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A nurse is caring for a client admitted with a suspected malabsorption disorder. The nurse
knows that one of the accessory organs of the digestive system is the pancreas. What digestive
enzymes does the pancreas secrete? sATA - correct answer ✔✔Lipase, Amylase, Trypsin
How do you delay dumping syndrome? - correct answer ✔✔Assume low Fowler's after meals,
lie down for 20-30 minutes after meals, eat small frequent meals
What are symptoms of dumping syndrome? - correct answer ✔✔Feeling of fullness,
diaphoresis, dizziness, palpitations.
What are signs of a GI bleed? - correct answer ✔✔Tachycardia, hypotension, tachypnea
What are symptoms of a perforation? - correct answer ✔✔Tender and board-like abdomen
What is a perforation? - correct answer ✔✔Condition which untreated ulcer has burned
through mucosal wall in a segment of the GI tract allowing gastric contents to leak into
abdominal cavity.
Manifestation of gastritis may lead to which vitamin deficiency due to malabsorption? - correct
answer ✔✔Vitamin B12
parenteral vs enteral nutrition - correct answer ✔✔Parenteral nutrition - IV FEEDING
Enteral nutrition - TUBE FEEDING.
, How long can you hang a tube feeding in an open system? - correct answer ✔✔No longer than
4 hours to avoid bacterial contamination
How often do you check gastric residual volumes (GRV)? - correct answer ✔✔-Before
intermittent feedings
- Every 4-8 hours during continuous feedings
What is the order of assessment of the abdomen? - correct answer ✔✔Inspect, Auscultate,
Percussion, Palpation
Which 2 habits contribute to GI complications / cancers? - correct answer ✔✔Smoking: Gastric
cancer,
ETOH: Gastritis, Colorectal cancer
Smoking & ETOH: Erosion of mucous membranes of stomach, GERD - ETOH
Which of the following is true regarding the presence of polyps in the large bowel? - correct
answer ✔✔Polyps are considered a risk factor of cancer
When assessing a patient's stoma, it appears shiny and is a bright red color. How should the
nurse respond? - correct answer ✔✔Document that the stoma appears healthy and well
perfused.
A pt is going to get an abdominal CT w/ contrast. The nurse has administered IV sodium
bicarbonate and Mucomyst before the study. What would be the desired effect of this
medication? - correct answer ✔✔The client's BUN and creatinine levels are within reference
range following the CT
A pt has anxiety about the gastric contents coming out of the blue vent of the salem sump tube
the nurse has just inserted. What would the nurse do to prevent this from happening? - correct
answer ✔✔Keep the lumen above the client's waist