Gastrointestinal Disorder

Corticosteroid therapy and Antidiarrheal medications

A 28-year-old client is admitted with inflammatory bowel syndrome (Crohn's disease). Which therapies should the nurse expect to be part of the care plan?

A client who's dizzy and anemic is at risk for injury because of his weakened state. Assisting him with the bedpan would best meet his needs at this time without risking his safety. The client may fall if walking to the bathroom, left alone to urinate, or trying to stand up.

A 68-year-old male is being admitted to the hospital with abdominal pain, anemia, and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels. The nurse should help him:

Ulcerative colitis

A client comes to the emergency department complaining of acute GI distress. When obtaining the client's history, the nurse inquires about the family history. Which disorder has a familial basis?

The predominant clinical feature of acute pancreatitis is abdominal pain, which usually reaches peak intensity several hours after onset of the illness. Therefore, relieving abdominal pain is the nurse's primary goal

A client is admitted to the health care facility with abdominal pain, a low-grade fever, abdominal distention, and weight loss. The physician diagnoses acute pancreatitis. What is the primary goal of nursing care for this client?

vitamin B12.

A client is admitted to the hospital with an exacerbation of his chronic gastritis. When assessing his nutritional status, the nurse should expect a deficiency in:

Avoid aspirin and products that contain aspirin."

A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine (Pepcid). Before the client is discharged, the nurse should provide which instruction?

The client is free from esophagitis and achalasia.

A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?

A serum potassium level of 3 mEq/L is below normal, indicating hypokalemia. Because hypokalemia may cause cardiac arrhythmias and asystole, it's the most significant finding.

A client with nausea, vomiting, and abdominal cramps and distention is admitted to the health care facility. Which test result is most significant?

Obstruction of the appendix

A client with severe abdominal pain is being evaluated for appendicitis. What is the most common cause of appendicitis?

hyperglycemia.

A client with severe inflammatory bowel disease is receiving total parenteral nutrition (TPN). When administering TPN, the nurse must take care to maintain the prescribed flow rate because giving TPN too rapidly may cause:

Atrophy of the gastric mucosa

A client, age 82, is admitted to an acute care facility for treatment of an acute flare-up of a chronic GI condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the GI tract. Which age-related change increases the risk of anemia?

The client diagnosed with Clostridium difficile diarrhea requires contact isolation. Contact isolation precautions require the use of glove and a gown if soiling is likely.

Which infection control equipment is necessary for the client diagnosed with Clostridium difficile diarrhea?

docusate sodium (Colace)

Which medication should the nurse expect to administer to a client with constipation?

Diarrhea causes a bicarbonate deficit. With loss of the relative alkalinity of the lower GI tract, the relative acidity of the upper GI tract predominates leading to (Ans.metabolic acidosis).

In a client with enteritis and frequent diarrhea, the nurse should anticipate an acid-base imbalance of:

Atropine decreases salivation and gastric secretions

One hour before a client is to undergo abdominal surgery, the physician orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be administered. How should the nurse respond?

maintaining fluid balance.

When planning care for a client with a small-bowel obstruction, the nurse should consider the primary goal to be:

Hypovolemic shock from fluid shifts is a major factor in acute pancreatitis.

Which condition is most likely to have a nursing diagnosis of fluid volume deficit?

A client who experiences dumping syndrome after a subtotal gastrectomy should be advised to (Ans. ingest liquids between meals) rather than with meals. Taking fluids between meals allows for adequate hydration, reduces the amount of bulk ingested with meals, and aids in the prevention of rapid gastric emptying.

The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:

destroys the odor-proof seal.

The nurse is caring for a client with a colostomy. The client tells the nurse that he makes small pin holes in the drainage bag to help relieve gas. The nurse should teach him that this action:

Nothing by mouth

The nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission?

alcohol abuse and smoking.

The nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:

assess for acid perfusion of the esophageal mucosa.

The physician orders a Bernstein test (which is performed by inserting a nasogastric [NG] tube and aspirating gastric contents) for a client who complains of chest pain. When teaching the client about this test, the nurse explains that it's done to:

collect the specimen in a sterile container.

The physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains the stool specimen should:

Avoid coffee and alcoholic beverages."

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?

Monitoring the client's weight every day

A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week. Which nursing intervention helps determine if TPN is providing adequate nutrition?