Test #3 - Chapter 44: Assessment of Digestive and Gastrointestinal Function
A nurse is preparing a client with Crohn's disease for a barium enema. What should the nurse do the day before the test?
Encourage plenty of fluids.
During Mrs. Feldman's physical assessment, she informs you that her stools have been red lately. Which of the following will the nurse include in her assessment questioning?
"Have you been eating beets?"
What 2 reasons should a nurse encourage plenty of fluids prior to a barium enema?
-Avoid dehydration caused by bowel prep -Prevent fecal impaction after the procedure
What is the primary function of the small intestine?
Absorption
What color does a large amount of spinach change a stool to?
Green
When examining the abdomen of a client with complaints of nausea and vomiting, which of the following would the nurse do first?
Inspection
If a client has abdominal surgery and a portion of the small intestine is removed, the client is at risk for which of the following?
Malabsorption syndrome
What common medication contains bismuth?
Pepto-Bismo
What color does a large amount of carrots and beets change the stool to?
Red
What is the term for the opening between the stomach and the duodenum?
The pyloric sphincter
What color does senna change a stool to?
Yellow
A patient tells the nurse that his stool was colored yellow. The nurse assesses for which of the following?
Recent foods ingested
The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment?
Abdominal distention
The nurse is to obtain a stool specimen from a client who reported that he is taking iron supplements. The nurse would expect the stool to be which color?
Black
What color does bismuth change a stool to?
Black
What are the steps of assessing the abdomen?
-Inspection -Auscultation -Percussion -Palpation
What 2 complicaitons can abdominal distention lead to?
-Perforation -Bleeding
What type of diet is a patient that is about to undergo a barium enema to have and why
A low-residue diet 1 to 2 days before the procedure to reduce the contents in the GI tract with clear liquids the evening before the test.
What color does meat protein change a stool to?
Dark brown
What color does the present of occult blood change a stool to?
Tarry black
What is contained in the lower GI tract?
The beginning of the ileum to the end of the anus
What is contained in the upper gastrointerinal tract?
The beginning of the mouth to the end of the jejunum
What is the opening between the esophagus and the stomach?
The cardiac sphincter
What is the upper esophageal sphincter that prevents food or fluids from re-entering the pharynx.
The hypopharyngeal sphincter
What is the valve that is located at the distal end of the small intestine and regulates flow of intestinal contents?
The large intestine
