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Gastrointestinal Assessment NUR 352 Questions With Complete Solutions
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Gastrointestinal Assessment NUR 352 Questions With Complete Solutions
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Gastrointestinal Assessment NUR 352 Questions WithComplete Solutions
abdomen: order of inspection Correct Answers -auscultation,
percuss, light palpitation
-good lighting
-supine position, relaxed
-knees slightly flexed
-empty bladder
-warm hands
absorption Correct Answers -most food absorbed in: small
intestine
-absorption of water, electrolytes, mineral occurs in large
intestine
after colostomy Correct Answers -foods easy to digest to avoid
blockages
-diet adjustments due to flatus
after ileostomy Correct Answers diet to prevent obstruction
after procedures: Correct Answers -consider psychological
factors relating to body image
-additional team members for collaboration
(nutritionist/dietician)
alterations in GI elimination Correct Answers -usually treatable
or manageable
, -nurse can assist the client with making lifestyle changes,
provide bowel training, and provide the client with agents to
manage alterations
antiacids Correct Answers diarrhea
anticholeretic Correct Answers constipated femore fluids
assessment palpitation Correct Answers -palpate all 4
quadrants
-painful areas palpated last
-light-use 1 hand approx. 1 cm depth
-deep done by advanced practitioner
-small circular motion
-voluntary vs. involuntary guarding (unable to relax muscles)
-do not palpate visible pulsations (bulging, might burst)
-note masses/tenderness
-note any verbal/nonverbal pain cues
auscultation abdomen Correct Answers -movement of air and
fluid in intestines =bowel sounds
-follow policy on bowel sounds (RLQ only, vs clockwise RLQ,
LLQ, LUQ, LLQ)
auscultation abdomen (expected) Correct Answers -several
sounds per minute
-variation (borborygmi)
auscultation abdomen (unexpected) Correct Answers -
confirmation of absent sounds=non over 5 minutes
-hypoactive> 1 min
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