GI PrepU
Blood flow to the GI tract is approximately what percentage of the total cardiac output?
20
When completing a nutritional assessment of a patient who is admitted for a GI disorder, the nurse notes a recent history of dietary intake. This is based on the knowledge that a portion of digested waste products can remain in the rectum for how many days after a meal is digested?
3 days
Swallowing is regulated by which area of the central nervous system (CNS)?
Medulla oblongata
Which diagnostic produces images of the body by detecting the radiation emitted from radioactive substances?
PET
The nurse conducts education related to test preparation for a client scheduled to undergo an abdominal ultrasonography. The nurse should give the client which instruction?
Restrict eating of solid food for 8 to 12 hours before the test.
What would the nurse recognize as preventing a client from being able to take a fecal occult blood test (FOBT)?
The client has hemorrhoidal bleeding
A nurse is assessing a client for GI dysfunction. What is the most common symptom in a client with GI dysfunction?
dyspepsia
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?
To relax colonic musculature and reduce spasm.
An older adult client is admitted to an acute care facility for treatment of an acute flare-up of a chronic gastrointestinal condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the gastrointestinal tract. Which age-related change increases the risk of anemia?
atrophy of the gastric mucosa
When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?
avoid smoking for at least 12 to 14 hrs before the procedure
Which of the following is the most definitive means of assessing for liver disease?
biopsy
A client is scheduled to have an endoscopic retrograde cholangiopancreatography. Which structures are visualized during this procedure?
common bile duct, pancreatic duct, and billary tree
The nurse cares for a client after a gastroscopy for which the client received sedation. The nurse should report which finding to the physician?
difficulty swallowing
A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. The nurse determines which nursing intervention is advised for this client?
do not give any food or fluids until the gag reflex returns
A few hours after eating hot and spicy chicken wings, a client presents with lower chest pain. He wonders if he is having a heart attack. How should the nurse proceed first?
further investigate the initial complaint
A client with abdominal pain is scheduled for a CT scan of the abdomen with contrast. Which assessment will the nurse complete before transporting the client for the diagnostic test?
hx of allergies
The nurse auscultates the abdomen to assess bowel sounds. She documents five to six sounds heard in less than 30 seconds. How does the nurse document the bowel sounds?
hyperactive
The nurse prepares to administer the lavage solution to a client having a colonoscopy completed. The nurse stops and notifies the physician when noting that the client has which condition?
ibd
Which response is a parasympathetic response in the GI tract?
increased peristalsis
The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? Use all options.
inspect, auscultate, percuss, palpate
A focused GI assessment begins with a complete history and physical examination. Identify the quadrant of the abdomen to be palpated or percussed for a patient with pancreatitis.
left upper
While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which structure?
liver
When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are
normal
The nurse recognizes which change of the gastrointestinal system is an age-related change?
weakened gag reflex
When assisting with preparing a client scheduled for a barium swallow, what nursing instruction would be appropriate to include?
avoid smoking for at least a day before the procedure
The nurse is assisting the health care provider with a gastric acid stimulation test for a client. What medication should the nurse prepare to administer subcutaneously to stimulate gastric secretions?
pentagastrin
The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?
prothrombin time (pt)
A client tells the nurse that the stool was colored yellow. The nurse assesses the client for
recent foods ingested
The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?
serum antibodies for h. pylori
Which procedure is performed to examine and visualize the lumen of the small bowel?
small bowel enteroscopy
Which nursing instruction is correct to provide the client following a barium enema?
the stools may be a white or clay colored
When describing the role of the pancreas to a client with a pancreatic dysfunction, the nurse would identify which substance as being acted on by pancreatic lipase?
triglycerides
Which enzyme aids in the digestion of protein?
trypsin
