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Understanding Medical Surgical Nursing Ch 30


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lack of appetite
anorexia nervosa
eating disorder

refusal to maintain weight at minimal level for body height & size
bulimia nervosa
compulsive eating w/self-induced vomiting
BMI w/more than 30 kg/m2

caused by caloric intake that exceeds energy expenditure
Roux-en-Y bypass
gastric bypass surgery
plastic surgery of stomach

used to treat morbid obesity
aphthous stomatitis
AKA canker sores

inflammation of oral cavity (stomatitis) causing ulcers on inner cheeks, lips, tongue, gums, palate, or pharynx

typically lasts for several days to 2 weeks

can be caused by trauma to tissue, stress, or irritating food
hiatal hernia
lower part of esophagus & stomach slides up through hiatus of diaphragm into thorax
gastroesophageal reflux disease (GERD)
gastric secretions reflux into esophagus

caused primarily by conditions affecting ability of lower esophageal sphincter to close tightly (hiatal hernia)

S/S: heartburn - regurgitation - dysphagia - bleeding
inflammation of stomach mucosa (acute or chronic)

results when mucosal barrier is broken down & allows autodigestion from hydrochloric acid & pepsin to occur

S/S: abdominal pain - nausea - anorexia
Helicobacter pylori
bacterial cause of gastritis

responsible for >80% of gastric ulcers & >90% of duodenal ulcers
peptic ulcer disease
primarly caused by infection w/gram-negative bacterium H. pylori
surgical removal of stomach tissue (partial)

used to treat cancer in lower 2/3 of stomach
surgical removal of distal portion (75% of stomach)

remainder of stomach anastomosed (surgically attached) to duodenum
removal of distal 50% of stomach

involves reanastomosis of proximal remnant of stomach to proximal jejunum
fat in stools
Which one of the following is the most important intervention for anorexia nervosa?
a. Weigh the patient daily
b. Restore nutritional health
c. Assist w/ADLs
d. Document I&Os
b. Restore nutritional health
Which of the following is the priority nursing diagnosis for a patient w/peptic ulcer disease?
a. Activity intolerance related to epigastric pain
b. Deficient knowledge related to lack of information on ulcers
c. Acute pain related to epig
c. Acute pain related to epigastric erosion & acid buildup
Which of the following is the purpose of H2 antagonists?
a. Neutralize gastric acid
b. Form a protective paste
c. Determine gastric pH levels
d. Inhibit secretion of gastric acid
d. Inhibit secretion of gastric acid
Which one of the following is primarily the cause of peptic ulcers?
a. Eating spicy foods
b. A stressful life
c. A bacterial infection
d. Excessive caffeine intake
c. A bacterial infection
Which one of the following actions should the nurse take first for a patient who has just returned from surgery after a total gastrectomy and begins to vomit bright red blood?
a. Increase the IV rate
b. Administer oxygen
c. Place patient o
c. Place patient on side
1_____ 1_____ 1_____(VBG) is the most commonly used 2_____ surgery for weight reduction and control today. About 3_____ of pts who have had VBG achieve normal weight.
1 vertical banded gastroplasty
2 restrictive
3 30%
The highest incidence of oral cancer is found in the 1_____, with the lowest incidence on the 2_____. It's most common in pts who use 3_____ or 4_____.
1 pharynx
2 lips
3 alcohol
4 tobacco
The goal of treatment for a massive GI bleed is to prevent/treat 1_____ 1_____ and prevent 2_____, 3_____ imbalance, and further bleeding.
1 hypovolemic shock
2 dehydration
3 electrolyte

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