Nursing Priority: Gastrointestinal Endoscopy Complications
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Questions and Answers

What is the potential issue with incorporating calcium gluconate in sodium bicarbonate?

  • It requires D5W as a diluent
  • It results in precipitates (correct)
  • It affects the Patient's postural hypotension
  • It is a slow IV bolus

    • What is part of the school nurse's responsibility?

  • Conducting research
  • Planning events
  • Health education (correct)
  • Administering medication

    • What information does the nurse need to determine if Aquaria is overweight or not?

  • Her age
  • Her height and weight (correct)
  • Her weight and age
  • Her height and age

    • What is Aquaria's BMI classification based on the given information?

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

    What is a risk factor for obesity, according to Jade?

    <p>Eating disorders</p> Signup and view all the answers

    What is the conversion for 1 kilogram in pounds?

    <p>2.2 lbs</p> Signup and view all the answers

    What type of blood is associated with a higher incidence of duodenal ulcer?

    <p>Type O</p> Signup and view all the answers

    What is the priority nursing intervention for a patient who develops high-grade fever and acute abdominal pain after a gastrointestinal endoscopy?

    <p>Assess the patient at once for possible perforation</p> Signup and view all the answers

    Which patient is a contraindication for nasogastric tube insertion?

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

    What is an expected outcome for a patient with duodenal ulcer?

    <p>The patient will engage in smoking cessation programs</p> Signup and view all the answers

    What is the initial action for a patient with emphysema who presents with dyspnea, tachypnea, and dusky-colored skin?

    <p>Attach the client to oxygen therapy</p> Signup and view all the answers

    What is the recommended position for patients with varying diseases during meals?

    <p>Sit in a high Fowler's position</p> Signup and view all the answers

    What is a complication that may occur after a gastrointestinal endoscopy?

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

    What is the therapeutic level of phenytoin (Dilantin) in the blood?

    <p>10-20 mcg/mL</p> Signup and view all the answers

    What is the intended effect of therapy for Client Mark taking Betaxolol (Kerlone)?

    <p>Blood pressure decreased from 142/94 mm Hg to 128/82 mm Hg</p> Signup and view all the answers

    What beverage should Client Darl with asthma, who is taking a xanthine bronchodilator, avoid?

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

    What is an essential competency for a nurse in relation to pharmacology?

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

    Why is it important for a nurse to know the therapeutic level of a drug?

    <p>To ensure the medication is effective</p> Signup and view all the answers

    What is the primary goal in treating HIV?

    <p>To decrease the viral load to decrease the risk of transmission</p> Signup and view all the answers

    Why can an infected person still transmit HIV to their sexual partner?

    <p>Because they are infectious regardless of treatment</p> Signup and view all the answers

    What is the most likely cause of Mr. Joe's symptoms?

    <p>Pneumocystis jirovecii</p> Signup and view all the answers

    What is the most likely route of transmission of HIV in Mr. Joe's case?

    <p>Unprotected sex with his fiancée</p> Signup and view all the answers

    What is not a risk factor for HIV transmission?

    <p>Shaking hands</p> Signup and view all the answers

    How long after infection can a person safely donate blood?

    <p>Five years</p> Signup and view all the answers

    At what gestational age did Khristine gain 1 lb in 2 weeks?

    <p>32 weeks</p> Signup and view all the answers

    What is a risk factor for preeclampsia in Khristine?

    <p>Short stature</p> Signup and view all the answers

    What is a complication of preeclampsia that the nurse should educate Khristine about?

    <p>Intrauterine growth retardation</p> Signup and view all the answers

    What is the definition of pre-term labor?

    <p>Labor that begins after 20 weeks gestation and before 37 weeks gestation</p> Signup and view all the answers

    What is the result of Khristine's urinalysis?

    <p>Negative glucose and a trace of protein</p> Signup and view all the answers

    Where is Nurse Nenita employed?

    <p>Government hospital</p> Signup and view all the answers

    Study Notes

    Nursing Responsibilities and Health Education

    • School nurse plays a critical role as a health educator, providing health promotion through education.
    • Nutrition program topics include "Nutrition and Body Image," vital for addressing students' health and self-perception.

    Body Image Assessment

    • To determine if a student is overweight, key information required includes height and weight for Body Mass Index (BMI) calculation.
    • BMI classification:
      • Underweight: Less than 23
      • At risk: 23 to 24.9
      • Obese I: 25 to 29.9
      • Obese II: 30 and above
    • Example: A 16-year-old girl weighing 176 lbs and 5 ft 4 in tall is classified as obese (BMI calculation: 30.4).

    Mental Health and Eating Disorders

    • Binge eating disorder is a significant concern for high school students, highlighting the need for education on risks associated with obesity and health.

    HIV Knowledge and Risk Factors

    • Understanding seropositivity indicates potential for viral transmission to others; goal is to decrease viral load for lower transmission risk.
    • HIV can be transmitted through unprotected sex and shared needles, emphasizing the need for safe practices.

    Nursing Interventions for Complications

    • Cough, shortness of breath, and tachypnea in patients may indicate opportunistic infections like Pneumocystis jirovecii in immunocompromised individuals.
    • Following gastrointestinal endoscopy, high fever and acute abdominal pain warrant immediate assessment for possible perforation.

    Nasogastric Tube Considerations

    • Patients post-craniofacial surgery or recovering from gastric surgery may be at risk for complications, thus may not be suitable for nasogastric tube insertion.

    Patient Education in Chronic Conditions

    • Emphasizing smoking cessation in patients with duodenal ulcers, as smoking is a major risk factor.
    • Expected outcomes include lifestyle changes like engaging in social activities properly or pain management strategies.

    Pharmacology in Nursing

    • Key understanding of therapeutic drug levels, such as phenytoin (Dilantin) levels should be monitored; therapeutic range is 10-20 mcg/mL.
    • With Betaxolol therapy, intended outcomes include lower blood pressure rather than increased heart rate.

    Pregnancy and Preeclampsia Awareness

    • Factors increasing risk for preeclampsia include short stature and adolescent age; monitoring weight gain is critical.
    • Pre-term labor defined as labor beginning after 20 weeks but before 37 weeks of gestation, essential for understanding maternal care.

    General Patient Care Protocols

    • Immediate interventions and assessments are vital in nursing, especially with patients demonstrating signs of distress or complications.

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    Description

    A patient undergoes a gastrointestinal endoscopy and develops high fever and abdominal pain afterwards. What should be the nurse's priority action? Assess the patient for possible perforation and suspect peritonitis. Test your knowledge of nursing interventions in this scenario.

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