16 Questions
Which meal example is recommended for a patient with ulcerative colitis?
Roasted chicken and white rice
What is the recommended diet for a patient with active inflammation of acute diverticulitis?
White bread and plain yogurt. Maintain a diet low in fiber
What is the purpose of bile in the digestive process?
To emulsify and digest fats
What is the most appropriate diet for a new diagnosis of Hepatitis A?
Eat foods high in carbohydrates
What lab test is commonly used to detect excessive alcohol use?
Gamma glutamyl transferase (GGT)
What is a characteristic symptom of perforation of a peptic ulcer?
Board-like abdomen
What is the initial step most likely to be taken in the case of a bleeding lesion in the colon?
Conduct a colonoscopy
In the context of cholelithiasis, what dietary change is recommended?
Decrease fat intake to prevent gallstone formation
What is the most likely cause of chronic pancreatitis?
Alcoholism
What is the manifestation of a bleeding duodenal ulcer?
Emesis with coffee ground appearance
What is the role of pepsin in digestion?
Digests proteins into peptides
What lab result is indicative of pancreatitis?
Increased serum lipase level
What is a common manifestation of GERD?
Regurgitation
What is the purpose of a NG tube in a patient who has undergone gastric resection for adenocarcinoma of the stomach?
To prevent excessive pressure on the suture lines
What is the function of the gallbladder?
Stores bile produced by the liver
What should be done when caring for a new colostomy?
Empty the bag when it is less than 1/3 full Cut the skin barrier smaller than the size of the stoma Wash the peristomal skin with alcohol Use petroleum jelly on the skin around the stoma
Study Notes
Digestive System Disorders
- In ulcerative colitis, a low-fiber, low-residue diet is recommended to reduce symptoms.
Acute Diverticulitis
- A liquid diet is recommended during active inflammation to manage symptoms.
Digestive Process
- Bile emulsifies fats, facilitating their digestion and absorption.
Hepatitis A
- A diet rich in carbohydrates, low in fat, and high in protein is recommended to support liver function.
Alcohol Use
- The gamma-glutamyl transferase (GGT) lab test is commonly used to detect excessive alcohol use.
Peptic Ulcer
- Severe, sudden, and persistent abdominal pain is a characteristic symptom of peptic ulcer perforation.
- The initial step in managing a bleeding lesion in the colon is to stabilize the patient's hemodynamic status.
Cholelithiasis
- A low-fat diet is recommended to manage gallstone formation.
Chronic Pancreatitis
- Chronic alcohol abuse is the most likely cause of chronic pancreatitis.
Bleeding Duodenal Ulcer
- Hematemesis (vomiting blood) is a manifestation of bleeding duodenal ulcers.
Digestion
- Pepsin breaks down proteins into smaller peptides and amino acids in the stomach.
Pancreatitis
- Elevated serum amylase and lipase levels are indicative of pancreatitis.
GERD
- Heartburn, regurgitation, and difficulty swallowing are common manifestations of gastroesophageal reflux disease (GERD).
Gastric Resection
- A nasogastric (NG) tube is used to suction the stomach and prevent acute dilatation after gastric resection for adenocarcinoma.
Gallbladder Function
- The gallbladder stores and concentrates bile, releasing it into the small intestine to aid in fat digestion.
Colostomy Care
- The colostomy stoma should be cared for by keeping it clean and dry, and monitoring for signs of infection or complications.
Test your knowledge on nursing care and management related to the digestive system and diseases such as cholecystitis, celiac disease, colorectal cancer, and hepatitis A. Questions cover assessment findings, diet recommendations, and preventive measures.
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