Assessment of GIT: SATA Only

b) Peristaltic contractions in the stomach d) Intact dentition of the upper and lower teeth

A nurse is admitting a severely malnourished and nonverbal client to the hospital. Identify which of the following factors contribute to the nutritional function of the digestive system. Select all that apply. a) Increased secretion of gastrin b) Peristaltic contractions in the stomach c) Absence of intrinsic factor in the gastric mucosa d) Intact dentition of the upper and lower teeth e) Increased saliva production

a. Colonoscopy every 10 years c. Computed tomography (CT) colonography every 5 years

The nurse is aware of the 2014 American Cancer Society Screening Guidelines for colon cancer, which include which testing modalities for people over the age of 50? (Select all that apply.) a. Colonoscopy every 10 years b. Colonoscopy every 5 years c. Computed tomography (CT) colonography every 5 years d. Double-contrast barium enema every 10 years e. Flexible sigmoidoscopy every 10 years

A) Fast for 8 hours before the examination B) The throat will be sprayed with a local anesthetic C) After gastroscopy, the patient cannot eat or drink until the gag reflex returns (1 to 2 hours)

The nurse is providing instructions to a patient scheduled for a gastroscopy. Which instructions will the nurse include? (SATA) A) Fast for 8 hours before the examination B) The throat will be sprayed with a local anesthetic C) After gastroscopy, the patient cannot eat or drink until the gag reflex returns (1 to 2 hours) D) The health care provider will be able to determine if there us a presence of bowel disease E) There must be bowel cleansing prior to the procedure

a) Food storage d) Propels partially digested food into small intestine e) Secretion of digestive enzymes

Which of the following is a function of the stomach? Select all that apply. a) Food storage b) Secretion of digestive fluids c) Secretion of bile d) Propels partially digested food into small intestine e) Secretion of digestive enzymes

b. Tell the client he shouldn't eat or drink for 6 to 12 hours before the procedure d. Inform the client that he will receive a sedative before the procedure.

While preparing a client for an upper GI endoscopy (esophagogastroduodenoscopy), the nurse should implement which interventions? Choose all that apply. a. Administer a preparation to cleanse the GI tract, such as Golytely or Fleets Phospha-Soda. b. Tell the client he shouldn't eat or drink for 6 to 12 hours before the procedure c. Tell the client he must be on a clear liquid diet for 24 hours before the procedure. d. Inform the client that he will receive a sedative before the procedure. e. Tell the client that he may eat and drink immediately after the procedure.

a. Cholangitis b. Pancreatitis c. Perforation e. Sepsis

A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse instructs the client and family about the signs of potential complications, which include what problems? (Select all that apply.) a. Cholangitis b. Pancreatitis c. Perforation d. Renal lithiasis e. Sepsis

c. "Are you prescribed regular strength aspirin daily?" d. "Can you tell me the amount of alcohol that you drink on an average week?" e. "When was the last time that you included red meat in your diet?"

The nurse is reviewing the results of a Hemoccult test with the client. Which question asked by the nurse is important in screening for the potential of a false-positive result. Select all that apply. a. "Do you take an iron supplement on a daily basis?" b. "Does your diet include a moderate amount of vitamin C? c. "Are you prescribed regular strength aspirin daily?" d. "Can you tell me the amount of alcohol that you drink on an average week?" e. "When was the last time that you included red meat in your diet?"

a. Colon cancer b. Diverticulitis c. Inflammatory bowel disease d. Peptic ulcer disease

The nurse working in the gastrointestinal clinic sees clients who are anemic. What are common causes for which the nurse assesses in these clients? (Select all that apply.) a. Colon cancer b. Diverticulitis c. Inflammatory bowel disease d. Peptic ulcer disease e. Pernicious anemia

b. Ammonia: liver d. Lipase: pancreas

The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to what organ dysfunctions? (Select all that apply.) a. Alanine aminotransferase: biliary system b. Ammonia: liver c. Amylase: liver d. Lipase: pancreas e. Urine urobilinogen: stomach

a) Position the client on the right side with the knees up to the chest. e) 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. a) Position the client on the right side with the knees up to the chest. b) Dim the lights to decrease the client's embarrassment. c) Cleanse gloved fingers with water to allow for easy insertion. d) Ask the client to produce a bowel movement after the procedure. e) Ask the client to bear down for visual inspection.

a. Decreased hydrochloric acid production b. Diminished sensation that can lead to constipation c. Fat not digested as well in older adults e. Pancreatic vessels become calcified

The nurse working with older clients understands age-related changes in the gastrointestinal system. Which changes does this include? (Select all that apply.) a. Decreased hydrochloric acid production b. Diminished sensation that can lead to constipation c. Fat not digested as well in older adults d. Increased peristalsis in the large intestine e. Pancreatic vessels become calcified