Gastrointestinal Disorders: Diarrhea and Constipation
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Questions and Answers

What is the primary indication for considering a patient for Parenteral Nutrition (PN)?

  • Electrolyte imbalances
  • History of peptic ulcer disease
  • Weight loss of 5% or more of usual weight
  • Decreased oral intake for more than 1 week (correct)
  • What is a common complication of Parenteral Nutrition (PN) that can be prevented by maintaining optimal nutrition?

  • Hyperglycemia
  • Pneumothorax
  • Fluid overload (correct)
  • Sepsis
  • What is the primary cause of Chronic Gastritis?

  • Local irritants such as aspirin
  • Infection with H. pylori (correct)
  • Autoimmune response
  • Chronic stress
  • What is the primary goal of nursing considerations for patients receiving Parenteral Nutrition (PN)?

    <p>All of the above</p> Signup and view all the answers

    What is a potential consequence of not flushing the PN catheter after use?

    <p>Clotted or displaced catheter</p> Signup and view all the answers

    What is the term for the inflammation of the gastric mucosa?

    <p>Gastritis</p> Signup and view all the answers

    What is a risk of using nasogastric intubation for decompression?

    <p>Irritation to the stomach lining</p> Signup and view all the answers

    What is a common symptom of chronic H. pylori gastritis?

    <p>Loss of appetite</p> Signup and view all the answers

    What is a possible complication of chronic H. pylori gastritis?

    <p>Gastric ulcer</p> Signup and view all the answers

    What is a cause of gastropathy?

    <p>NSAID use</p> Signup and view all the answers

    What are the symptoms of diarrhea?

    <p>Urgency, perianal discomfort, incontinence, nausea or combination</p> Signup and view all the answers

    What is the diagnostic procedure to assess malfunction of the sphincter in constipation?

    <p>Anorectal manometry</p> Signup and view all the answers

    What is a type of gastritis that can be caused by infection with Helicobacter pylori?

    <p>Nonerosive acute gastritis</p> Signup and view all the answers

    What is the treatment for constipation that is generally NOT recommended unless other medications have failed?

    <p>Enemas and rectal suppositories</p> Signup and view all the answers

    Why may fiberoptic endoscopy be necessary in patients with gastritis?

    <p>To visualize the stomach lining</p> Signup and view all the answers

    What is the definition of constipation?

    <p>Fewer than 3 BM weekly or BM that are hard, dry, small or difficult to pass</p> Signup and view all the answers

    What is the indication for the use of antidiarrheal medication diphenoxylate with Atropine?

    <p>To treat diarrhea</p> Signup and view all the answers

    What is the purpose of GI intubation?

    <p>To insert a flexible tube into the stomach, duodenum or jejunum</p> Signup and view all the answers

    What is the term 'peptic' related to in the context of peptic ulcer disease?

    <p>Digestion, especially that involving pepsin</p> Signup and view all the answers

    What is the primary cause of erosion of the mucosa in peptic ulcer disease?

    <p>Decreased resistance of the mucosal barrier</p> Signup and view all the answers

    Which type of ulcer is associated with normal or decreased levels of acid secretion?

    <p>Gastric ulcers</p> Signup and view all the answers

    What is the main purpose of antacids in the treatment of peptic ulcer disease?

    <p>To neutralize stomach acid</p> Signup and view all the answers

    Which of the following medications is used to treat H. pylori infection in peptic ulcer disease?

    <p>Antibiotics</p> Signup and view all the answers

    What is the result of exposure of the mucosa to gastric acid and pepsin?

    <p>Inflammation, injury, and subsequent erosion of the mucosa</p> Signup and view all the answers

    What is a potential complication of GERD?

    <p>Laryngeal damage</p> Signup and view all the answers

    Why are all patients in the hospital given an H2 blocker?

    <p>Because medications given in the hospital increase acid content</p> Signup and view all the answers

    What is the primary purpose of a proton pump inhibitor in the management of GERD?

    <p>To reduce the production of stomach acid</p> Signup and view all the answers

    Which of the following is NOT a recommended lifestyle modification for GERD?

    <p>Increasing caffeine intake</p> Signup and view all the answers

    What is the characteristic change in the cells lining the lower esophagus in Barrett's esophagus?

    <p>Altered lining of the esophageal mucosa</p> Signup and view all the answers

    What is the primary benefit of a prokinetic agent in the management of GERD?

    <p>Moving food through the digestive system quickly</p> Signup and view all the answers

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