Ch. 38 assessment of digestive and GI function PrepU
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
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
Which nursing instruction is correct to provide the client following a barium enema?
The stools may be a white or clay colored.
A client tells the nurse that the stool was colored yellow. The nurse assesses the client for
recent foods ingested.
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 24 hours before the procedure.
Which of the following is the most definitive means of assessing for liver disease?
Biopsy
A client is scheduled for an upper gastrointestinal barium study. Which teaching will the nurse provide for the client to prepare for this diagnostic test?
Ingest nothing by mouth after midnight.
The nurse cares for a client after an endoscopic examination and prepares the client for discharge. The nurse includes which instruction?
Resume regular diet.
The nurse is preparing to examine the abdomen of a client who reports a change in bowel pattern. The nurse would place the client in which position?
Supine with knees flexed
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?
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?
The nurse determines which is a true statement regarding older clients, considering the age-related effects on their GI system?
They tend usually to have less control of the rectal sphincter.
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.
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?
inflammatory bowel disease
The nurse performs an abdominal assessment. The nurse should perform the assessment in which order?
inspection, auscultation, percussion, palpation
Which term describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?
intrinsic factor
Which procedure is performed to examine and visualize the lumen of the small bowel?
small bowel enteroscopy
Which enzyme aids in the digestion of protein?
trypsin
The nurse recognizes which change of the GI system is an age-related change?
weakened gag reflex
