GI

Question 1

Ostomy patients should eat a diet with low residue at first which is easy to _____.

Answer 1

digest

Question 2

Ostomy patients should avoid smelly foods (fish, eggs, asparagus) or foods that cause _____ (dark green leafy vegetables, beer, soda, dairy).

Answer 2

gas

Question 3

Yogurt, crackers, and toast decrease _____.

Answer 3

gas.

Question 4

To prevent smell with ostomy patients eat buttermilk, cranberry juice and _______.

Answer 4

yogurt

Question 5

With ostomy patients you can place a ______ in the bag to help with the smell or empty frequently, rinse out bag.

Answer 5

mint

Question 6

The appearance of a stoma should be _____ and moist. If it is ______ it indicates a lack of blood flow.

Answer 6

pink

black

Question 7

Encourage a patient to look at their ______ site, empty and change their bag, can offer support groups outside of the hospital.

Answer 7

ostomy

Question 8

With a colostomy a portion of the ______ is removed (cancer or ischemic tissue) or part of the bowel needs _______ (diverticulitis, trauma)

Answer 8

bowel

rest

Question 9

With an _______ the entire colon is removed (ex: Crohn’s disease, ulcerative colitis)

Answer 9

ileostomy

Question 10

With a ______ colostomy, immediate post op small semi-liquid and some mucus 2-3 days after surgery; blood could be present. After several days-weeks the stool will become ______ or formed.

Answer 10

transverse

semi-formed

Question 11

With a ______ colostomy, immediate post op mucus with semi-formed stool 4-5 days after surgery.

Answer 11

sigmoid

Question 12

After an ileostomy the pt excretes ________ mL/day, can be liquid and bile colored.

Answer 12

1000

Question 13

After several days - weeks output will decrease to 500-1000 mL/day; become more _______ as the small intestine resumes the absorption of the large intestine.

Answer 13

paste-like

Question 14

A nurse is completing discharge teaching with a patient who is 3 days post op following a colostomy placement. Which of the following should the nurse include in the teaching?]

Mucus will be present in the stool for 5-7 days after surgery

Expect 500-1000 mL of semi liquid stool after 2 weeks

Stoma should be pink and moist

Change teh ostomy bag when its 3/4 full

Answer 14

A pink, moist stoma is an expected finding with a colostomy.

Question 15

The ostomy bag should be changed when it is ____ to ___ full.

Answer 15

1/4 to 1/2

Question 16

Hypertonic solution used to prevent or correct nutritional deficiencies and minimize the effects of ________.

Answer 16

malnourishment

Question 17

TPN should be administered through a _______.

Answer 17

central line (PICC)

Question 18

Partial Parenteral Nutrition (PPN) can be given through a peripheral IV and is usually for ______ use.

Answer 18

short term

Question 19

Important to get labs ________ to monitor electrolytes and nutritional status with TPN.

Answer 19

daily

Question 20

Rate of TPN must be gradually increased or decreased to prevent ______ or _______.

Answer 20

hypoglycemia or hyperglycemia

Question 21

TPN tubing and the bag should be changed every ______ hours to prevent infection

Answer 21

24

Question 22

A ______ is added to the end of the tubing to collect particles from the solution.

Answer 22

filter

Question 23

Do not add anything or use the line for other fluids or _______.

Answer 23

medications

Question 24

Glucose levels should be checked every _____ hours for at least the first 24 hours.

Answer 24

4-6

Question 25

TPN metabolic complications include hyper and hypoglycemia and ___________. Daily labs are needs to prepare the new bag for the day by pharmacy.

Answer 25

vitamin deficiencies

Question 26

TPN complication of is an _______. This could occur with bag/tubing changes.

Answer 26

air embolism

Question 27

Signs and Symptoms of an air embolism include chest pain, hypoxia, anxiety, and ________. If a patient experiences symptoms of air embolism, place the pat on left side to trap the air, call a rapid response, and administer O2.

Answer 27

air embolism

Question 28

Infection is a complication of TPN. When the concentrated glucose in the solution can breed ______. Monitor central line site, change dressing in sterile technique when appropriate, change bag and tubing every 24 hours and monitor the patient for a sign of _______.

Answer 28

infection

Question 29

Fluid imbalance is a _______ of TPN that can causes a risk for fluid volume excess. Older adults are more vulnerable to this. Assess lungs for crackles, monitor _____, and I &O. Do not ____ up the infusion, gradually increase the rate per orders.

Answer 29

complication daily weight I&O speed

Question 30

A nurse is planning care for a client who has a new order for TPN. Which of the following interventions should be included in the plan of care? Select all. A.Obtain a capillary blood glucose 4 times day. B. Administer prescribed medications through a secondary port on the TPN IV tubing. C. Monitor vital signs 3 times during the 12 hour shift D. Change the TPN tubing every 24 hours. E. Ensure a daily aPTT is obtained.

Answer 30

A, C, D

Question 31

G-tube is located in the ______.

Answer 31

stomach

Question 32

A G tube can be used for feeding or ___________.

Answer 32

gastric decompression

Question 33

A __________, when placed for decompression and feeding X-ray is needed to confirm placement and dr's order to use. NEVER CLAMP the blue air vent when hooked to suction!!!!! This allows air to flow through the tube to encourage it to suction.

Answer 33

g-tube

Question 34

A ______ is located in the Jejunum.

Answer 34

j-tube

Question 35

J-tubes are used for feeding and/or medications, not for ________.

Answer 35

decompression

Question 36

J-tube can be inserted nasal or _________ to be on abdomen.

Answer 36

surgically

Question 37

A Dobhoff tube is a type of J-tube that ALWAYS needs to ______ to confirm placement and doctor's order to use.

Answer 37

x-rays