Nursing Care for Patients with Dysphagia and Genitourinary Assessment

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What is the primary responsibility of the gastrointestinal (GI) system?

Absorption of waste products

Elimination of nutrients

Ingestion of food (correct)

Absorption of oxygen

Why is it important for a nurse to collect subjective data during gastrointestinal and genitourinary assessment?

To tailor the subsequent physical assessment (correct)

To schedule surgeries

To plan the patient's meals

To provide medication

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 (correct)

Family history of skin conditions

History of respiratory diseases

Past surgeries on the extremities

Why does the nurse inquire about any previous abdominal surgeries during the subjective assessment?

To assess complications that may have occurred Signup and view all the answers

Which type of conditions are explored through interview questions in the subjective assessment of GI and GU systems?

Gastrointestinal and genitourinary diseases Signup and view all the answers

How is the information gained from the interview process used in patient care and education?

To tailor the physical assessment Signup and view all the answers

What is dysuria?

Burning, stinging, or itching sensation associated with urination Signup and view all the answers

In elderly patients, what may be the presenting symptom of a urinary tract infection?

Changes in mental status Signup and view all the answers

What is the term for an abrupt, strong, and often overwhelming need to urinate?

Urinary urgency Signup and view all the answers

What condition is more common in older adults due to decreased physical mobility and oral intake?

Constipation Signup and view all the answers

What is a common medical condition in older males causing uncomfortable urinary symptoms such as urgency and frequency?

Prostate hypertrophy Signup and view all the answers

What technique should be performed after auscultating bowel sounds during an abdominal examination?

Palpation Signup and view all the answers

What is the expected abdominal contour of an infant called?

Protuberant Signup and view all the answers

What does urinary frequency often indicate in older adults?

Prostate enlargement Signup and view all the answers

What may changes in mental status signify in elderly patients?

Genitourinary infections Signup and view all the answers

What symptom might women with dysuria experience?

Vaginal inflammation Signup and view all the answers

What is the most common complaint related to abdominal problems?

Gastrointestinal Pain Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

Which chapter in Open RN Nursing Fundamentals provides details about commonly occurring gastrointestinal conditions?

Elimination Signup and view all the answers

What are some common issues experienced by hospitalized patients due to adverse effects of medications or medical procedures?

Nausea, vomiting, diarrhea, and constipation Signup and view all the answers

What specialized assessments related to the GI system can involve examination of the oropharynx and esophagus?

Examination of digestive system function Signup and view all the answers

What should be monitored if a patient is experiencing diarrhea in a hospital setting?

Signs of dehydration or electrolyte imbalances Signup and view all the answers

Why is it important to assess and monitor for signs of dehydration in patients experiencing diarrhea?

To prevent complications like electrolyte imbalances Signup and view all the answers

What symptom in a patient with diarrhea may require contacting the health care provider for further treatment?

Sunken eyes Signup and view all the answers

What is the primary purpose of positioning the patient supine during abdominal inspection?

To relax the abdominal wall musculature Signup and view all the answers

Why should the patient's arms not be folded behind the head during abdominal inspection?

It tenses the abdominal wall Signup and view all the answers

What is the purpose of visually examining the abdomen for skin abnormalities during inspection?

To check for integrity, scarring, or striae Signup and view all the answers

Where should auscultation of bowel sounds typically begin?

The right lower quadrant (RLQ) Signup and view all the answers

Why is it not recommended to count abdominal sounds during auscultation?

The activity of normal bowel sounds may cycle with long periods Signup and view all the answers

What does the presence of borborygmus indicate during auscultation of bowel sounds?

Normal bowel functioning Signup and view all the answers

What might hyperactive bowel sounds suggest during auscultation?

Bowel obstruction or gastroenteritis Signup and view all the answers

When palpating the abdomen, what should be used to detect palpable organs or abnormal masses?

Flat of the hand and fingers Signup and view all the answers

'Striae' on the patient's skin may be an indication of:

'Striae' are caused by rapid skin stretching as in pregnancy or weight gain Signup and view all the answers

What is the significance of noting abnormal movement or pulsations during abdominal inspection?

It suggests possible vascular issues in the abdomen Signup and view all the answers

What technique is primarily used by bedside nurses to assess for musculature, abnormal masses, and tenderness when palpating the abdomen?

Light palpation Signup and view all the answers

How should a nurse palpate the bladder to check for distention?

Gently from the pelvis up towards the umbilicus Signup and view all the answers

What is indicated if a full bladder presents as a pelvis mass that is regular, smooth, firm, and oval-shaped?

Distended bladder Signup and view all the answers

What type of guarding refers to the reflexive contraction of abdominal muscles due to peritoneal inflammation?

Involuntary guarding Signup and view all the answers

What is the purpose of maintaining pressure over an area of tenderness and then withdrawing the hand abruptly during palpation?

To elicit rebound tenderness Signup and view all the answers

What should be encouraged for a patient prior to abdominal palpation to enhance muscle relaxation?

Encourage bending their knees while in a supine position Signup and view all the answers

During palpation, what is an expected finding related to bowel sounds?

Normoactive bowel sounds Signup and view all the answers