PrepU Digestive
A nurse is giving a client barium swallow test. What is the most important assessment a nurse would make to ensure that the client does not retain any barium after a barium swallow?
Monitoring the stool passage and its color
A client asked the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA)
"It indicates if a cancer is present"
A nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?
A warm sensation
An elderly patient has developed C-diff-Related diarrhea, a problem that has led to dehydration and hypokalemia. The increase peristalsis that characterizes diarrhea has the potential to cause fluid and volume deficit and electrolyte deficits because
An increase in peristalsis means that the colon cannot absorb the substances that it normally absorbs
The nurse is preparing to measure the clients abdominal girth as part of the physical examination. At which location with the nurse most likely measure?
At the umbilicus
A patient is scheduled for a fiber optic colonoscopy. What does the nurse know that fiber optic colonoscopy is most frequently used to diagnose?
Cancer
A 56-year-old presented to her nurse practitioner because she had been experiencing unprecedented constipation and the passage of pencil like stools despite her high fiber and fluid intake. The nurse recognize the need to assess the patient for colorectal cancer and order diagnostic evaluation's. What component of the patient's blood work would be most indicated of the presence of cancer?
Carcinoembryonic antigen (CEA)
A client is scheduled for several diagnostic test to evaluate gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test is not requiring the use of a contrast medium?
Colonoscopy
Cystic fibrosis, a genetic disorder characterized by pulmonary and pancreatic dysfunction, usually appears in young children but can also affect adults. If the pancreas was functioning correctly, where were the bile and pancreatic enzymes into the G.I. system?
Duodenum
A client is diagnosed with megaloblastic anemia caused by vitamin B 12 deficiency. The healthcare provider begins the client on cyanocobalamin, 100 MCG I.M Daily. Which substance influences vitamin B 12 absorption?
Intrinsic Factor
Which term describes a gastric secretion that combines with vitamin B 12 so that it can be absorbed?
Intrinsic Factor
The nurse is caring for a geriatric client and notices polypharmacy. Which diagnostic studies are anticipated?
Liver function studies
A nurse practitioner examining a patient who has been diagnosed with hepatomegaly (enlarged liver) Due to accumulated fat deposits in the liver, subsequent to obesity. The nurse would palpate the liver by placing
One hand under the right lower rib cage and press downward with the other hand
The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?
Pancreas
A nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. The client asks which part of the G.I. tract absorbs food. Which is the nurses best response?
Small intestine
The nurse is conducting an abdominal assessment of a patient who is postoperative day one following an open cholecystectomy. During auscultation of the patient's abdomen, the nurse has noted that clicks and gurgles are audible approximately every 10 seconds. How should the nurse follow up this assessment finding?
The nurse should document normal active bowel sounds
Which nursing instruction is correct to provide the client following a barium enema?
The stools may be a white or clay colored.
The nurse recognizes which change of the G.I. system is an age related change?
Weekend gag reflex
Which of the following is considered the gold standard for the diagnosis of liver disease?
Biopsy
During a colonoscopy with moderate sedation, the patient grants with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abnormal girth from distention. What complication of this procedure is the nurse aware may be occurring?
Bowel perforation
Which of the following is an enzyme secreted by the gastric mucosa
Pepsin
A client is undergoing a diagnostic examination for gastrointestinal disorder and was given polyethylene glycol/Electrolyte solution as part of the test preparation. Which of the following measures should the nurse take once the solution is administered?
Permit the client to drink only clear fluids
After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected?
Stomach
A nurse is caring for a newly admitted patient with a suspected gastrointestinal bleed. The nurse assesses the patient stool after a bowel movement in notes at to be a Tory black color. The nurse recognizes that the bleeding is likely occurring where?
The upper G.I. tract
The nurse determines which is a true statement regarding older clients, considering the age related effects on their G.I. system?
They tend to usually have less control of the rectal sphincter
Which of the following digestive enzymes aids in the digesting of starch?
amylase
