12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M 2021
1
Name:mDANNY mTHOMASm m D#:m41048196
1. Describemthemproceduremandmdifferentiatembetweenmthemnursing mcare,massessment
mprem& m postmproceduremandmcomplications mformthemfollowing mdiagnosticmexams.
EGD-
mEsophagogastroduodenoscopy: mdirectly mvisualizes mmucosal mliningmofmesophagus,
m stomach,mand mduodenummw/ mflexiblemendoscope.mTest mmay musemvideo mimagingmto
mvisualize
stomach mmotility.mDetects minflammation,mulcerations,mtumors,mvarices,mMallory-
Weiss m tears.mBiopsies mmay mbemtaken.mVarices mcan mbemtreated mw/mband mligationmormsclerotherap
y.
Pre-
Procedure: mKeep mNPO mform8 mhrs.mEnsuremconsent mformmis msigned.mGivempreop mm
eds mifm ordered.mExplain mto mptmthatmlocal manesthesiammay mbemsprayed monmthroatmbe
foreminsertion mofm scopemand mthat mpt mwill mbemsedated mbeforemprocedure.
Post-
Procedure:mKeep mNPO muntil mgagmreflex mreturns.mGently mticklemback mofmthroatmtom
determinemreflex.mUsemwarmmsalinemgargles mformreliefmofmsoremthroat.mCheck mtemp m
q m15-30 m ins mform1-2 mhrs.m(sudden mspikemis msign mofmperforation).
Complications:
Barium mEnema m(LowermGI):m fluoroscopicmx-
ray mexammofmcolon musingmcontrast mmedium,mwhich m is mgiven mrectally m(ene
ma).mDouble-contrast mormair-contrast mbariummenemamis mtest mof
choice. Airmis minfused maftermthembariummflows mthrough mtransversemcolon.mUsed mto mdetect
tumors, diverticula,m&mpolyps.
Pre-
Procedure:mGivemlaxatives mand menemas muntil mcolon mismclearmeveningmbeforemproced
ure.m Follow mclearmliquid mdiet meveningmbefore.mKeep mNPO mform8 mhrs.mbeforemtest.mT
each mpt mabout m bariummenema.mExplain mthat mcrampingmand murgemto mdefecatemmay mo
ccurmduringmprocedurem and mpt mmay mbemplaced min mvarious mpositions mon mtilt mtable.
Post-
Procedure:mGiven mfluids,mlaxatives,mormsuppositories mtomhelp mexpel mbarium.mObser
vem formpassagemofmcontrast mmedium.mTell mpt mstool mmay mbemwhitemformupmto m72mh
rs.
Complications:
Colonoscopy:mDirectly mvisualizes mentiremcolon mup mto mileocecal mcalvemw/ mflexiblemfiberopticmscope.
Pt mposition mchanged mfreq.mduringmproceduremtomassist madvancement mofmscopemtomce
cum.m Used mto mDx mormdetect mIBD,mpolyps,mtumors,mdiverticula,mand mdilatemstructur
es.mProcedurem allows mformbiopsy m&mremoval mofmpolyps mw/o mlaparotomy.
Pre-
Procedure:mbowel mprep mpriormvaries mdependingmon mHCP.mPt mshould mavoid mfibermfo
rmup m to m72 mhrs.mprior,mthen meithermamclearmormfull mliquidmdiet m24 mhrs mbefore.mBow
el mcleansingm should mfollow mamsplit-
dosemregiment.mEveningmbeforempt mshould mdrink mamcleansingmsolution.m Secondmdos
emshould mbegin m4-6 mhrs mbeforemprocedure.mA msplit-
dosemstarted mearly min mAMmthem daymofmproceduremprovides mbettermcleaningmformptsm
scheduled min mPM.mEncouragempt mto mdrink m all mofmsolution.mStools mmay mbemclearmor
mclearmyellow mliquid mwhen mthemcolon mis mclean.
about:blank 1/58
,12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M July m2021 2021
about:blank 2/58
,12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M 2021
2
Bisacodyl mtabs mormsuppositories mmay mbemgiven mbeforemcleansingmsolution mtomremove
mbulk mofm stool.mExplain mto mpt mthat mflex mscopemwill mbeminserted mwhilemin mside-
lyingmposition mand m sedation mwill mbemgiven.
Post-
Procedure:mPt mmay mhavemabdo mcramps mcaused mby mstimulation mofmperistalsismb/cmbo
wel m is mconstantly minflated mw.mairmduringmprocedure.mTeach mpts mabout mpain mpost-
colonoscopy m&
characteristics mofmpain.mTell mpts mifmpainmlast mlongermthan m24mhrs mtomnotify mH
CP.mCheck m VS.
Observemformrectal mbleedingm&mmanifestation mofmperforation m(e.g.,mmalaise,mab
do m distension, tenesmus).
Complications:m Billr
othmI m& mII:
BillrothmI:mpartial mgastrectomy mw/mremoval mofmdistalm2/3mofmstomach mandmanastom
osis mofm gastricmstump mto mduodenum
BillrothmII:mpartialmgastrectomy mw/ mremoval mofmdistal m2/3 mstomach mand manastomos
is mofm gastricmstump mto mjejunum
2. Hiatal mHernia m-
Describemthemetiology,massessmentmfindings,mdiagnostics m& mlabs,mnursing m interventions,
mnutrition,mmedications,m& mclientmteaching.mUnderstandmthemdifferencembetweenm slidin
g m& mrolling mhernias.mWhichmhernia mis ma mmedical memergency mandmwhy?
