Ameritech HA GI

order of abdominal assessment

-inspection -auscultation -percussion -palpation

salem sump tube

-most common NG tube -used to remove air, drain stomach contents, and prevent aspiration. -blue vent is always open and above waist., allows for irrigation and prevent aspiration

A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. the nurse should anticipate a prescription for which of the following tests? (SATA) A. Serum alpha-fetoprotein B. ERCP C. GI X-ray with contrast D. Small bowel capsule endoscopy E. colonscopy

GI x-ray with contrast Small bowel capsule endoscopy

a nurse is teaching a client who has a new prescriptions for famotidine. which of the following statements indicated understanding of the teaching? A. the medicine coats the lining of my stomach B. the med should stop the pain right away C. I will take my pill 1 hour before meals D. I will monitor for bleeding from my nose

I will take my pill 1 hour before meals

colonoscopy

Performed when patient is on left side, legs drawn up toward chest. Complications: cardiac dysrhythmias, resp depression, overload take about 1 hours can do things like remove polyps. Aspiration Using moderate sedation or topical anesthesia can affect the gag reflex. MANIFESTATIONS: Dyspnea, tachypnea, adventitious breath sounds, tachycardia, and fever NURSING ACTIONS ● Keep the client NPO until the gag reflex returns. Ensure that the client is awake and alert prior to consuming food or fluid. Encourage the client to deep breathe and cough to promote removal of secretions. ● Notify the provider if there is a delay in gag reflex return. CLIENT EDUCATION: Report any respiratory congestion or compromise to the provider. Perforation of the gastrointestinal tract Manifestations include chest or abdominal pain, fever, nausea, vomiting, and abdominal distention. NURSING ACTIONS: Monitor diagnostic tests for evidence of infection, including elevated WBC, and notify the provider of unexpected findings. CLIENT EDUCATION: : Report fever, pain, and bleeding to the provider.

amylase digests what?

carbohydrates

FIT test

used to test for lower GI problems

a nurse is admitting a client who has bleeding esophageal varices the nurse should anticipate a prescription for which of the following medications? A. propanolol B. metoclopramide C. ranitidine D. vasopressin

vasopressin

A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide. which of the following information should the nurse include in the teaching? a. take the medication with food B. monitor for diarrhea C. wait 1 hour before taking other oral meds D. maintain a low fiber diet

wait 1 hours before taking other meds

how to clear an obstructed NG tube

warm water irrigation, milking the tube, digestive enzymes, although cola and cranberry juice are sometimes used to declog this is not advocated due to the acidic nature can worsen formula clogs. Monitor for aspiration pneumonia

continuous feeding

with a pump, may reduce aspiration, distention, N/V, and diarrhea. can infuse into stomach or small intestine

what is the best way to check for NG tube placement?

x-ray first, then check for residual pH afterwards, before feeding

The nurse is providing a client with the supplies necessary to perform two hemoccult tests on his stool. What instruction should the nurse give this client? A. "Don't eat highly acidic foods 72 hours before you start the test." B."Take all your medications except the antihypertenisve ones" C. "Mail the paper slides to the clinic once you've collected the samples." D. "If possible fast for 12 hours before collecting a sample."

"Mail the paper slides to the clinic once you've collected the samples."

a nurse is completing nutrition teaching for a client who has pancreatitis. which of the following statements by the client indicates and understanding of the teaching? (SATA) A. I plan to eat small frequent meals B. I will eat easy to digest foods with limited space C. I wil use skim milk when cooking D. I plan to drink regular cola E. ii will limit alcohol intake to two drinks per day

- I plan to eat small frequent meals - I will eat easy to digest foods -I will use skim milk when cooking

a nurse is completing preprocedure teaching for client who will undergo a sigmoidoscopy. which of the following information should the nurse include in the teaching? (SATA) A. increased flatulence can occur following the procedure B. NPO status should be maintained preprocedure C. Conscious sedation is used D. repositioning will occur throughout the procedure E. fluid intake is limited the day after the procedure

-Increased flatulence can occur following the procedure -NPO status should be maintained preprocedure

