Gastrointestinal System
A client who had an abdominoperineal resection and colostomy refuses to allow any family members to see the incision or stoma. The client is noncompliant with most of the dietary recommendations. The nurse concludes that the client is experiencing what response?
Denial; the client is having difficulty accepting reality
Which instruction should the nurse provide the client who is concerned about contracting amebic dysentery during foreign travel?
Drink only bottled water
A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse should monitor for which common complication associated with the biopsy?
Hemorrhage
A client is admitted to the hospital with slight jaundice and reports of pain on the left side and back. A diagnosis of acute pancreatitis is made. Which common response to acute pancreatitis should the nurse monitor in the client?
Hypovolemia
A client with ascites is scheduled for a paracentesis. To prepare the client for the abdominal paracentesis, what should the nurse do?
Instruct the client to empty the bladder
A client reports experiencing nausea, dyspnea, and right upper quadrant pain unrelieved by antacids. The pain occurs most often after eating in fast-food restaurants. Which diet should the nurse instruct the client to follow?
Low fat
A client is admitted to the hospital with jaundice. After numerous diagnostic tests, the healthcare provider makes the diagnosis of cancer of the pancreas. What does the nurse conclude is the most likely cause of the client's jaundice?
Obstruction of the common bile duct by the pancreatic neoplasm
A client who had an incision and drainage of an oral abscess is to be discharged. Which clinical finding, if it should occur, should the nurse instruct the client to report to the healthcare provider?
Pain with swelling after one week
The nurse is taking care of a client with cirrhosis of the liver and ascites. Which lunch is the best choice for a client with this disorder?
Penne pasta, spinach, banana, and decaffeinated iced tea
A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours after a subtotal gastrectomy. What should the nurse do first?
Record the observation and continue to monitor the drainage from the tube.
A client has a hiatal hernia. The client is 5 feet 3 inches tall (163 cm) and weighs 160 pounds (72.6 kg). Which information should the nurse include when discussing prevention of esophageal reflux?
Reduce your caloric intake to foster weight reduction.
A nurse is evaluating a client's response to receiving an intermittent gravity flow percutaneous endoscopic gastrostomy (PEG) tube feeding. Which clinical finding indicates that the client is unable to tolerate a continuation of the feeding?
Rise of formula in the tube
