The nurse is educating a group of older adults about screening for colorectal cancer. Which statement by a group member indicates the need for further clarification about these guidelines?
I will need to have a routine colonoscopy every 5 years.
Which client does the charge nurse on the adult medical unit assign to an RN who has floated from the outpatient gastrointestinal (GI) clinic?
A 40-year-old who needs laxatives administered and effectiveness monitored before a colonoscopy
Which client does the charge nurse assign to an experienced LPN/LVN working on the adult medical unit?
A 32-year-old who needs a nasogastric tube inserted for gastric acid analysis
A client had a routine sigmoidoscopy with a tissue biopsy. What postprocedure complication would the nurse report to the health care provider?
Excessive bleeding
What is a common gastrointestinal problem that older adults experience more frequently as they age?
Decreased hydrochloric acid levels
The nurse is assessing an alert client who had abdominal surgery yesterday. What method provides the most accurate data about resumption of peristalsis in the client?
Asking the client whether he or she has passed flatus (gas) within the previous 12 to 24 hours.
The nurse is assessing a client who comes to the emergency department with acute abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen. Which action by the nurse is correct?
Notify the provider about this finding immediately
A client is scheduled for a colonoscopy. What does the nurse tell the client to do before the procedure is performed?
Begin a clear liquid diet at least 24 hours before the test.
The nurse practitioner is performing an abdominal assessment on a newly admitted client. In which order should the nurse proceed with assessment technique?
Inspection, auscultation, percussion, palpation
The nurse is assessing a client who has come to the emergency department with acute abdominal pain. The client is very thin and the nurse observes visible peristaltic movements when inspecting the abdomen. What does the nurse suspect?
Intestinal obstruction
A client is admitted to the hospital with severe right upper quadrant (RUQ) abdominal pain. Which assessment technique does the nurse use for this client?
Examines the RUQ of the abdomen last following all other assessment techniques.
A client arrives at the emergency department with acute abdominal pain in the left lower quadrant. In which order does the nurse examine and assess the client's abdomen? (left lower quadrant (LLQ), left upper quadrant (LUQ), right lower quadrant (RLQ), an
RUQ, LUQ, RLQ, LLQ
Which substance, produced in the stomach, facilitates the absorption of vitamin B12?
Intrinsic factor
After a colonoscopy, a client reports severe abdominal pain. The nurse obtains these data: temperature 100.2�F (37.9�C), pulse 122 beats/min, blood pressure 100/45 mm Hg, respirations 44 breaths/min, and O2 saturation 89%. Which request from the health ca
Provide oxygen at 6 L/min per nasal cannula.
While working in the outpatient procedure unit, the RN is assigned to these clients. Which client does the nurse assess first?
A 51-year-old who recently had an endoscopic retrograde cholangiopancreatography (ERCP)
The outpatient clinic nurse is caring for a recovering client who had a colonoscopy. The client asks for a drink. How does the nurse respond to this request?
When you are able to pass flatus (gas), you can have a drink.
Which factors place a client at risk for gastrointestinal (GI) problems?
Use of nonsteroidal anti-inflammatory drugs (NSAIDs
Some herbal preparations
Socioeconomic status
Smoking a half-pack of cigarettes per day
When taking a history for a client with GI problems, which daily client behavior requires further nursing assessment? (Select all that apply.)
b. Takes 800 mg of ibuprofen for arthritic pain
d. Chews tobacco
e. Takes senna to assist with bowel movements
The nurse is performing a physical assessment on a client's abdomen. The nurse inspects the abdomen and finds the abdomen asymmetrical, with a non-pulsating mass in the RUQ. What is the appropriate priority nursing intervention?
b. Auscultate for bowel sounds and bruits.
A nurse is preparing a health teaching session about early detection of colorectal cancer. Which test should the nurse include? (Select all that apply.)
a. Colonoscopy every 10 years
c. Flexible sigmoidoscopy every 5 years
d. Stool DNA test (sDNA) every 3 years
e. Double contrast barium enema every 5 years
f. Take home yearly guaiac fecal occult blood test (gFOBT)