A nurse is planning care for a client who has a new prescription for TPN. which of the following interventions should be included in the plan of care? (SATA) A. obtain a capillary BG four times a day B. administer prescribed medications through a secondary port on the TPN IV tubing C. monitor vital signs three times during the 12 hours shift D. change the TPN IV tubing every 24 hours E. ensure a daily PTT is obtained

-Obtain a capillary blood glucose QID -Monitor vitals 3 times in 12 hours -change the tubing every 24hours

a nurse is completing an admission assessment for a client who has a small bowel obstruction. which of the following findings should the nurse report to the provider? (SATA) A. emesis prior to insertion of the nasogastric tube B. USG 1.040 C. Hematocrit 60% D. serum potassium 3.0 E. WBC 10,000

-USG 1.040 -Hematocrit 60% -Potassium 30%

A nurse is caring for a client who has a new diagnosis of GERD. the nurse should anticipate prescriptions for which of the following meds? (SATA) A. antacids B. histamine 2 receptor antagonists C. opioid analgesics D. fiber laxatives E. proton pump inhibitors

-antacids -H2 blockers -PPI's

a nurse is completing discharge teaching with a client who has IBS. which of the following instructions should the nurse include in the teaching? A. avoid foods that trigger exacerbation B. consume 15-20 grams of fiber daily C. plan three moderate to large meals per day D. drink aleast 2 L of water each day

-avoid foods that trigger exacerbation -drink atleast 2 L of water daily

Functions of the digestive tract

-breakdown of food for digestion -* absorption into the blood stream of small nutrient molecules produced by digestion -elimination of undigested unabsorbed foodstuffs and other waste products

a nurse is providing discharge teaching to a client who is postoperative following open cholecystectomy with T-tube placement. which of the following instructions should the nurse include in the teaching? (SATA) A. take baths rather than showers B. clamp T-tube for 1 hours before and after meals C. keep the drainage system above the level of the abdomen D. expect ot have T-tube removed 3 days post-op E. report brown-green drainage to the provider

-clamp tube for 1 hour before and after meals -keep drainage system above abdomen

a nurse is completing an assessment of aclient who has a gastric ulcer. which of the following findings should the nurse expect? (SATA) A. client reports pain relieved by eating B. client states that pain often occurs at night C. client reports a sensation of bloating D. client states that pain occurs 30 min- 1 hour after a meal E. client experiences pain upon palpation of the epigastric region

-client reports a sensation of bloating -client states that pain occurs 0m in-1 hour after eating -client experiences pain upon palpation in the epigastric area

a nurse is planning care for a client who has a small bowel obstruction and an NG tube in place. which of the following interventions should the nurse include in the plan of care? (SATA) A. document the NG drainage with clients outputs B. irrigate the NG tube Every 8 hours C. assess bowel sounds D. Provide oral hygiene every 2 hours E. monitor NG tube for placement

-document drainage -assess bowel sounds -provide oral hygiene -monitor for placement

a nurse is caring for a client who has a small bowel obstruction from adhesions. which of the following findings are consistent with the diagnosis? (SATA) A. emesis greater than 500 ml with fecal odor B. report of spasmodic abdominal pain C. high pitched bowel sounds D. abdomen flat with rebound tenderness to palpation E. lab findings indicate metabolic acidosis

-emesis greater than 500 ml with fecal odor -spasmodic abdominal pain -high pitched bowel sounds

a nurse is planning care for a client who has acute gastritis. which of the following nursing interventions should the nurse include in the plan of care? (SATA) A. evaluate intake and output B. monitor lab reports of electrolytes C. provide three large meals a day D. administer ibuprofen for pain E. observe stool characteristics

-evaluate intake and output -monitor electrolytes -observe stool

The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing interventions should be included in the plan of care? (Select all that apply) A. Observing stools and vomitus for color, consistency, and volume B. Making neurovascular checks every 4 hours C. Inserting an indwelling catheter for incontinence D. Frequently monitoring hemoglobin and hematocrit levels E. Checking the blood pressure and pulse rate every 15 to 20 minutes

-observing stools and vomitus for color, consistency, and volume -frequently monitoring hemoglobin and hematocrit levels -checking the blood pressure and pulse rate every 15 min

