V goals ID and treat cause and complications- provide relief
8. Drugs for Anticholinergic, Antihistamines, Cannabinoids, Corticosteroids,
vomit- ing (Serotonin) Antagonists, Phenothiazines,
Prokinetics, Substance P/ neurokinin-1 receptor antagonist
9. clinical
Anorexia
manifes-
Weight loss Prolonged:
tations of
Ø Fluid and electrolyte
vomit- ing
1/
82
,RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
i is
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c
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s
2/
82
,RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
Ø Decreased plasma
volume Ø Circulatory
failure
10. N/V assessment Identify source, timing, characteristics
11. partially digested gastric outlet obstruction or delayed
vomit can mean that can help with N/V
12. fecal odor in
bile can mean
13. bile in vomit
can mean
14. bright red
blood in the
vomit can
mean
15. coffee
ground
texture in the
vomit can
mean
16. is a large
com- plication
with vomiting.
Make sure the
patient is
drinking:
17. supple-
ments/oils
3/
82
, RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
obstruction below pylorus
obstruction below ampulla of Vater
active bleeding (Mallory-Weis, varices, ulcer, cancer)
gastric bleeding
dehydration
Clear liquids; sips of *water every 15 to 20 minutes
ginger and peppermint
18.
4/
82
questions with 100% complete solutions graded A+
1. define nausea feeling of discomfort in epigastric area; need to vomit
2. define emesis (vomiting) forceful ejection of partially digested food and secretions
3. many causes GI disorders or infections; CNS disorders; CV problems;
for vomiting pregnancy; en- docrine/metabolic disorders; side ettects of
includ- ing medications, anesthesia, or chemotherapy; psychologic factors;
or motion
4. vomiting reflex Stimuli from GI tract, kidneys, heart, or brain send impulses via
atterent pathways to receptors in medulla (vomiting center) to initiate
vomiting reflex. Complex act involving several structures
5. vomiting- stimuli from drugs, toxins, and motion; activates ANS:
Chemorecepto
r trigger
zone (CTZ)
in
brainstem
responds
to SNS- tachycardia, tachypnea, diaphoresis
6. ANS results PNS- Relaxes LES, increased gastric motility, increased saliva
from vomiting
7. N/V goals ID and treat cause and complications- provide relief
8. Drugs for Anticholinergic, Antihistamines, Cannabinoids, Corticosteroids,
vomit- ing (Serotonin) Antagonists, Phenothiazines,
Prokinetics, Substance P/ neurokinin-1 receptor antagonist
9. clinical
Anorexia
manifes-
Weight loss Prolonged:
tations of
Ø Fluid and electrolyte
vomit- ing
1/
82
,RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
i is
m
b
a
l
a
n
c
e
s
Ø
A
c
i
d
o
s
i
s
o
r
a
l
k
a
l
o
s
2/
82
,RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
Ø Decreased plasma
volume Ø Circulatory
failure
10. N/V assessment Identify source, timing, characteristics
11. partially digested gastric outlet obstruction or delayed
vomit can mean that can help with N/V
12. fecal odor in
bile can mean
13. bile in vomit
can mean
14. bright red
blood in the
vomit can
mean
15. coffee
ground
texture in the
vomit can
mean
16. is a large
com- plication
with vomiting.
Make sure the
patient is
drinking:
17. supple-
ments/oils
3/
82
, RNSG 1341 Exam 3 Common Concepts of Adult Health
questions with 100% complete solutions graded A+
obstruction below pylorus
obstruction below ampulla of Vater
active bleeding (Mallory-Weis, varices, ulcer, cancer)
gastric bleeding
dehydration
Clear liquids; sips of *water every 15 to 20 minutes
ginger and peppermint
18.
4/
82
