ch. 43 GI system

A patient is admitted to the outpatient testing area for an ultrasound of the gallbladder. Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled?

The patient ate a bagel 4 hours ago.

The nurse receives the following information about a patient who is scheduled for a colonoscopy. Which information would the nurse communicate to the health care provider before preparing the patient for the procedure?

The patient declined to drink the prescribed laxative solution.

A patient has arrived in the recovery area after an upper endoscopy. Which information collected by the nurse is most important to communicate to the health care provider?

The patient's temperature is 101.4F.

Which condition would the nurse anticipate when caring for a patient with a history of a total gastrectomy?

Cobalamin (vitamin B12) deficiency

Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse?

Unintended weight loss

Which statement by a patient with jaundice indicates a need for teaching?

"I use acetaminophen (Tylenol) every 4 hours for pain."

Which is the correct technique for the nurse to palpate the liver during a head-to-toe physical assessment?

Place one hand on the patient's back and press upward and inward with the other hand below the patient's right costal margin.

A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP) as soon as possible. Which prescribed action would the nurse take first?

Place the patient on NPO status.

Which action would the nurse take after assisting with a needle biopsy of the liver at a patient's bedside?

Place the patient on the right side with the bed flat.

While interviewing a young adult patient, the nurse learns that the patient has a family history of familial adenomatous polyposis (FAP). Which area of patient knowledge would the nurse plan to assess?

Risk for developing colorectal cancer

The nurse is caring for a patient with a biliary obstruction. Which condition would the nurse expect?

Steatorrhea

The nurse is assessing an alert and independent older adult patient for malnutrition risk. Which is the most useful initial question?

"

Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal assessment?

Absent bowel sounds

An older patient reports chronic constipation. When would the nurse suggest that the patient regularly attempt defecation?

Immediately after the first daily meal

An adult with a body mass index (BMI) of 22 kg/m2 is being admitted to the hospital for elective knee surgery. Which assessment finding would the nurse report to the health care provider?

Liver edge 3 cm below the costal margin

14. A patient has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which action by assistive personnel (AP) requires that the registered nurse (RN) intervene?

Offering the patient a pitcher of water