A nurse in the ER is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. which of the following should the nurse expect? (SATA) A. rigid abdomen B. tachycardia C. elevated BP D. circumoral cyanosis E. rebound tenderness

-rigid abdomen -tachycardia -rebound tenderness

advantages of enteral feedings

-safe and cost effective -Preserves GI integrity -preserves normal sequence of intestinal and hepatic metabolism. -helps maintain normal insulin and glucagon ratios

a nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. which of the following information should the nurse include in the teaching? (SATA) A. take the medication 1 hour before a meal B. limit NSAIDS when taking this med C. expect skin flushing when taking this med D. increase fiber intake when taking this med E. chew the medication thoroughly before swallowing

-take med 1 hour before a meal -limit NSAIDS

nursing for colonoscopy

1-3 day prep to clear fecal content. Clear liquid 12-24 hours. NPO 6-8 hour prior to IV sedation.

A client's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the client's signs and symptoms? A. An absence of blood in the stool B. Severe diarrhea C. Involvement of the rectal mucosa D. A pattern of distinct exacerbations and remissions

An absence of blood in the stool

A nurse is providing care to a client who is 1 day postoperative following a paracentesis. the nurse observes clear, pale-yellow fluid leaking from the operative site. which of the following is an appropriate nursing intervention? A. place a clean towel near the drainage site B. apply a dry, sterile dressing C. apply direct pressure to the site D. place the client in a supine position

Apply a dry, sterile dressing

A nurse is providing health promotion education to a client diagnosed with esophageal reflux disorder. What practice should the nurse encourage the client to implement? A. Drink a cup of hot tea before bedtime B. Eat a low-protein diet. C. Keep the head of the bed lowered D. Avoid carbonated drinks

Avoid carbonated drinks

A nurse is caring for a client in the late stages of esophageal cancer. The nurse should plan to prevent or address what characteristics in this stage of the disease? (Select all that apply) A. Painful Swallowing B. Development of an esophageal lesion C. Erosion into the great vessels D. perforation into the mediastinum E. Obstruction of the esophagus

C. Erosion into the great vessels D. perforation into the mediastinum E. Obstruction of the esophagus

patient undergoing gastroscopy

COMPLICATIONS Oversedation Use of moderate sedation places the client at risk for oversedation. MANIFESTATIONS: Difficult to arouse, poor respiratory effort, evidence of hypoxemia, tachycardia, and elevated or low blood pressure NURSING ACTIONS ● Be prepared to administer antidotes for sedatives administered prior to and during the procedure. ● Administer oxygen, and monitor vital signs. Maintain an open airway until awake. ● Notify the provider immediately, and call for assistance. CLIENT EDUCATION: Driving and major decision-making are restricted until the effects of the sedation have worn off. This varies with the type of agent used. Hemorrhage MANIFESTATIONS: Bleeding, cool and clammy skin, hypotension, tachycardia, dizziness, and tachypnea NURSING ACTIONS ● Assess for hemorrhage from the site. Monitor vital signs. ● Monitor diagnostic test results (pasrticularly Hgb and Hct). ● Notify the provider immediately. CLIENT EDUCATION: Report fever, pain, and bleeding to the provider

A nurse is reviewing bowel using polyethylene glycol with a client scheduled for a colonoscopy. which of the following instructions should the nurse include in the teaching? A. Check with the provider about taking current medications when consuming bowel prep B. consume a normal diet until starting the bowel prep C. expect the bowel prep to not begin acting until the day after all the prep is consumed D. discontinue the bowel prep once feces start to be expelled

Check with the provider about taking current medications when consuming bowel prep

A client has come to the outpatient radiology department for diagnostic testing that will allow the care team to evaluate and remove polyps. The nurse should prepare the client for what procedure? A. ERCP B. Upper gastrointestinal fibroscopy C. Colonoscopy D. Barium enema

Colonoscopy

A nurse is working with a client who has chronic constipation. What should be included in the client teaching to promote normal bowel function? A. Limit physical activity in order to promote bowel peristalsis B. Use glycerin suppositories regularly C. Consume high residue, high fiber foods D. Resist the urge to defecate until the urge becomes intense.

