NRSE 3540 Adult Care 1 Final Exam – Questions
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Terms in this set (59)
GI Priority Symptoms Dysphagia
GI Bleeding
Persistent Vomiting
Unintentional Weight Loss
Severe Abd Pain
Guaiac-based Fecal Occult Blood Purpose:
Test (hemoccult) -Colorectal screening that looks for blood in the
stool
Pt Prep:
-avoid NSAIDS for 7 days
-avoid aspirin
-avoid vitamin c
-avoid red meat
,Barium Swallow Study Purpose:
Identifying hiatal hernias
Pre-Procedure:
-No eating/drinking after midnight before
procedure
Intra-procedure:
-Pt drinks Barium (thick, chalky, white substance)
-Take a series of X-rays to watch Barium move
through the mouth and esophagus
Post-Procedure:
-Increase fluids to help clear Barium
Pt Education:
-Stool will be white for 24-72 hours until barium
clears
,EGD Endoscopic procedure; tube inserted through
mouth
Purpose: Visual examination of the esophagus,
stomach, and duodenum
Can diagnose GERD
Pre-Procedure:
-avoid anticoagulants, aspirin, & other NSAIDS for 7
days prior
-NPO 6-8 hrs prior
-Remove any dentures
-Pt receives a local anesthetic spray to suppress the
gag reflex
Post-Procedure:
-VS Q15 until sedation wears off
-Side rails up to prevent falls r/t sedation
-Pt MUST remain NPO until gag reflex returns
************
PRIORITY Nursing Responsibilities:
-Prevent Aspiration!!! Absolutely no fluids or food
by mouth until the gag reflex has returned!!
Pt Education:
-Do not drive 12-18 hours post-procedure
-May have a hoarse voice or sore throat for a few
days
Complications w/ Interventions:
-Perforation
-Pain
-Bleeding
-Infection
, Small Bowel Capsule Endoscopy Purpose:
-provides a view of the small intestine to diagnose
Crohns Disease
Pt Prep:
-pt ingests a small capsule w/ camera that travels
through the small intestine
-NPO at least 12 hr prior
-NPO for first 2 hrs of test, then drink clear liquids
-After 4 hrs a light lunch
Pt Education:
-avoid vigorous activity
-lasts about 8 hrs
-excreted in stool
Colonoscopy Purpose:
Examination of the entire large bowel
Begin at age 45; repeats every 10 years
Pre-Procedure:
-avoid aspirin, anticoagulants, antiplatelets
-bowel prep: lax, suppositories, cleansing/fleet
enemas
-clear liquids day before: avoid red, orange, or
purple beverages/gelatin
-NPO after midnight
Post-Procedure:
-VS Q15
-NPO until sedation wears off
-lay on left side to promote comfort and flatulence
Report excessive bleeding and severe pain to
provider
Complications:
-perforation: severe pain and guarding
-hemorrhage: rapid drop in BP/tachycardia
With Reliable Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (59)
GI Priority Symptoms Dysphagia
GI Bleeding
Persistent Vomiting
Unintentional Weight Loss
Severe Abd Pain
Guaiac-based Fecal Occult Blood Purpose:
Test (hemoccult) -Colorectal screening that looks for blood in the
stool
Pt Prep:
-avoid NSAIDS for 7 days
-avoid aspirin
-avoid vitamin c
-avoid red meat
,Barium Swallow Study Purpose:
Identifying hiatal hernias
Pre-Procedure:
-No eating/drinking after midnight before
procedure
Intra-procedure:
-Pt drinks Barium (thick, chalky, white substance)
-Take a series of X-rays to watch Barium move
through the mouth and esophagus
Post-Procedure:
-Increase fluids to help clear Barium
Pt Education:
-Stool will be white for 24-72 hours until barium
clears
,EGD Endoscopic procedure; tube inserted through
mouth
Purpose: Visual examination of the esophagus,
stomach, and duodenum
Can diagnose GERD
Pre-Procedure:
-avoid anticoagulants, aspirin, & other NSAIDS for 7
days prior
-NPO 6-8 hrs prior
-Remove any dentures
-Pt receives a local anesthetic spray to suppress the
gag reflex
Post-Procedure:
-VS Q15 until sedation wears off
-Side rails up to prevent falls r/t sedation
-Pt MUST remain NPO until gag reflex returns
************
PRIORITY Nursing Responsibilities:
-Prevent Aspiration!!! Absolutely no fluids or food
by mouth until the gag reflex has returned!!
Pt Education:
-Do not drive 12-18 hours post-procedure
-May have a hoarse voice or sore throat for a few
days
Complications w/ Interventions:
-Perforation
-Pain
-Bleeding
-Infection
, Small Bowel Capsule Endoscopy Purpose:
-provides a view of the small intestine to diagnose
Crohns Disease
Pt Prep:
-pt ingests a small capsule w/ camera that travels
through the small intestine
-NPO at least 12 hr prior
-NPO for first 2 hrs of test, then drink clear liquids
-After 4 hrs a light lunch
Pt Education:
-avoid vigorous activity
-lasts about 8 hrs
-excreted in stool
Colonoscopy Purpose:
Examination of the entire large bowel
Begin at age 45; repeats every 10 years
Pre-Procedure:
-avoid aspirin, anticoagulants, antiplatelets
-bowel prep: lax, suppositories, cleansing/fleet
enemas
-clear liquids day before: avoid red, orange, or
purple beverages/gelatin
-NPO after midnight
Post-Procedure:
-VS Q15
-NPO until sedation wears off
-lay on left side to promote comfort and flatulence
Report excessive bleeding and severe pain to
provider
Complications:
-perforation: severe pain and guarding
-hemorrhage: rapid drop in BP/tachycardia
