ch 43- assessment of digestive and GI function

They tend usually to have less control of the rectal sphincter.

The nurse determines which is a true statement regarding older clients, considering age-related effects on their GI system?

Red plaque on undersurface of tongue

The nurse inspects a client's tongue. Which finding would the nurse evaluate as an indication of potential oral cancer?

"It indicates if cancer is present."

A client asks the nurse why the MD ordered the blood test carcinoembryonic antigen. the nurse answers:

Recent foods ingested

A client tells the nurse that the stool was colored yellow. the nurses assess the client for

pytalin

An enzyme that begins the digestion of starches is

Glucose

The major carbohydrate that tissue cells use as fuel is

20%

Blood flow to the GI tract is approx. what percentage of the total cardiac output?

difficulty swallowing

The nurse cares for a client after a gastroscopy for which the client received sedation. The nurse should report what finding to the physician?

Restrict eating of solid food for 6-8 hours before the test

The nurse determines a client scheduled to undergo an abdominal US should receive which instruction?

upper GI enteroclysis

The client describes a test previously completed to detect a small bowel obstruction prior to admission to the hospital. the nurse determines which test name should be documented?

normal

When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are

Duodenal ulcer

When gastric analysis testing reveals excess secretion of gastric acid, the nurse recognizes which medical diasgnosis is supported?

Trypsin

Which enzyme aids in the digestion of protein?

acetlycholine

Which neuroregulator increase gastic acid secretion?

increased peristalsis

Which response is a parasympathetic response in the GI tract?

Do not give any food and fluid until the gag reflex returns

a client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. The nurse determines which nursing intervention is advised for this client?

Resume regular diet

the nurse cares for a client after an endoscopic examination and prepares the client for discharge. Then nurse includes which instruction?

weakened gag reflex

The nurse recognizes which change of the GI system is an age-related change?

Follow the dietary and fluid restriction and bowel preparation procedures

The nurse teaches a client scheduled for a colonoscopy. which instruction should be included as part of the preparation for the procedure?

tarry black

The nurse recognizes that blood shed into the upper GI tract produces which color of stool?

Inspection, auscultation, percussion, palpation

The nurse performs an abdominal assessment. the nurse should perform the assessment in which order?

Clear liquids day before

The nurse prepares a client for a barium enema. the nurse should place the client on which diet prior to the procedure?

Hypoactive

The nurse determines one or two bowel sounds in 2 minutes should be documented as

Inflammatory bowel disease

The nurse prepares to administer the lavage solution to a client having a colostomy completed. the nurse stops and notifies the physician when noting that the client has which condition?

I should avoid abx for 1 month before the test

The nurse provides client education to a client about to undergo hydrogen breath testing. the nurse evaluates that the client understands the test when the client makes which statement?