Ch. 43 Assessment of digestive & GI Function

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The stomach which derives its acidity from hydrochloric acid, has a pH of

1.0

The nurse is investigating a patient's report of pain in the duodenal area. Where should the nurse perform the assessment ? A. Epigastric area and consider possible radiation of pain to the right sub scapular region B. Hypogastrium in the right or left lower quadrant C. Left lower Quad D. Periumbilical area, followed by the right lower quad

A. Epigastric area and consider possible radiation of pain to the right sub scapular region

What med should be withheld prior to a esophageal manometry

Aspirin

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 recognize is the most common symptom of patients with GI dysfunction A. Diffuse pain B. Dyspepsia C. Constipation D. Abdominal Bloating

B. Dyspepsia

Obvious discomfort, and rectal bleeding durning colonoscopy may alert the nurse to what complication

Bowel perforation

Structural changes in the esophagus that occur as a result of age-related changes

Decreased motility & emptying, weakened gag reflex, and decreased resting pressure of lower sphincter

A patient reports abdominal pain associated with indigestion. What is characteristic of this type of pain

Described as crampy or burning

Instructions for a gastroscopy

Must fast for 8 hours The throat will be sprayed with a local anesthetic Patient cannot eat or drink until the gag reflux returns (1-2hrs)

Subcutaneous med given to stimulate gastric secretions during gastric stimulation test

Pentagastrin

What will occur if there is a lack of intrinsic factor secreted by the gastric mucosa

Pernicious anemia

Position for abdomen exam

Supine position with the knees flexed to relax the abdominal muscles

The nurse is collecting a specimen from a patient. What characteristic of stool indicates to the nurse that the patient may have an upper GI bleed

Tarry & Black

What information should the nurse provide to a patient who will be undergoing a colonoscopy, about the position they will be placed in during the procedure

The patient is lying on their left side with the legs drawn up toward the chest. But the position may be moved to facilitate advancement of the scope

Why would glucagon be given durning a colonoscopy

To relax colonic musculature and reduce spasm

Three pancreatic secretions that contain digestive enzymes

Trypsin, amylase, lipase

What is secreted by the gallbladder and is responsible for fat emulsification

bile

When the pt is to perform a Hemoccult II test, what should the nurse inform the pt to avoid for atleast 72hrs in order to prevent a false-positive

red meats, aspirin, NSAIDS, turnips, horseradish


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