Gastointestinal system
Liver edge 3 cm below the costal margin
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment finding is mostimportant to report to the health care provider?
The patient ate a low-fat bagel 4 hours ago for breakfast.
A 42-year-old woman 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 oral temperature is 101.6 F.
A 54-year-old man has just 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?
Offering the patient a drink of water
A 58-year-old woman has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel (UAP) requires that the registered nurse (RN) intervene?
after eating breakfast.
A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest that the patient attempt defecation
Place the patient on NPO status.
A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP) as soon as possible. Which actions from the agency policy for ERCP should the nurse take first?
place the patient on the right side with the bed flat.
After assisting with a needle biopsy of the liver at a patients bedside, the nurse should
Can you tell me the food that you ate yesterday?
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most appropriate initial question is which of the following?
The patient refused to drink the ordered polyethylene glycol (GoLYTELY).
The nurse receives the following information about a 51-year-old woman who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the patient for the procedure?
steatorrhea.
The nurse will plan to monitor a patient with an obstructed common bile duct for
places one hand on the patients back and presses upward and inward with the other hand below the patients right costal margin.
To palpate the liver during a head-to-toe physical assessment, the nurse
cobalamin (vitamin B12) deficiency.
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for
Absent bowel sounds
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal assessment?
Unintended weight loss
Which information about an 80-year-old man at the senior center is of most concern to the nurse?
I use acetaminophen (Tylenol) every 4 hours for back pain.
Which statement to the nurse from a patient with jaundice indicates a need for teaching?
risk for developing colorectal cancer
While interviewing a 30-year-old man, the nurse learns that the patient has a family history of familial adenomatous polyposis (FAP). The nurse will plan to assess the patients knowledge about