Consume high residue, high fiber foods

a nurse is reviewing the serum lab data of a client who has an acute exacerbation of crohns disease. which of the following tests should the nurse expect to be elevated? (SATA) A. hematocrit B. ESR C. WBC D. Folic acid E. albumin

ESR and WBc

a nurse is teaching about pernicious anemia with a client who has chronic gastritis. which of the following information should the nurse include in the teaching? A. pernicious anemia is caused when the cells producing gastric acid are damaged B. expect a monthly injection of vitamin B12 C. plan to take vitamin K supplements D. pernicious anemia is caused by n increased production of intrinsic factor

Expect a monthly injection of vitamin B 12

A client has come to the clinic complaining of blood in his stool. A hemoccult (FOBT) test is performed but is negative. Based on the client's history, the health care provider suggests a colonoscopy, but the client refuses, citing a strong aversion to the invasive nature of the test. What other test might the provider order to check for blood in the stool? A. Magnetic resonance imaging (MRI) B. Computed tomography (CT) C. a laparoscopic intestinal mucosa biopsy D. A fecal immunologic test (FIT)

Fecal immunologic test (FIT)

The nurse is caring for a client undergoing diagnostic testing for suspected malabsorption. When taking the client's health history and performing the physical assessment, the nurse should recognize what finding as the most consistent with this diagnosis? A. Bloody bowel movements accompanied by fecal incontinence B. Foul smelling diarrhea that contains fat C. Recurrent constipation coupled with weight loss D. Fever accompanied by a rigid, tender abdomen

Foul smelling diarrhea that contains fat

a nurse is completing discharge teaching to a client who is postoperative following fundoplication. which of the following statements by the client statements by the client indicates understanding of the teaching? A. when sitting in my lounge chair after a meal, I will lower the ack of it, B. I will try to eat three large meals a day C. I will elevate the head of my bed on blocks D. when sleepin, I will lay on my left side

I will elevate the head of my bed on blocks

a nurse in a clinic is teaching a client who has ulcerative colitis. which of the following statements by the client indicates an understanding of the teaching? A. I will plan to limit fiber in my diet B. I will restrict fluid intake during meals C. I will switch to black tea instead of drinking coffee D. I will try to eat three moderate/large meals daily

I will limit fiber in my diet

a nurse is completing discharge teaching for aclient who has an infection due to H. pylori. which of the following statements by the client indicates understanding of the teaching? A. I will continue my prescription for corticosteroids B. I will schedule a CT scan to monitor improvement C. I will take a combination of medications for treatment D. I will have my throat swabbed to recheck for this bacteria

I will take a combination of medications for tx

A client who has been experiencing changes in his bowel function is scheduled for a barium enema. What instruction should the nurse provide for post procedure recovery? A. avoid dairy products for 24 hours post procedure B. remain NPO for 6 hours post procedure C. increase fluid intake to evacuate the barium D. administer a fleet enema to cleanse the bowel of the barium

Increase fluid intake to evacuate the barium

The client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes? A. Maintaining skin and tissue integrity B. Preventing infection C. Maintaining fluid and electrolyte balance D. Preventing nausea and vomiting

Maintaining fluid and electrolyte balance

The client comes to the clinic reporting pain in the epigastric region. What statement by the client suggests the present of a duodenal ulcer? A. "I seem to have bowel movements more often than I usually do." B. "My pain resolves when I have something to eat." C. "I know that my father and grandfather both had ulcers." D. "The pain really interferes with my quality of life"

My pain resolved when I have something to eat

Nursing for barium enema

NPO 8 hr before, avoid opioid analgesics and anticholinergic meds x24h , avoid smoking or chewing gum, drink 16oz barium liquid , post procedure increase fluids, additional fiber, stool with barium is chalky white, mild laxative may be needed

