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NCLEX Fast Facts-GI

AB
Take these meds with food, milk, or antacids to reduce GI upset - take lowest dose recommendedNSAIDs
Age group for 1) duodenal ulcer 2) gastric ulcer1) 30-60 years 2) over 50
Pathophysiology of 1) duodenal ulcer 2) gastric ulcer1) hypersecretion of stomach acid 2) normal or hyposecretion of stomach acid
Pain from 1) duodenal ulcer 2) gastric ulcer1) epigastric area 2-3 hours after meals but relieved by immediate intake of food 2) mid-epigastric 30 min to 1 hour after meals and increased by consumption of food
Vomiting with 1) duodenal ulcer 2) gastric ulcer1) uncommon 2) common and produces some pain relief
Melena with 1) duodenal ulcer 2) gastric ulcer1) common 2) uncommon
Need to know this about Aciphex and Protonix when giving these meds...they are enteric-coated and cannot be crushed for administration
Type of drainage from an NGT placed for bleeding ulcer in 1) first 12-24 hours 2) after 24 hours1) small amount but might be bright red 2) turns darker in color and decreases in amount
Usual treatment for this is triple drug therapy to include a bismuth compound or PPI with two antibioticsH. pylori
A patient has had a gastric bypass and now has symptoms of dizziness, pallor, nausea, vomiting, palpitations, and abdominal distension and cramping - what is wrong?dumping syndrome
Stool consistency with 1) colostomy 2) ileostomy1) formed 2) liquid
Contraindicated in patients with ACUTE divertilulitis due to the danger of perforation.Colonscopy or barium enema
Diet recommended for acute diverticulitis.low-fiber
This drug causes increased intraluminal pressure and should NOT be given in acute diverticulitis.Morphine
Distended abdomen with unlocalized abdominal pain - this is a sign of...Ruptured appendix
Client experiences pain on the right lower quadrant of the abdomen when the examiner palpates the left lower quadrant. This is 1) called 2) a sign of1) Rovsing's sign 2) appendicitis
Rebound tenderness occuring upon release of pressure in the epigastric or periumbilical area. 1) in what area is pressure applied? 2) what is this a sign of?1) Mcburney's point 2) peritoneal inflammation (probably from an appendicitis
These are contraindicated in appendicitis and can cause perforation in clients with appendicitis.Laxatives and enemas
Apply a non-adherent or moist saline dressing and notify the surgeon immediately with this problem after abdominal surgery.dehiscence or evisceration
Reason for withholding pain medications for undiagnosed abdominal problems.so pain will not be masked


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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