201 Med- //
Surge Exam 7 Questions With Correct Answers
// // // // // //
GI //Assessment //Techniques: //- //CORRECT //ANSWERS(S)✔✔*history: //
-health
-diet
-personal //& //family
-current //health //problems
*pain, //indigestion, //gas, //nausea, //changes //in //bowel //habit
*psychosocial: //stress, //nervous, //overwhelmed
Physical //Assessment: //- //CORRECT //ANSWERS(S)✔✔-mouth //& //pharynx
-abdomen
-assess //vital //signs //1st //in //emergency //situation //(bleeding) //hypovolemic //shock
Abdomen //assessment: //- //CORRECT //ANSWERS(S)✔✔-
inspect: //skin //changes, //scars, //contours, //symmetry, //distention //
-auscultate
-percussion //& //palpation: //tenderness, //swelling
What //are //nasogastric/nasoenteric //tube //feed //given //for? //- //CORRECT //ANSWERS(S)✔✔-
to /
/meet /
,//////////////////////////////////////////////////
/nutritional /
/requirements /
/when /
/oral /
/intake //is //inadequate //or //not //possible //so //long //as //the //GI //tract //is //functioning //normally
What //is //a //nasogastric //tube? //- //CORRECT //ANSWERS(S)✔✔-
feeding //delivered //directly //to //the //stomach
What //is //a //nasoenteric //tube? //- //CORRECT //ANSWERS(S)✔✔-
feeding //delivered //to //distal //duodenum //or //proximal //jejunum //
-
used /
/when //esophagus //and //stomach //need //to //be //bypassed //or //a //pt //has //a //risk //for //aspiration
What /
/do /
/you /
/do /
/when //nasogastric/nasoenteric //tubes //do //not //drain //properly? //- //CORRECT //ANSWERS(S)✔✔-
check //the //placement //& //irrigate
What //is //Total //Parenteral //Nutrition //(TPN)? //- //CORRECT //ANSWERS(S)✔✔-
method //of //supplying //nutrients //to //body
What //is //the //goal //of //TPN //therapy? //- //CORRECT //ANSWERS(S)✔✔-
to //attain //improved //nutritional //status, //weight //gain, //amend //improve //healing //ability
What //does //TPN //contain? //- //CORRECT //ANSWERS(S)✔✔-
H2O, //amino //acids, //glucose, //vitamins, //& //electrolytes //
,//////////////////////////////////////////////////
-approx. //1000 //cal //& //6g //nitrogen/L //of //TPN
Administering //TPN: //- //CORRECT //ANSWERS(S)✔✔-
initiate //& //discontinue //therapy //slowly //(rebound //hypoglycemia)
-central //line //for //administration
-aseptic //site //care
-dedicated //IV //line
What //is //gastrointestinal //intubation? //- //CORRECT //ANSWERS(S)✔✔-
insertion /
/of /
/short /
/or /
/long /
/flexible //rubber //or //plastic //tube //into //the //stomach //or //intestine //by //way //of //mouth //or //nose
What //is //gastrointestinal //intubation //used //for? //- //CORRECT //ANSWERS(S)✔✔-
decompression //of //stomach //
-lavage //stomach //and //remove //toxic //substances //
-diagnose //GI //motility //& //gastric //analysis //
-administer //meds //& //feedings
-treatment //for //obstruction //or //bleeding
Types //of //gastrostomy: //Stamm //- //CORRECT //ANSWERS(S)✔✔-temporary //& //permanent
-upper //middle //or //upper //left //quad //incision
Types //of //gastrostomy: //Janeway //- //CORRECT //ANSWERS(S)✔✔-Permanent
-upper //midline //or //upper //left //quad //incision
, //////////////////////////////////////////////////
Types /
/of /
/gastrostomy: //Percutaneous //Endoscopic //Gastrostomy //(PEG) //- //CORRECT //ANSWERS(S)✔✔-
placed //in //GI //(ENDO) //lab
Bulk //forming //laxatives: //Metamucil //- //CORRECT //ANSWERS(S)✔✔-
causes //colon //to //swell, //stimulation //of //peristalsis //
-for //diverticulosis
-need //lots //of //H2O
Lubricant //laxative: //mineral //oil //- //CORRECT //ANSWERS(S)✔✔-onset //6-8hrs
-soften //fecal //matter
-alter //absorption //of //nutrients //
-do //not //take //with //meals
Stimulant //laxatives: //dulcolax //- //CORRECT //ANSWERS(S)✔✔-onset //6-8hr
-irritates //colon //causing //increase //in //mucosal //secretions
-monitor //F&E
Fecal //Softener: //colace //- //CORRECT //ANSWERS(S)✔✔-
hydrates //stool //by //increasing //wetness //of //intestinal //of //intestinal //H2O
-no //laxative //action
*BEST