nursing for ultrasound

NPO 8-12 hours prior

overfeeding

Overfeeding results from infusion of a greater quantity of feeding than can be readily digested, resulting in abdominal distention, nausea, and vomiting. NURSING ACTIONS ● Check residual every 4 to 6 hr. ● Follow protocol for slowing or withholding feedings for excess residual volumes. Many facilities hold for residual volumes of 100 to 200 mL and then restart at a lower rate after a period of rest. ● Check pump for proper operation and ensure feeding infused at correct rate. Diarrhea Diarrhea occurs secondary to concentration of feeding or its constituents. NURSING ACTIONS ● Slow the rate of feeding and notify the provider. ● Confer with a dietitian. ● Provide skin care and protection. ● Evaluate for Clostridium difficile if diarrhea continues, especially if it has a very foul odor. Aspiration pneumonia Pneumonia can occur secondary to aspiration of feeding, and can be a life-threatening complication. Tube displacement is the primary cause of aspiration of feeding. NURSING ACTIONS ● Stop the feeding. ● Turn the client to his side and suction the airway. Administer oxygen if indicated. ● Monitor vital signs for an elevated temperature. ● Auscultate breath sounds for increased congestion and diminishing breath sounds. ● Notify the provider and obtain a chest x-ray if prescribed.

A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning assessments, the nurse should be aware of what potential complication of a gastrostomy? A. Constipation B. Bowel perforation C. Development of peptic ulcer disease (PUD) D. Premature removal of the G tube

Premature removal of the G tube

The nurse preparing to check for tube placement in the client's stomach as well as measure the residual volume. What is the main purpose of these nursing actions? A. Prevent aspiration B. Prevent gastric ulcers C. Prevent diarrhea D. Prevent abdominal distention

Prevent aspiration

a nurse is caring for a client who is receiving TPN solution. The current bag of solution was hung 24 hours ago, and 400 mL remains to infuse. which of the following is the appropriate action for the nurse to take? A. remove the current bag and hang a new bag B. infuse the remaining solution at the current rate and then hang a new bag C. increase the infusion rate so the remaining solution is administered within the hour and hang a new bag D. remove the current bag and hang a bag of LRS

Remove the current bag and hang a new bag

A nurse is caring for a client following a pracentesis. which of the following findings indicate the bowel was perforated during the procedure? A. client report of upper chest pain B. decreased urine output C. pallor D. temperature elevation

Temperature elevation

The nurse is providing health education to a client with gastrointestinal disorder. What should the nurse describe as a major function of the GI tract? A. The absorption into the bloodstream of nutrient molecules produced by digestion B. The breakdown of food particles into cell form for digestion C. The maintenance of fluid and acid-base balance D. The control of absorption and elimination of electrolytes.

The absorption into the bloodstream of nutrient molecules produced by digestion

A client's sigmoidoscopy has been successfully completed and the client is preparing to return home. What teaching point should the nurse include in the client's discharge education? A. The client should drink at least 2 liters of fluid in the next 12 hours. B. The client can expect some scant rectal bleeding C. The client should expect fecal urgency for several hours D. The client can resume a normal routine immediately

The client can resume a normal routine immediately

A client with a history of peptic ulcer disease presents to the emergency room in distress. What assessment finding would lead the ER nurse to suspect the client has a perforated ulcer? A. The client is experiencing intense right lower quadrant pain B. The client is experiencing confusion and dizziness with no apparent hemodynamic changes C. The client has abdominal bloating that came on rapidly D. The client has a rigid, "boardlike" abdomen, that is tender

The client has a rigid, boardlike abdomen, that is tender

A client with a diagnosis of peptic ulcer disease has just been prescribed omeprazole. How should the nurse best describe this medication's therapeutic action? A. "This medication will make the lining of your stomach more resistant to damage." B. "This medication will specifically address the pain that accompanies peptic ulcer disease." C. "This medication will reduce the amount of acid secreted in your stomach." D. "This medication will help your stomach lining to repair itself."

