GI Assessment
While performing an abdominal assessment on a client, the nurse notes a bruit over the aorta. The appropriate nursing action is.
What is notify the health care provider of the findings?
The nurse is monitoring a client for the early signs and symptoms of dumping syndrome.
What are sweating and pallor?
The nurse is caring for a client with gastroesophageal reflux disease (GERD) and provides client education on measures to decrease GERD. The client states, " I plan to have a snack 1 hour before going to bed."
What is the client needs further teaching?
The nursing instructor asks a nursing student which substance provides a protective function for the stomach against autodigestion and subsequent gastritis. The student states
What are prostaglandins?
The nurse is assessing a client experiencing an exacerbation of irritable bowel syndrome (IBS) who is experiencing localized abdominal pain. The nurse prepares to perform abdominal palpation, knowing the ____ _____ abdominal quadrant would most likely elicit tenderness with palpation.
What is the left lower quadrant?
The nurse would place the client in this position for an abdominal examination.
What is supine?
A client experiencing chronic dumping syndrome makes the following comments to the nurse: "I eat at least 3 large meals each day."
What is needs further teaching?
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications to take to reduce GERD symptoms. The nurse instructs the client to avoid lying down for at least _____ hour(s) after eating.
What is three?
The nurse is caring for a client with new-onset abdominal pain who was diagnosed with acute gastritis. Long term _______ therapy may have caused this.
What is corticosteroid therapy?
The nurse is reviewing the management plan for a client diagnosed with irritable bowel syndrome with predominant constipation (IBS-C). The provider orders administer loperamide as needed for constipation.
What is the order requires follow-up?
The nurse is performing an abdominal assessment and inspects the skin on the client's abdomen. The nurse would next.
What is listen to bowel sounds in all four quadrants?
The nurse has provided home care instructions to a client who had a subtotal gastrectomy. The nurse instructs the client on the signs and symptoms associated with dumping syndrome.
What is it will cause diaphoresis and diarrhea?
Reduced _____ motility may be one cause of GERD.
What is esophageal motility?
The nurse is caring for a client with a bleeding gastric ulcer. The client begins to complain of severe, penetrating epigastric pain. The nurse firsts
What is perform an abdominal assessment?
The nurse is assessing a client diagnosed with irritable bowel syndrome (IBS). The nurse asks about the client’s bowel habits, and the client reports having several episodes of constipation that alternate with several episodes of diarrhea. This would be classified as
What is IBS-A?
The nurse palpates the _____ _____ abdominal quadrant during an assessment of the liver.
What is the right upper quadrant?
The nurse is providing instructions to a client regarding measures to minimize the risk of dumping syndrome. The nurse instructs the client to maintain a ____________ position after eating.
What is maintain a low-Fowler's position after eating?
The nurse is caring for a client recently diagnosed with a hiatal hernia, and the client asks the nurse to describe a hiatal hernia. The nurse states
What is “it is the herniation of the upper part of the stomach into the esophagus through an opening in your diaphragm.”
The nurse is admitting a client with chronic peptic ulcer disease who is complaining of severe abdominal pain. The physician orders the nurse to administer 15 milligrams (mg) ketorolac intravenously every 6 hours as needed for moderate pain.
What is the order requires a need for follow-up?
The nurse provides instructions to a client about measures to treat irritable bowel syndrome (IBS). The nurse instructs the client to _______ their dietary fiber.
What is increase?
This structure is located in the left lower quadrant of the abdomen.
What is the sigmoid colon?
The nurse is providing discharge instructions to a client following gastrectomy and would instruct the client to _____ the fluids taken with meals to assist in preventing dumping syndrome.
What is limit?
The nurse is caring for a client complaining of acid reflux and shortness of breath. A chest x-ray demonstrates protrusion of the upper portion of the stomach through the diaphragm. The nurse suspects
What is hiatal hernia?
A _____, ________ ______ is indicative of peptic ulcer perforation.
What is a rigid, board like abdomen?
The nurse is planning a treatment and prevention program for chronic bowel incontinence for an older patient. The nurse assists the client to the commode __ minutes after meals.
What is 30?