ADN 232 indigestion digestion test 4 UPDATED QUESTIONS AND
ACCURATE ANSWERS \VERIFIED 100% GRADED A+
Barium Study - Pre-Procedure NPO 8-12 hrs; clear-liquid diet; drink barium; explain that X-rays
are time-sensitive.
use of barium sulfate as a liquid contrast medium for
Barium study fluoroscopic or radiographic study of the digestive tract;
can show obstruction, tumors, ulcers, hiatal hernia, and
motility disorders, among other conditions
Barium Study - Post-Procedure Encourage lots of fluids to flush out barium and prevent
constipation.
EGD - Pre-Procedure Clear liquids; NPO 8-10 hrs; get consent; hold anticoagulants.
EGD visual examination of the esophagus, stomach, and duodenum
(esophagogastroduodenoscopy)
EGD - Post-Procedure Safety Keep NPO until gag reflex returns.
EGD - Temperature Check Check temp every 15-30 min for 1-2 hrs — sudden fever may
mean perforation.
NG Tube (Salem Sump) Used to suction and decompress the stomach or relieve
Purpose blockage.
NG Tube - Nursing Care Mark/document entry at nare; keep NPO; check bowel sounds
and distension; provide oral/nasal care.
NG Tube - Placement Check Verify with X-ray or pH testing before use.
Enteral Nutrition (G/J tube, Used when patient can't swallow; feeds go directly to GI tract.
Keofeed)
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Enteral Nutrition - Before Check residual (not for Keofed); flush with sterile water; inspect
Feeding skin around site.
Enteral Nutrition - Safety Keep HOB elevated 30-45° to prevent aspiration; discard
feedings after 24 hrs.
TPN - What It Is IV nutrition through a central line for severe GI issues or
malnutrition.
Change tubing and filter q 24 hrs; monitor glucose q 6
TPN - Nursing Care
hrs; never mix with other meds.
TPN - Glucose Checks TPN is high in sugar → monitor for hyper or hypoglycemia.
Dumping Syndrome - Cause Food moves too quickly from stomach to intestine (often after
gastric surgery).
Dumping Syndrome - Sweating, dizziness, cramping, diarrhea, fast heartbeat after
Symptoms meals.
Small meals; lie down after eating; limit fluids with meals;
Dumping Syndrome - Diet
avoid sugar and simple carbs.
GI Bleed - Warning Signs Black (tarry) stools = upper bleed; bright red = lower; low BP,
dizziness, pallor.
Monitor VS and urine output; give IV fluids/blood; check
GI Bleed - Nursing Care
H & H; prepare for EGD or surgery.
GI Bleed - Patient Teaching Avoid caffeine, alcohol, acidic foods, and spicy foods.
Verify order & consent; start IV with NS; double-check
Blood Transfusion - Before
Starting ID and blood type with 2 nurses.
Blood Transfusion - During Stay with patient 15-30 min; monitor for reaction (chills, fever,
rash).
Blood Transfusion - If Stop transfusion; keep line open with NS; call provider
Reaction Occurs immediately.
Blood Transfusion - Max Time Must finish within 4 hours of start time.
Inflammation of the stomach lining often caused by
Gastritis - Definition
alcohol, NSAIDs, or H. pylori infection.
Gastritis - Key Symptoms Stomach pain, nausea, vomiting, and possible blood in vomit or
stool.
NPO at first to rest stomach; advance to clear liquids
Gastritis - Nursing Care
as tolerated; avoid irritants; monitor stools.
Gastritis - Medications PPI, 2 antibiotics, and an antacid if H. pylori positive.
Peptic Ulcer Disease - Cause Stomach acid and pepsin eat away the stomach or duodenum
lining.
Peptic Ulcer Disease - Burning stomach pain, worse when empty; nausea; vomiting;
Symptoms bloating.
Peptic Ulcer Disease - Bleeding, perforation (severe pain, rigid belly), or obstruction.
Complications
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