WorksheetsGI Health Alterations
Total questions: 11
Worksheet time: 6mins
Pt has a gastric ulcer and H.pylori infection. Is being treated with triple therapy (clarithromycin, omeprazole, amoxicillin). Pt asks why omeprazole is necessary. Best response regarding omeprazole?
it will help decrease the acid in your stomach and help prevent recurrence of ulcer
it is a potent antibiotic that will help eliminate the h.pylori infection.
it dissolves in the stomach and coats the ulcer to heal it faster.
it helps control diarrhea that can result from triple therapy.
Which is appropriate to teach pt with dx of irritable bowel syndrome?
increase intake of foods such as broccoli and cabbage
drink more fluids with caffeine and fructose
increase fiber gradually to 25 g per day
decrease exercise to avoid fluid losses
What instructions should you give your patient after completing an upper GI series with barium?
sit in bed with HOB elevated to allow barium to pass through
you may have stools that are darker in appearance for a few days
you should not eat or drink anything for 6 hours following the test
you should drink plenty of fluids after the test
Which pt is at highest risk of developing colorectal cancer?
55 y.o. woman whose father had colon cancer
45 y.o. with irritable bowel syndrome
33 y.o. who drinks 4 cups of coffee daily
70 y.o. man with peptic ulcer disease
What assessment data would support a nurses suspicions that a 2 day post op colon resection pt may have peritonitis?
crackles with lung assessment
abdominal muscle rigidity
WBC count of 4,000nL
serosanguineous drainage
Which class of drugs is most useful in the treatment of ulcerative colitis and crohn's disease?
opioids
corticosteroids
cephalosporins
proton pump inhibitors
When caring for a newborn with Hirschsprung Disease, the nurse observes for which assessment finding?
passage of chalky meconium stool
passage of bloody meconium stool
failure to pass meconium stool
umbilical hernia
A pt is admitted with dx acute pancreatitis. The nurse knows tx will include which of the following (select all that apply)
a high protein diet to aid healing
NPO status with IV fluid hydration
monitoring of amylase and lipase levels
use of pain medication to provide pt comfort
monitoring blood glucose levels
Pt is admitted for observation post colonoscopy with polyp removal. Which conditions should the nurse contact the provider? (select all that apply)
rigid abdomen
passing of flatus
hypoactive bowel sounds
absent bowel sounds
blood tinged stools
Which finding would the nurse associate with the malabsorption of fat?
Steatorrhea
increased gastric emptying
constipation
pallor
Which of the following is true of Crohn's Disease?
The disease can be cured with removal of the colon
it frequently occurs in people over 65
It always causes colorectal cancer
It can lead to significant growth impairment in children
