Chapter 43: Assessment of Digestive and Gastrointestinal Function 3

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Increase the amount of fluids

The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal?

ibuprofen

A health care provider plans to send a client home with supplies to complete a hemoccult test on all stools for 3 days. During the client education, the nurse informs the client to avoid which medication while collecting stool for the test?

"You will need to swallow a capsule."

A client presented with gastrointestinal bleeding 2 days ago and continues to have problems. The health care provider has ordered a visualization of the small intestine via a capsule endoscopy. What will the nurse include in the client education about this procedure?

Left upper

A focused GI assessment begins with a complete history and physical examination. Identify the quadrant of the abdomen to be palpated or percussed for a patient with pancreatitis.

3 days

When completing a nutritional assessment of a patient who is admitted for a GI disorder, the nurse notes a recent history of dietary intake. This is based on the knowledge that a portion of digested waste products can remain in the rectum for how many days after a meal is digested?

duodenal ulcer

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

"I really don't like to be in small, enclosed spaces."

When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the physician?

Positron emission tomography (PET)

Which diagnostic produces images of the body by detecting the radiation emitted from radioactive substances?

Steapsin

It is important for a nurse to have an understanding of the major digestive enzymes and their actions. Choose the gastric mucosa secretion that plays an important role in the digestion of triglycerides.

Dyspepsia

A nurse is assessing a client for GI dysfunction. What is the most common symptom in a client with GI dysfunction?

Xiphoid process

While completing an abdominal assessment, the nurse will use which landmark as the upper boundary for auscultating bowel sounds?

recent foods ingested.

A client tells the nurse that the stool was colored yellow. The nurse assesses the client for

metabolism

Lisa Bentley, a 32-year-old teacher, presents to the gastroenterology office where you work. She is known to have a history of Crohn's disease, and you have met with her several times to discuss the various health concerns that she has related to her diagnosis. When talking with the client, the nurse explains that having a GI disorder doesn't mean her problems are limited to the one area that is diseased but might also involve all of the following except ________.

Medulla oblongata

Swallowing is regulated by which area of the central nervous system (CNS)?

Radiography of the gallbladder

The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

The client will change positions frequently throughout the procedure.

The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized?

Avoid smoking for at least a day before the procedure.

When assisting with preparing a client scheduled for a barium swallow, what nursing instruction would be appropriate to include?

Avoid smoking for at least 12 to 24 hours before the procedure.

When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?

small bowel enteroscopy

Which procedure is performed to examine and visualize the lumen of the small bowel?

increased peristalsis

Which response is a parasympathetic response in the GI tract?


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