NUR350 GI System Exam Questions And Correct
Answers Latest Update
What is bariatric surgery? -Answer Surgery that alters the gut of a patient in the attempt
to reduce patient weight. Improves quality of life for most.
What is the criteria for a bariatric surgery? -Answer -BMI 35kg
-one or more conditions such as T2D, HTN, sleep apnea, heart failure, or liver failure
What is preoperative care for bariatric surgery? -Answer -assess if pt needs cpap
What are possible complications of bariatric surgery? - Answer - GI leaks
- gastric remnant distention
- ulcers
- gallstones
- hernias
What are clinical manifestations of obesity? - Answer -snoring (thorastic pressure)
-trouble sleepiny (thorastic pressure)
What are possible complications of obesity? - Answer - sleep apnea
Special considerations for bariatric surgery - Answer -pain management
- start on a low sugar diet, clear liquids for 24 hrs
- start 15mL every 10 to 15 min, if no nausea, progress gradually to 90mL every 30 min.
TID
,- not to gulp, should sip with straw, avoid air swallowing
What do we supplement those who have undergone gastric bypass? Answer
multivitamin with iron, and calcium an vitamin B12
what is dumping syndrome caused by? Answer - the stomach content dumps into the
small intestine too fast
after recovery phase, when they start getting appetite back
- they may have not changed their habit
- bariatric surgery
What are the clinical manifestations of dumping syndrome? - Answer - epigastric
fullness
- weakness
- dizziness
- tachycardia
- abdominal cramping
- vertigo
- diphoresis
What is the post operative considerations for those after a gastric bypass? - Answer -
respiratory -> apnea, anesthesia, the tissues during surgery hold the medication
(propoful, versed)
continuous pulse ox -> pt may resedate due to amount of medication stuck in tissues.
What is the top priority assessment for a patient who has had a bariatric surgery or
gastric bypass? - Answere respiratory
What do we want to make sure we have available for a pt with sleep apnea post these
surgeries? - Answer cpap machine
, Diet for bariatric surgery-Answer Clear liquids and gradually increase to full liquids then
puree then real food. Eat slowly.
What is peptic ulcer disease? -Answer Erosion of GI mucosa resulting from digestive
action of HCl acid and pepsin. Ulcers.
What are clinical manifestations of PUD? -Answer -black tarry stools
-stomach pain
-vomiting
-coffee ground emesis
What are the diagnostics for PUD? -Answer- stool sample -> occult blood
-upper GI endoscopy
-biopsy
What lab do we want to focus on for those with PUD? -Answer- hemoglobin (assess for
anemia, possible bleeding, and decreased 02)
-CBC
-liver enzyme serum amylase
What are the major risk factor for PUD? -Answer h.pylori (succeptible to ulcers) & stress
What is pantoprazole (Protonix)? -Answer proton pump inhibitor, give alone (1hr)
What is gastritis? -Answer inflammation of the gastric mucosa
- acute or chronis
Answers Latest Update
What is bariatric surgery? -Answer Surgery that alters the gut of a patient in the attempt
to reduce patient weight. Improves quality of life for most.
What is the criteria for a bariatric surgery? -Answer -BMI 35kg
-one or more conditions such as T2D, HTN, sleep apnea, heart failure, or liver failure
What is preoperative care for bariatric surgery? -Answer -assess if pt needs cpap
What are possible complications of bariatric surgery? - Answer - GI leaks
- gastric remnant distention
- ulcers
- gallstones
- hernias
What are clinical manifestations of obesity? - Answer -snoring (thorastic pressure)
-trouble sleepiny (thorastic pressure)
What are possible complications of obesity? - Answer - sleep apnea
Special considerations for bariatric surgery - Answer -pain management
- start on a low sugar diet, clear liquids for 24 hrs
- start 15mL every 10 to 15 min, if no nausea, progress gradually to 90mL every 30 min.
TID
,- not to gulp, should sip with straw, avoid air swallowing
What do we supplement those who have undergone gastric bypass? Answer
multivitamin with iron, and calcium an vitamin B12
what is dumping syndrome caused by? Answer - the stomach content dumps into the
small intestine too fast
after recovery phase, when they start getting appetite back
- they may have not changed their habit
- bariatric surgery
What are the clinical manifestations of dumping syndrome? - Answer - epigastric
fullness
- weakness
- dizziness
- tachycardia
- abdominal cramping
- vertigo
- diphoresis
What is the post operative considerations for those after a gastric bypass? - Answer -
respiratory -> apnea, anesthesia, the tissues during surgery hold the medication
(propoful, versed)
continuous pulse ox -> pt may resedate due to amount of medication stuck in tissues.
What is the top priority assessment for a patient who has had a bariatric surgery or
gastric bypass? - Answere respiratory
What do we want to make sure we have available for a pt with sleep apnea post these
surgeries? - Answer cpap machine
, Diet for bariatric surgery-Answer Clear liquids and gradually increase to full liquids then
puree then real food. Eat slowly.
What is peptic ulcer disease? -Answer Erosion of GI mucosa resulting from digestive
action of HCl acid and pepsin. Ulcers.
What are clinical manifestations of PUD? -Answer -black tarry stools
-stomach pain
-vomiting
-coffee ground emesis
What are the diagnostics for PUD? -Answer- stool sample -> occult blood
-upper GI endoscopy
-biopsy
What lab do we want to focus on for those with PUD? -Answer- hemoglobin (assess for
anemia, possible bleeding, and decreased 02)
-CBC
-liver enzyme serum amylase
What are the major risk factor for PUD? -Answer h.pylori (succeptible to ulcers) & stress
What is pantoprazole (Protonix)? -Answer proton pump inhibitor, give alone (1hr)
What is gastritis? -Answer inflammation of the gastric mucosa
- acute or chronis
