Exam 44: Care of the Patient with a Gastrointestinal Disorder

Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes. What would the nurse suggest to reduce the risk of dumping syndrome?

To assist a family with a bowel training program to reduce fecal incontinence, the nurse would suggest the use of a ___________ at an optimal time to stimulate defecation.

Why are peptic ulcers a common problem of aging?

Celiac sprue in the adult can lead to systemic problems. Arrange the pathophysical events of this in order of their appearance. (Separate letters by a comma and space as follows: A, B, C, D) A) Malabsorption B) Weight loss/vitamin deficiency C) Systemic involvement D) Diarrhea E) Ingestion of gluten F) Destruction of villi in the small intestine

The nurse explains to the patient with Crohn disease that the tube feedings allow for:

The nurse caring for a patient with Crohn disease will closely monitor the urinary output to ensure that the patient is excreting at least _______mL/day.

Because bowel contents from an ileostomy are virtually liquid, what should the nurse include in the plan of care?

How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine) for Crohn disease? (Select all that apply.)

What should a nurse do when obtaining a stool specimen to be examined for ova and parasites?

Which activities should the home health nurse suggest to an elderly patient to avoid constipation? (Select all that apply.)

The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide:

The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate (Pepto-Bismol) to combat H. pylori. What color will this drug turn the stool?

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition. Which of the following would be the best Nursing response?

Due to frequent bouts of constipation, the nurse examines the bedfast nursing home resident for ulceration of the anus, called __________________.

The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube; the patient complains of pain and has become hypotensive. Which condition should the nurse recognize these as signs of?

A male patient complains that he will never adjust to his colostomy. Which is the best action for the nurse in this situation?

The patient has come to the PACU following an ileostomy for the treatment of ulcerative colitis. The patient is conscious and has a nasogastric tube in place and a pouch over the stoma. What should be the nurse's initial action?

The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:

Flexible sigmoidoscopy should be performed every ________ years.

The nurse takes into consideration that a proton pump inhibitor drug, such as ______________, will completely eradicate gastric acid production.