The correct sequence for abdominal assessment is:
Auscultation is done before palpation to avoid stimulating peristaltic movements and distorting auscultatory sounds.
The nurse can expect a 60-year old patient with ischemic bowel to report a history of:
Ischemic bowel occurs in patient over 50 with a history of diabetes mellitus.
Nitrosocarcinogen production can be inhibited with intake of:
Vitamin C and refrigeration of foods inhibit nitroso carcinogen.
The nurse must be alert for complications with Sengstaken-Blakemore intubation including:
Rupture or deflation of the balloon could result in upper airway obstruction. The other choices are not related to the tube.
The nurse would anticipate using which medication if sclerotherapy has not been used?
Vasopressin is the drug of choice when sclerotherapy is contraindicated. Neomycin is used in preventing encephalopathy when blood is broken down. Propranolol may or may not be used to decrease cardiac output and hepatic venous pressure.
Pain control with peptic ulcer disease includes all of the following except:
Meals should be regularly spaced in a relaxed environment
Peptic ulcer disease may be caused by which of the following?
Helicobacter pylori is considered to be the major cause of ulcer formation. Other choices are not related to ulcer formation.
A patient has become very depressed postoperatively after receiving colostomy for GI cancer. He does not participate in his colostomy care or look at the stoma. An appropriate nursing diagnosis for this situation is:
The patient is dealing with a disturbance in self-concept and difficulty coping with the newly established stoma.
Peritonitis can occur as a complication of:
Perforation is a life-threatening complication of peptic ulcer disease and can result in peritonitis.
Patients with esophageal varices would reveal the following assessment:
Tachycardia is an early sign of compensation for patients with esophageal varices.
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