Exam 32: Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment, and Therapeutic Measures

A patient recovering from GI surgery 4 hours ago is alert and oriented and complains of feeling thirsty.Diet orders read,"clear liquids,advance as tolerated." Which action should the nurse take?

The nurse is reinforcing teaching provided to a patient who has a small bowel obstruction.Which processes occur in the small intestine that should be included in this teaching? (Select all that apply.)

The nurse is auscultating bowel sounds and hears two bowel sounds over 5 minutes.How should the nurse document this finding?

A patient's Levin NG tube inserted for decompression of the bowel,which is connected to low intermittent suction,is not draining.The patient reports feeling full,uncomfortable,and nauseous.After verifying tube placement,what action should the nurse take next?

A patient is upset to learn that an occult blood test of a stool specimen was positive for blood.What should the nurse assess in this patient to determine if the results were falsely positive? (Select all that apply.)

The nurse is caring for a patient of Mexican American descent who is experiencing diarrhea.Which foods should the nurse expect the patient to select for the next day's meals? (Select all that apply.)

The nurse is caring for a patient who is placed on a modified bland diet.Which should be removed before serving the patient's dinner tray?

The nurse is inspecting a patient's oral cavity.What is the most important safety reason for the nurse to inspect for loose teeth when collecting data on the oral cavity of a patient?

The nurse is caring for a patient who has a permanent gastric feeding tube.What nursing action would be most helpful to prevent aspiration during feedings?

The nurse is preparing to initiate a tube feeding through a patient's nasogastric (NG)tube.Prior to initiating this feeding what should the nurse use to irrigate the tube?

A patient is 5 feet 6 inches tall and weighs 225 pounds.What is this patient's body mass index?

While assessing a patient's abdomen,the nurse notes a yellow-tinge to the skin.How should the nurse document this finding?

The nurse is preparing a patient for an NG tube insertion.To decrease the patient's anxiety about insertion of a nasogastric tube,what should the nurse do?

A patient receiving tube feedings at 50 mL/hour has a residual volume of 250 mL of undigested tube feeding.What action should the nurse take?

A 30-year-old patient with ulcerative colitis is scheduled for a proctosigmoidoscopy.Which finding should cause the nurse to clarify routine preparation orders with the physician?

The nurse is palpating the abdomen of a patient reporting mild abdominal pain in the upper right quadrant.How deep should the nurse depress this patient's abdomen?

The nurse is reinforcing teaching for a patient who has hepatitis.Which functions of the liver should the nurse include in the teaching? (Select all that apply.)

The nurse is reinforcing teaching for a patient who is scheduled for an upper GI series.Which patient statement indicates teaching has been effective?

While providing care for a patient who has recently completed chemotherapy for colorectal cancer,the nurse notes the patient has an elevated carcinoembryonic antigen (CEA)level.How should the nurse interpret this test result?

The nurse is caring for a patient on a clear liquid diet.The nurse should recognize that the patient requires further teaching if the patient requests which food?