July m2021
about:blank 3/58
, 12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M 2021
This is a preview
m m m
about:blank 4/58
M 2021
1
Name:mDANNY mTHOMASm m D#:m41048196
1. Describemthemproceduremandmdifferentiatembetweenmthemnursing mcare,massessment
mprem& m postmproceduremandmcomplications mformthemfollowing mdiagnosticmexams.
EGD-
mEsophagogastroduodenoscopy: mdirectly mvisualizes mmucosal mliningmofmesophagus,
m stomach,mand mduodenummw/ mflexiblemendoscope.mTest mmay musemvideo mimagingmto
mvisualize
stomach mmotility.mDetects minflammation,mulcerations,mtumors,mvarices,mMallory-
Weiss m tears.mBiopsies mmay mbemtaken.mVarices mcan mbemtreated mw/mband mligationmormsclerotherap
y.
Pre-
Procedure: mKeep mNPO mform8 mhrs.mEnsuremconsent mformmis msigned.mGivempreop mm
eds mifm ordered.mExplain mto mptmthatmlocal manesthesiammay mbemsprayed monmthroatmbe
foreminsertion mofm scopemand mthat mpt mwill mbemsedated mbeforemprocedure.
Post-
Procedure:mKeep mNPO muntil mgagmreflex mreturns.mGently mticklemback mofmthroatmtom
determinemreflex.mUsemwarmmsalinemgargles mformreliefmofmsoremthroat.mCheck mtemp m
q m15-30 m ins mform1-2 mhrs.m(sudden mspikemis msign mofmperforation).
Complications:
Barium mEnema m(LowermGI):m fluoroscopicmx-
ray mexammofmcolon musingmcontrast mmedium,mwhich m is mgiven mrectally m(ene
ma).mDouble-contrast mormair-contrast mbariummenemamis mtest mof
choice. Airmis minfused maftermthembariummflows mthrough mtransversemcolon.mUsed mto mdetect
tumors, diverticula,m&mpolyps.
Pre-
Procedure:mGivemlaxatives mand menemas muntil mcolon mismclearmeveningmbeforemproced
ure.m Follow mclearmliquid mdiet meveningmbefore.mKeep mNPO mform8 mhrs.mbeforemtest.mT
each mpt mabout m bariummenema.mExplain mthat mcrampingmand murgemto mdefecatemmay mo
ccurmduringmprocedurem and mpt mmay mbemplaced min mvarious mpositions mon mtilt mtable.
Post-
Procedure:mGiven mfluids,mlaxatives,mormsuppositories mtomhelp mexpel mbarium.mObser
vem formpassagemofmcontrast mmedium.mTell mpt mstool mmay mbemwhitemformupmto m72mh
rs.
Complications:
Colonoscopy:mDirectly mvisualizes mentiremcolon mup mto mileocecal mcalvemw/ mflexiblemfiberopticmscope.
Pt mposition mchanged mfreq.mduringmproceduremtomassist madvancement mofmscopemtomce
cum.m Used mto mDx mormdetect mIBD,mpolyps,mtumors,mdiverticula,mand mdilatemstructur
es.mProcedurem allows mformbiopsy m&mremoval mofmpolyps mw/o mlaparotomy.
Pre-
Procedure:mbowel mprep mpriormvaries mdependingmon mHCP.mPt mshould mavoid mfibermfo
rmup m to m72 mhrs.mprior,mthen meithermamclearmormfull mliquidmdiet m24 mhrs mbefore.mBow
el mcleansingm should mfollow mamsplit-
dosemregiment.mEveningmbeforempt mshould mdrink mamcleansingmsolution.m Secondmdos
emshould mbegin m4-6 mhrs mbeforemprocedure.mA msplit-
dosemstarted mearly min mAMmthem daymofmproceduremprovides mbettermcleaningmformptsm
scheduled min mPM.mEncouragempt mto mdrink m all mofmsolution.mStools mmay mbemclearmor
mclearmyellow mliquid mwhen mthemcolon mis mclean.
about:blank 1/58
,12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M July m2021 2021
about:blank 2/58
,12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M 2021
2
Bisacodyl mtabs mormsuppositories mmay mbemgiven mbeforemcleansingmsolution mtomremove
mbulk mofm stool.mExplain mto mpt mthat mflex mscopemwill mbeminserted mwhilemin mside-
lyingmposition mand m sedation mwill mbemgiven.
Post-
Procedure:mPt mmay mhavemabdo mcramps mcaused mby mstimulation mofmperistalsismb/cmbo
wel m is mconstantly minflated mw.mairmduringmprocedure.mTeach mpts mabout mpain mpost-
colonoscopy m&
characteristics mofmpain.mTell mpts mifmpainmlast mlongermthan m24mhrs mtomnotify mH
CP.mCheck m VS.
Observemformrectal mbleedingm&mmanifestation mofmperforation m(e.g.,mmalaise,mab
do m distension, tenesmus).
Complications:m Billr
othmI m& mII:
BillrothmI:mpartial mgastrectomy mw/mremoval mofmdistalm2/3mofmstomach mandmanastom
osis mofm gastricmstump mto mduodenum
BillrothmII:mpartialmgastrectomy mw/ mremoval mofmdistal m2/3 mstomach mand manastomos
is mofm gastricmstump mto mjejunum
2. Hiatal mHernia m-
Describemthemetiology,massessmentmfindings,mdiagnostics m& mlabs,mnursing m interventions,
mnutrition,mmedications,m& mclientmteaching.mUnderstandmthemdifferencembetweenm slidin
g m& mrolling mhernias.mWhichmhernia mis ma mmedical memergency mandmwhy?
July m2021
about:blank 3/58
, 12/1/23,m10:47mA NR324mAdultmHealthmEXAMm3mStudymGuidemJULYm
M 2021
This is a preview
m m m
about:blank 4/58
