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Exam (elaborations)

NSG 320 GI SYSTEM QUESTIONS WITH CORRECT ANSWERS

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NSG 320 GI SYSTEM QUESTIONS WITH CORRECT ANSWERS

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Crohns disease classic sign


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granulomas


bumps and lumps all around the small intestine

,A patient was admitted with epigastric pain because of a gastric ulcer. Whic patient
assessment warrants an urgen change in the nursing plan of care


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Back pain 3 or 4 hours after eating a meal


Chest pain relieved with eating or drinking water

Burning epigastric pain 90 minutes after breakfast


Rigid abdomen and vomiting following indigestion- indicates perforation of
the ulcer




paraoesophageal or rolling hernia


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Fundus and greater curvature of stomach roll up through
diaphragm, forming a pocket alongside the esophagus

Paraoesophageal junction remains in normal position

Acute paraoesophageal hernia is a medical emergency




A patient is planned for discharge home today after ostomy surgery for colon cancer.
The nurse should assign the patient to which staff member?


A nursing assistant on the unit who also has hospice experience


A licensed practical nurse that has worked on the unit for 10 years

,A registered nurse with 6 months of experience on the surgical unit


A registered nurse who has floated to the surgical unit from pediatrics


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A registered nurse with 6 months of experience on the surgical unit

The patient needs ostomy care directions and reinforcement at discharge
and should be assigned to a registered nurse with experience in providing
discharge teaching for ostomy care. Teaching should not be delegated to a
licensed practical/vocational nurse or unlicensed assistive personnel.




The nurse should administer an as-needed dose of magnesium citrate after noting
what information when reviewing a patients medical record?


Abdominal pain and bloating


No bowel movement for 3 days


A decrease in appetite by 50% over 24 hours


Muscle tremors and other signs of hypomagnesemia


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No bowel moevement for 3 days

Magnesium citrate is an osmotic laxative that produces a soft, semisolid
stool usually within 15 minutes to 3 hours. This medication would benefit the
patient who has not had a bowel movement for 3 days. It would not be
given for abdominal pain and bloating, decreased appetite, or signs of
hypomagnesemia.

, Adhesion Obstruction


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Loop of intestine becomes adherent to area that heals slowly or scar after
ABD surgery




Peptic ulcer disease is


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erosion of the GI mucosa from the action of HCL (hydrochloric acid)




Hernia patients should not take


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big bites of food


they should choose their foods carefully




Ulcerative colitis


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