MED SURG CH 32
A client asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). The nurse answers:
"It indicates if a cancer is present."
The nurse is performing an assessment of a patient. During the assessment the patient informs the nurse of some recent "stomach trouble." What does the nurse know is the most common symptom of patients with GI dysfunction?
Dyspepsia
While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which structure?
Liver
The _______________ contains the liver, gallbladder, duodenum, head of the pancreas, hepatic flexure of the colon, portions of the ascending and transverse colon, and a portion of the right kidney.
RUQ
A nurse caring for a newly admitted client with a suspected gastrointestinal (GI) bleed assesses the client's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?
Upper GI tract
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?
colonoscopy
The ____________________, which is approximately 10 inches long, is the first region of the small intestine and the site where bile and pancreatic enzymes enter.
duodenum
Which response is a parasympathetic response in the GI tract?
increased peristalsis
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The health care provider begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption?
intrinsic factor
The nurse is caring for a geriatric client and notices polypharmacy. Which diagnostic studies are anticipated?
liver function studies
Following ingestion of carrots or beets, the nurse would expect which alteration in stool color?
red
The nurse is answering questions regarding fecal matter for a client who is scheduled for a colon resection. The client is asking questions regarding the composition of the fecal matter and when it becomes a formed mass. The nurse is most correct to state at which location?
sigmoid colon
Most nutritional absorption occurs in the ......
small intestine
Decreased gastric secretion, blood vessel constriction, and decreased motility are _______________ responses in the GI tract
sympathetic
The client describes a test previously completed to detect a small bowel obstruction prior to admission to the hospital. The client states that the test involved insertion of a tube through the nose and lasted over 6 hours. The nurse determines which test name should be documented?
upper GI enteroclysis
