Chapter 43: Assessment of Digestive and Gastrointestinal Function 4

After gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours). The client must fast for 8 hours before the examination. The throat will be sprayed with a local anesthetic.

The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions? Select all that apply.

common bile duct, pancreatic duct, and biliary tree

A client is scheduled to have an endoscopic retrograde cholangiopancreatography. Which structures are visualized during this procedure?

The pancreas secretes digestive enzymes.

A client with diabetes begins to have digestive problems and is told by the physician that they are a complication of the diabetes. Which of the following explanations from the nurse is most accurate?

Creates an inhibitory effect on the GI tract Decreases gastric motility Causes blood vessel constriction

A nurse is aware that both the sympathetic and parasympathetic portions of the autonomic nervous system affect GI motility. What are the actions of the sympathetic nervous system? Select all that apply.

Listen longer for the sounds.

After 20 seconds of auscultating for bowel sounds on a client recovering from abdominal surgery, the nurse hears nothing. What should the nurse do based on the assessment findings?

ptyalin

An enzyme that begins the digestion of starches is

Position the client on the right side with the knees up to the chest. Ask the client to bear down for visual inspection.

An examiner is performing the physical assessment of the rectum, perianal region, and anus. While this examination can be uncomfortable for many clients, health care providers must approach it in a prepared, confident manner. Which of the following considerations will help this examination flow smoothly and efficiently for both provider and client? Select all that apply.

Resume regular diet.

The nurse cares for a client after an endoscopic examination and prepares the client for discharge. The nurse includes which instruction?

To relax colonic musculature and reduce spasm.

The nurse is assisting the health care provider with a colonoscopy for a client with rectal bleeding. The health care provider requests the nurse to administer glucagon during the procedure. Why is the nurse administering this medication during the procedure?

Prothrombin time (PT)

The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?

Increase the amount of fluids

The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal?

"I should avoid antibiotics for 1 month before the test."

The nurse provides client education to a client about to undergo hydrogen breath testing. The nurse evaluates that the client understands the test when the client makes which statement?

weakened gag reflex

The nurse recognizes which change of the GI system is an age-related change?

"You may frequently experience constipation."

Upon hearing that the small intestine lining has thinned, an elderly client asks, "What can this lead to?" What is the best response by the nurse?

Stimulates the production of bicarbonate in pancreatic juice

When evaluating the function of the GI tract, the nurse needs to understand the role of hormones. Secretin, stimulated by the pH of chyme in the duodenum, is a major GI hormone that does which of the following?

trypsin

Which enzyme aids in the digestion of protein?

Inspection

When examining the abdomen of a client with reports of nausea and vomiting, what would the nurse do first?

supine with knees flexed slightly

A nurse is doing a physical assessment on a client with a GI disorder. Which position will the nurse most likely ask the client to assume when performing an abdominal examination?

Cancer

A patient is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently used to diagnose?

Dyspepsia

The nurse is performing an assessment of a patient. During the assessment the patient informs the nurse of some recent "stomach trouble." What does the nurse know is the most common symptom of patients with GI dysfunction?