43 Questions
What is the primary responsibility of the gastrointestinal (GI) system?
Ingestion of food
Why is it important for a nurse to collect subjective data during gastrointestinal and genitourinary assessment?
To tailor the subsequent physical assessment
Based on the text, what is a key focus during a subjective assessment of the gastrointestinal and genitourinary systems?
Symptoms related to GI and GU diseases
Why does the nurse inquire about any previous abdominal surgeries during the subjective assessment?
To assess complications that may have occurred
Which type of conditions are explored through interview questions in the subjective assessment of GI and GU systems?
Gastrointestinal and genitourinary diseases
How is the information gained from the interview process used in patient care and education?
To tailor the physical assessment
What is dysuria?
Burning, stinging, or itching sensation associated with urination
In elderly patients, what may be the presenting symptom of a urinary tract infection?
Changes in mental status
What is the term for an abrupt, strong, and often overwhelming need to urinate?
Urinary urgency
What condition is more common in older adults due to decreased physical mobility and oral intake?
Constipation
What is a common medical condition in older males causing uncomfortable urinary symptoms such as urgency and frequency?
Prostate hypertrophy
What technique should be performed after auscultating bowel sounds during an abdominal examination?
Palpation
What is the expected abdominal contour of an infant called?
Protuberant
What does urinary frequency often indicate in older adults?
Prostate enlargement
What may changes in mental status signify in elderly patients?
Genitourinary infections
What symptom might women with dysuria experience?
Vaginal inflammation
What is the most common complaint related to abdominal problems?
Gastrointestinal Pain
In gastrointestinal assessment, what is one common symptom associated with pain that should be monitored for signs of dehydration or electrolyte imbalances?
Sunken eyes and dry mucous membranes
In a gastrointestinal assessment, what should be asked daily to potentially initiate a bowel management program if needed?
Date of last bowel movement and flatus
What can be indicated by symptoms like dry skin, dry mucous membranes, or sunken eyes in a patient experiencing gastrointestinal issues?
Dehydration or electrolyte imbalances
Which chapter in Open RN Nursing Fundamentals provides details about commonly occurring gastrointestinal conditions?
Elimination
What are some common issues experienced by hospitalized patients due to adverse effects of medications or medical procedures?
Nausea, vomiting, diarrhea, and constipation
What specialized assessments related to the GI system can involve examination of the oropharynx and esophagus?
Examination of digestive system function
What should be monitored if a patient is experiencing diarrhea in a hospital setting?
Signs of dehydration or electrolyte imbalances
Why is it important to assess and monitor for signs of dehydration in patients experiencing diarrhea?
To prevent complications like electrolyte imbalances
What symptom in a patient with diarrhea may require contacting the health care provider for further treatment?
Sunken eyes
What is the primary purpose of positioning the patient supine during abdominal inspection?
To relax the abdominal wall musculature
Why should the patient's arms not be folded behind the head during abdominal inspection?
It tenses the abdominal wall
What is the purpose of visually examining the abdomen for skin abnormalities during inspection?
To check for integrity, scarring, or striae
Where should auscultation of bowel sounds typically begin?
The right lower quadrant (RLQ)
Why is it not recommended to count abdominal sounds during auscultation?
The activity of normal bowel sounds may cycle with long periods
What does the presence of borborygmus indicate during auscultation of bowel sounds?
Normal bowel functioning
What might hyperactive bowel sounds suggest during auscultation?
Bowel obstruction or gastroenteritis
When palpating the abdomen, what should be used to detect palpable organs or abnormal masses?
Flat of the hand and fingers
'Striae' on the patient's skin may be an indication of:
'Striae' are caused by rapid skin stretching as in pregnancy or weight gain
What is the significance of noting abnormal movement or pulsations during abdominal inspection?
It suggests possible vascular issues in the abdomen
What technique is primarily used by bedside nurses to assess for musculature, abnormal masses, and tenderness when palpating the abdomen?
Light palpation
How should a nurse palpate the bladder to check for distention?
Gently from the pelvis up towards the umbilicus
What is indicated if a full bladder presents as a pelvis mass that is regular, smooth, firm, and oval-shaped?
Distended bladder
What type of guarding refers to the reflexive contraction of abdominal muscles due to peritoneal inflammation?
Involuntary guarding
What is the purpose of maintaining pressure over an area of tenderness and then withdrawing the hand abruptly during palpation?
To elicit rebound tenderness
What should be encouraged for a patient prior to abdominal palpation to enhance muscle relaxation?
Encourage bending their knees while in a supine position
During palpation, what is an expected finding related to bowel sounds?
Normoactive bowel sounds
Learn about nursing care for patients with dysphagia (difficulty swallowing) following a cerebrovascular accident (CVA or stroke) and the assessment of the genitourinary system, with a focus on bladder function. Understand how nurses can advocate for treatment to prevent complications and ask about urinary symptoms during assessments.
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