Nursing Priority: Gastrointestinal Endoscopy Complications

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30 Questions

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

It results in precipitates

What is part of the school nurse's responsibility?

Health education

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

Her height and weight

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

Overweight

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

Eating disorders

What is the conversion for 1 kilogram in pounds?

2.2 lbs

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

Type O

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

Assess the patient at once for possible perforation

Which patient is a contraindication for nasogastric tube insertion?

All of the above

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

The patient will engage in smoking cessation programs

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

Attach the client to oxygen therapy

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

Sit in a high Fowler's position

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

Perforation

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

10-20 mcg/mL

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

Blood pressure decreased from 142/94 mm Hg to 128/82 mm Hg

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

Coffee

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

All of the above

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

To ensure the medication is effective

What is the primary goal in treating HIV?

To decrease the viral load to decrease the risk of transmission

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

Because they are infectious regardless of treatment

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

Pneumocystis jirovecii

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

Unprotected sex with his fiancée

What is not a risk factor for HIV transmission?

Shaking hands

How long after infection can a person safely donate blood?

Five years

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

32 weeks

What is a risk factor for preeclampsia in Khristine?

Short stature

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

Intrauterine growth retardation

What is the definition of pre-term labor?

Labor that begins after 20 weeks gestation and before 37 weeks gestation

What is the result of Khristine's urinalysis?

Negative glucose and a trace of protein

Where is Nurse Nenita employed?

Government hospital

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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