This medication will reduce the amount of acid secreted in your stomach

a nurse is having difficulty arousing client following an EGD. which of the following is the priority action by the nurse? A. assess the clients airway B. allow the client to sleep C. prepare to administer an antidote to the sedative D. Evaluate preprocedure laboratory findings

assess the clients airway

digestion

begins with the act of chewing, in which food is broken down into small particles that can be swallowed and mixed with digestive enzymes. stomach mixed food with Hydrochloric acid, pepsin, intrinsic factor to allow for absorption.

a nurse in a clinic is reviewing lab reports of a client who has suspected cholelithiasis. which of the following is an expected finding? A. amylase 0 B. WBC 9,000 C. bilirubin 2.1 D. alkaline phosphatase 25

bilirubin 2.1

a nurse is reviewing nutrition teaching for a client who has cholycystitis. the nurse should identify that which of the following food choices can trigger cholecystitis? A. brownie and nuts B. bowl of mixed fruit C. grilled turkey D. baked potato

brownie and nuts

CEA- carcinoembryonic antigen

cancer antigen normally not in the blood of a healthy person indicates CA presence but not type can determine stage and extent

nursing for CT

check for allergies to IV contrast, shellfish, protection for kidneys IV sodium bicarbonate 1 hour before and 6 hours after IV contrast.

nursing for posterior scopes- sigmoid

clear liquid 24 hours prior, NPO, laxative evening befor, enema morning of usually no sedation required. resume normal diet after.

The nurse working in the emergency room suspects the patient being cared for has a large bowel obstruction. What signs and symptoms would validate the nurse's suspicion? A. predominant RLQ pain and diarrhea unrelieved by defecation B. crampy, colicky, wavelike pain, nausea & vomiting, diarrhea C. diarrhea with mucous, pus, or blood with LLQ pain D. distended abdomen with weight loss and anorexia

distended abdomen with weight loss and anorexia

a nurse is completing discharge teaching with a client who has crohn's disease. which of the following instructions should the nurse include in the teaching? A. decrease intake of calorie dense food B. drink canned protein supplements C. increase intake of high fiber foods D. take a bulk forming laxative daily

drink canned protein supplements

a nurse is assessing a client who has been taking prednisone following an exacerbation of IBD. the nurse should recognize which of the following findings as priority? A. client reports difficulty sleeping B. clients urine is positive for glucose C. client reports having an elevated body temp D. client reports gaining 4 lb in last 6 monts

elevated body temp

a nurse is copleting an admission assessment of a client who has pancreatitis. which of the following findings should the nurse expect? A. pain in right upper quadrant radiating to right shoulder B. report of pain being worse when sitting upright C. pain relieved with defacation D. epigastric pain radiating to the left shoulder

epigastric pain radiating to the left shoulder

normal bowel sounds are heard how often

every 5-20 seconds -Hypoactive 1-2 bowel sounds heard in 2 min. H -Hyperactive 5-6 sounds in under 30 seconds

lipase digests what?

fats

cyclic feeding

feeding is given by a pump over 8-18 hours. can be fed over night so no disruption of daytime schedule. used for supplement when weaning to oral feeding

a nurse is completing the admission assessment of a client who has acute pancreatitis. which of the following findings is the priority to report? A. hx of cholelithiasis B. elevated amylase C. decrease in bowel sounds D. hand spasms present when BP is checked

hand spasms

occult blood test

if patient does this, they get three different specimens and then mail the specimen into the lab to be tested

where does digestion start?

in the mouth

a nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric sx. which of the following should the nurse include in the teaching? A. eat three moderate sized meals a day B. drink atleast 1 glass of water with each meal C. eat a bedtime snack that contains a milk product D. increase protein in the diet

increase protein in the diet

dyspepsia

indigestion

nursing for liver biopsy

informed consent, NPO 8 hours, right side after procedure to tampanade area of biopsy

a nurse is assessing a client who has pancreatitis. which of the following actions should the nurse take to assess the presence of cullens sign A. tap lightly at the costovertebral margin on the patients back B. palpate the right lower quadrant C. inspect the skin around the umbilicus D. auscultate the area below the scapula

inspect the skin around the umbilicus

absorption

is the major function of the small intestine. vitamins and mineral absorbed are essentially unchanged. begins in the jejunum and is accomplished by active transport and diffusion across the intestinal wall into circulation.

