Ch. 43 Assessment of digestive & GI Function
The stomach which derives its acidity from hydrochloric acid, has a pH of
1.0
The nurse is investigating a patient's report of pain in the duodenal area. Where should the nurse perform the assessment ? A. Epigastric area and consider possible radiation of pain to the right sub scapular region B. Hypogastrium in the right or left lower quadrant C. Left lower Quad D. Periumbilical area, followed by the right lower quad
A. Epigastric area and consider possible radiation of pain to the right sub scapular region
What med should be withheld prior to a esophageal manometry
Aspirin
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 recognize is the most common symptom of patients with GI dysfunction A. Diffuse pain B. Dyspepsia C. Constipation D. Abdominal Bloating
B. Dyspepsia
Obvious discomfort, and rectal bleeding durning colonoscopy may alert the nurse to what complication
Bowel perforation
Structural changes in the esophagus that occur as a result of age-related changes
Decreased motility & emptying, weakened gag reflex, and decreased resting pressure of lower sphincter
A patient reports abdominal pain associated with indigestion. What is characteristic of this type of pain
Described as crampy or burning
Instructions for a gastroscopy
Must fast for 8 hours The throat will be sprayed with a local anesthetic Patient cannot eat or drink until the gag reflux returns (1-2hrs)
Subcutaneous med given to stimulate gastric secretions during gastric stimulation test
Pentagastrin
What will occur if there is a lack of intrinsic factor secreted by the gastric mucosa
Pernicious anemia
Position for abdomen exam
Supine position with the knees flexed to relax the abdominal muscles
The nurse is collecting a specimen from a patient. What characteristic of stool indicates to the nurse that the patient may have an upper GI bleed
Tarry & Black
What information should the nurse provide to a patient who will be undergoing a colonoscopy, about the position they will be placed in during the procedure
The patient is lying on their left side with the legs drawn up toward the chest. But the position may be moved to facilitate advancement of the scope
Why would glucagon be given durning a colonoscopy
To relax colonic musculature and reduce spasm
Three pancreatic secretions that contain digestive enzymes
Trypsin, amylase, lipase
What is secreted by the gallbladder and is responsible for fat emulsification
bile
When the pt is to perform a Hemoccult II test, what should the nurse inform the pt to avoid for atleast 72hrs in order to prevent a false-positive
red meats, aspirin, NSAIDS, turnips, horseradish
