Exam 22: Alterations in Gastrointestinal Function

The nurse is providing care to a patient admitted with hematemesis,melena,and abdominal pain.The nurse prioritizes interventions to address which possible patient problem?

A patient admitted with possible ulcer disease tells the nurse that he has frequent nausea and vomiting and "just can't eat." The nurse would suspect this patient's ulcer to be in which area?

A patient recovering from an open cholecystectomy 3 days prior has not passed any flatus since surgery.Which finding suggests to the nurse that the patient may be experiencing a life-threatening condition?

A patient vomiting bright red blood is scheduled for an endoscopy sclerotherapy.The patient asks the nurse what the procedure will do.The nurse would reinforce which teaching?

A patient admitted with fatigue,dyspnea,and a hemoglobin level of 8.6 mg/dL tells the nurse that he occasionally has dark,smelly stools but they "go away" in a few days.The nurse would conduct additional assessment for which most common cause of this history?

A patient is recovering from a colonoscopy with removal of polyps.Which teaching should the nurse provide?

The conventional transducer method will be used to measure a patient's intra-abdominal pressure.Which interventions will the nurse use in this measurement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A trauma patient's intra-abdominal pressure (IAP)measures 26 mm Hg.How would the nurse explain needed treatment to the patient's family?

The nurse is caring for a patient diagnosed with an arteriovenous malformation (AVM)of the ascending colon.The nurse would prepare to implement which intervention?

A patient is hospitalized with recurrent gastric ulcers.Which education should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which assessment finding would the nurse evaluate as most likely occurring due to a lower gastrointestinal bleed?

A patient diagnosed with gastric ulcer is prescribed sucralfate (Carafate).Which patient teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient taking nonsteroidal anti-inflammatory drugs (NSAIDs)for osteoarthritis is admitted with acute erosive gastritis caused by alcohol ingestion.Which nursing instruction is indicated?

The nurse is assessing a patient recovering from surgery for abdominal compartment syndrome.Which findings could indicate a life-threatening condition may be developing in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient presents to the emergency department with reports of bloody diarrhea.During assessment,the patient becomes increasingly lethargic.The nurse's emergency interventions are based on which potential patient problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient recovering from thyroid surgery is now experiencing numbness and tingling around the mouth with an increase in irritability.Which additional assessment finding would cause the nurse the most concern?

A patient with a history of coronary artery disease is admitted with vomiting,abdominal distention,and hypoactive bowel sounds.Which assessment would provide the nurse with the most accurate information about the patient's fluid volume status?

A patient with a massive gastrointestinal bleed is diagnosed with a Mallory-Weiss tear.The nurse would anticipate which patient history?

A patient experiencing massive amounts of bloody diarrhea from the rectum is diagnosed with inflammation of the mucosa and submucosa after a colonoscopy and biopsy.The nurse prepares to provide care for a patient with which condition?

A patient with a history of atrial fibrillation is experiencing a massive gastrointestinal bleed.The patient is prescribed vasopressin.The nurse would be most concerned about the development of which adverse effect?