Gastrointestinal Nursing Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Gastrointestinal Nursing flashcards as text
A patient with peptic ulcer disease is found to be H. pylori positive. The nurse anticipates which treatment regimen?
Answer: Triple therapy: PPI plus clarithromycin plus amoxicillin for 14 days
Standard H. pylori eradication uses triple therapy with a PPI, clarithromycin, and amoxicillin for 10–14 days.
A patient is scheduled for a barium enema. Which pre-procedure instruction is most important?
Answer: Complete a bowel prep with laxatives and clear liquid diet
Thorough bowel cleansing is essential for a barium enema to ensure adequate visualization of the colon.
A nurse assesses a patient post-liver transplant who is receiving tacrolimus. Which finding requires immediate notification of the provider?
Answer: Serum creatinine rising from 0.9 to 2.4 mg/dL over 48 hours
A rapid rise in serum creatinine indicates tacrolimus nephrotoxicity or acute rejection, both requiring urgent evaluation.
Which intervention best prevents aspiration when administering a tube feeding via nasogastric tube?
Answer: Verify tube placement with pH testing of aspirate before each feeding
Confirming tube placement by measuring the pH of gastric aspirate (pH ≤5.5) helps ensure the tube is in the stomach before feeding.
A patient with a new diagnosis of Crohn's disease asks about surgical cure. The nurse's best response is:
Answer: Surgery controls complications but does not cure Crohn's disease, as it can recur
Unlike ulcerative colitis, Crohn's disease is not cured by surgery and frequently recurs at or near the anastomosis.
A patient with end-stage liver disease is scheduled for a transjugular intrahepatic portosystemic shunt (TIPS) procedure. The primary goal of this intervention is to:
Answer: Reduce portal hypertension to control variceal bleeding and refractory ascites
TIPS creates a shunt between the portal and hepatic veins to decompress the portal system and reduce portal hypertension.
Which nursing intervention is highest priority when caring for a patient in the immediate postoperative period following a hemorrhoidectomy?
Answer: Assess pain level and administer analgesics before bowel movements
Pain management prior to bowel movements is critical to prevent fecal retention, constipation, and wound dehiscence after hemorrhoidectomy.