gastrointestinal system

Offer a large glass of prune juice with warm water each morning

An older adult client who is accustomed to taking enemas periodically to avoid constipation is admitted to a long-term care facility. In addition to medications, the healthcare provider prescribes bed rest and a regular diet. Which action should be implemented initially to help prevent the client from developing constipation?

The nutritional needs of an older adult are basically unchanged except for a decreased need for calories.

An older adult is hospitalized for weight loss and dehydration because of nutritional deficits. What should the nurse consider when planning care for this client?

Is the client deficient in vitamins A, D, and K?

A client has cholelithiasis with possible obstruction of the common bile duct. What should be determined about the client's nutritional status before surgery is scheduled?

Helps stop bleeding if any should occur

Immediately after a liver biopsy the nurse places the client onto the right side. Which reason explains the use of the right side-lying position?

"I will eat everything I ate before the operation and avoid foods that cause gas."

The nurse provides dietary teaching for a client with a colostomy. Which response by the client is indicative of successful learning?

Reduce the amount of stool in the large bowel

A client who has cancer of the sigmoid colon is to have an abdominoperineal resection with a permanent colostomy. Before surgery a low-residue diet is prescribed. What is the nurse's explanation for the necessity of this diet?

Surgical treatment cures ulcerative colitis

After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary healthcare provider. Which is most likely the significant factor that impacted on the client's decision?

infusion pump

A client is to receive total parenteral nutrition (TPN). To administer TPN, which piece of equipment is most important for the nurse to obtain?

Jaundice Acute pain Increased amylase

A client is admitted with the diagnosis of acute pancreatitis. Which clinical manifestations should a nurse assess in the client? Select all that apply.

gastric culture

A client is evaluated at a clinic, and the healthcare provider suspects that the client has anemia and a peptic ulcer. To determine if the client has a peptic ulcer, the nurse expects that what diagnostic test will be performed?

Have an enema the morning of the test

A client is scheduled for a sigmoidoscopy. What instruction should the nurse provide the client in preparation for this diagnostic procedure?

Semi-Fowler

A client with a rigid and painful abdomen is diagnosed with a perforated peptic ulcer. A nasogastric tube is inserted, and surgery is scheduled. Before surgery, the nurse should place the client in what position?

projectile vomiting

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding should the nurse expect the client to report?

Ensuring an understanding of the procedure

A healthcare provider prescribes a sigmoidoscopy for one client and a barium enema for another client. What is a nursing responsibility common to preparing both of these clients for these procedures?

orange banana dried fruit

A nurse advises a client receiving furosemide about potassium intake. Which fruits should the nurse encourage the client to eat? Select all that apply.

Abdominal distention

A nurse is caring for a client who had surgery for the formation of a continent urostomy. The nurse engages the client in early postoperative ambulation to prevent what complication?

Sudden passage of a hyperosmolar food solution into the small intestine

After a subtotal gastrectomy, a client begins to eat more food in varied forms. After meals the client experiences a cramping discomfort and a rapid pulse with waves of weakness, which often are followed by nausea and vomiting. The nurse concludes that the client is experiencing dumping syndrome, which is caused by what process?

Check the patency of the tube

After abdominal surgery, a client is transferred to the post-anesthesia care unit (PACU) with a nasogastric tube in place and attached to low-intermittent wall suction. Which action should the nurse take initially when the client vomits 90 mL of bile-colored fluid?

Stop the fluid until the cramps subside

During administration of an enema, a client reports having intestinal cramps. What should the nurse do?