Exam 21: Gastrointestinal Function

An older adult reports chronic constipation.When asked why this problem has gotten worse with age,what response by the nurse is best?

An older patient has been admitted with severe nausea and vomiting.What assessment takes priority?

A 70-year-old patient has lost 25 pounds since being diagnosed with hepatitis A.To best manage the patient's anorexia,what does the nurse suggest? (Select all that apply. )

An 82-year-old patient with a history of chronic heart and respiratory problems asks the nurse,"What can I do to keep my hemorrhoids from acting up?" Which of the following responses made by the nurse are appropriate? (Select all that apply. )

The nurse is planning to teach an older patient about diverticulitis.What topic does the nurse include?

Because of a knowledge of age-related changes in the gastrointestinal system,the nurse encourages regular screenings for which of the following? (Select all that apply. )

An older patient with hepatitis has pruritus.What advice does the nurse provide this patient?

An older adult patient reports episodes of fecal incontinence.What response by the nurse provides appropriate emotional support?

An older adult had gastric resection surgery and now is experiencing dizziness,nausea,and diaphoresis after meals.What instruction by the nurse caring is best?

An older adult patient is being evaluated for a possible duodenal ulcer (DU).Which of the following assessments supports the diagnosis? (Select all that apply. )

An older adult patient has recently diagnosed gastritis.What statement made by this patient indicates the need for further teaching?

An older patient is having a colostomy as part of surgery for colon cancer.What assessment by the nurse is most important in this patient?

An older patient is being taught about oral gingivitis.The nurse has included instruction about maintaining an oral hygiene program,signs and symptoms of oral infection,and the importance of maintaining regular professional dental care.What other important teaching topic should be included?

When preparing to discharge an older patient with mild dysphagia,the nurse suggests that the patient can minimize symptoms by doing which of the following?

A patient has pernicious anemia.What action by the patient and family indicates teaching for this condition has been effective?

An 80-year-old patient has nausea and vomiting related to a gastrointestinal disorder.Which of the following nursing interventions is most appropriate?

The daughter of a dependent older patient reports to the nurse that the patient requires regular soapsuds enemas to manage chronic constipation.What response by the nurse responds is best?

An older patient had a stroke several months ago.The patient begins to exhibit dysphagia.What action by the nurse is best?

A 68-year-old patient is reporting a gnawing epigastric pain.What question by the nurse would elicit the most useful information?