nursing for upper GI-clear

liquid day before NPO and MN, no gum or smoking when NPO as can increase gastric secretions, hold oral meds day of prior to procedure

a nurse I completing an assessment of a client who has GERD. which of the following is an expected finding? A. absence of saliva B. loss of tooth enamel C. sweet taste in mouth D. absence of eructation

loss of tooth enamel

Nursing for lower GI-cleansing

lower bowel, low residue diet 1-2 days prior, NPO after midnight. enemas til clear in am- no enemas if inflammatory disease of the colon. post procedure- increase fluids for evacuation of barium

a nurse is preparing to administer pancrealipase to a client who has pancreatitis. which of the following actions should the nurse take? A. instruct the client to chew the med before swallowing B. offer a glass of water following med admin C. administer the med 30 min before meals D. sprinkle contents on peanut butter

offer a glass of water following med admin.

a nurse is teaching a client who has a hiatal hernia. which of the following client statements indicates an understanding of the teaching? A. I can take my medications with soda B. peppermint tea will increase my indigestion C. wearing an abdominal binder will limit my symptoms D. I will drink hot chocolate at bedtime to help me sleep E. I can lift weights as a way to exercise

peppermint tea will increase my indigestion

elimination

phase of the digestive process that occurs after digestion and absorption when waste products are eliminated from the body

trypsin digests what?

protein

a nurse is completing discharge teaching with a client who is 3 days postoperative following a transverse colostomy. which of the following should the nurse include in the teaching? A. mucus will present in stool for 5-7 days after sx B. expect 500-1000 ml of semi liquid stool after 2 weeks C. stoma should be moist and pink D. change the ostomy bag when it is 3/4 full

stoma should be moist and pink

A client who experience an upper GI bleed due to gastritis has had the bleeding controlled and the client's condition is now stable. For the next several hours, the nurse caring for the client should assess for what signs and symptoms of recurrence? A. Tarry, foul-smelling stools B. Sudden thirst, unrelieved by oral fluid administration C. Tachycardia, hypotension, and tachpnea D. Diaphoresis and sudden onset of abdominal pain

tachycardia, hypotension, and tachypea

urea breath test

tests for malabsorption. tests for H. pylori- avoid antibiotics and bismuth pepto 1 month prior to test, Carafate and Prilosec week prior, Tagamet, Pepcid zantac 24 hours prior

a nurse is assessing an older adult client in an extended care facility. the nurse should recognize which of the following findings is a manifestation of an obstruction of the large intestine due to fecal impaction? A. the client reports he has a bowel movement yesterday B. the client is having small frequent liquid stools C. the client is flatulent D. the client indicates he vomited once this mornign

the client is having frequent small liquid stools

a charge nurse is teaching a group of unit nurses about a client who has a chronic gastritis and is scheduled for selective vagotomy. which of the following statements by a nurse indicates understanding of the purpose of the procedure? A. the client with have increased duodenal gastric emptying B. the client will have a reduction of gastric acid secretions C. the client will have an increase of gastric mucus production D. the client will have an increased secretion of hydrogen/potassium ATPase enzymes

the client will have a reduction in gastric acid secretions

intermittent bolus feeding

the feeding is given all at once no pump is needed but can be poorly tolerated. usually 3-4 feedings per day with a plunger or by gravity if client feels full slow infusion

a nurse in a clinic is instructing a client about fecal occult blood test, which requires mailing three specimens. which of the following statements by he client indicates understanding of the teaching? A. I will continue taking my warfarin while I complete these tests B. im glad I don't have to follow any special diet at this time C. this test determines if I have parasites in my bowel D. this is an easy way to s reen for colon cancer

this is an easy way to screen for colon cancer

borborygmus

tummy rumble

FOBT what can you not eat

used to advise against certain foods but no study has found it to be true (red meat, aspirin, NSAIDs, turnips, horseradish) false positive Vit C false neg.

sengstaken-blakemore tube

used to tamponade stomach and esophagus. triple lumen, with balloons to (IMPERITIVE TO HAVE SCISSORS PRESENT ALL THE TIME, in case migration happens you can cut the tube to help patient breathe)

a nurse is completing preoperative teaching for a client who is scheduled for a laparascopic cholecystectomy. which of the following should be included in the teaching? A. the scope will be passed through your rectum B. you might have shoulder pain after surgery C. you will have a Jackson pratt drain in place after sx D. you should limit how often you walk for 1-2 weeks

you might have shoulder pain after sx