Nursing Care for Patients with Dysphagia and Genitourinary Assessment
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Questions and Answers

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?

<p>To assess complications that may have occurred (C)</p> Signup and view all the answers

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

<p>Gastrointestinal and genitourinary diseases (D)</p> Signup and view all the answers

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

<p>To tailor the physical assessment (A)</p> Signup and view all the answers

What is dysuria?

<p>Burning, stinging, or itching sensation associated with urination (B)</p> Signup and view all the answers

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

<p>Changes in mental status (B)</p> Signup and view all the answers

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

<p>Urinary urgency (A)</p> Signup and view all the answers

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

<p>Constipation (D)</p> Signup and view all the answers

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

<p>Prostate hypertrophy (A)</p> Signup and view all the answers

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

<p>Palpation (A)</p> Signup and view all the answers

What is the expected abdominal contour of an infant called?

<p>Protuberant (C)</p> Signup and view all the answers

What does urinary frequency often indicate in older adults?

<p>Prostate enlargement (D)</p> Signup and view all the answers

What may changes in mental status signify in elderly patients?

<p>Genitourinary infections (C)</p> Signup and view all the answers

What symptom might women with dysuria experience?

<p>Vaginal inflammation (C)</p> Signup and view all the answers

What is the most common complaint related to abdominal problems?

<p>Gastrointestinal Pain (B)</p> 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?

<p>Sunken eyes and dry mucous membranes (B)</p> Signup and view all the answers

In a gastrointestinal assessment, what should be asked daily to potentially initiate a bowel management program if needed?

<p>Date of last bowel movement and flatus (B)</p> 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?

<p>Dehydration or electrolyte imbalances (D)</p> Signup and view all the answers

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

<p>Elimination (C)</p> Signup and view all the answers

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

<p>Nausea, vomiting, diarrhea, and constipation (B)</p> Signup and view all the answers

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

<p>Examination of digestive system function (B)</p> Signup and view all the answers

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

<p>Signs of dehydration or electrolyte imbalances (A)</p> Signup and view all the answers

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

<p>To prevent complications like electrolyte imbalances (C)</p> Signup and view all the answers

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

<p>Sunken eyes (B)</p> Signup and view all the answers

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

<p>To relax the abdominal wall musculature (A)</p> Signup and view all the answers

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

<p>It tenses the abdominal wall (A)</p> Signup and view all the answers

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

<p>To check for integrity, scarring, or striae (A)</p> Signup and view all the answers

Where should auscultation of bowel sounds typically begin?

<p>The right lower quadrant (RLQ) (D)</p> Signup and view all the answers

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

<p>The activity of normal bowel sounds may cycle with long periods (D)</p> Signup and view all the answers

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

<p>Normal bowel functioning (D)</p> Signup and view all the answers

What might hyperactive bowel sounds suggest during auscultation?

<p>Bowel obstruction or gastroenteritis (C)</p> Signup and view all the answers

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

<p>Flat of the hand and fingers (D)</p> Signup and view all the answers

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

<p>'Striae' are caused by rapid skin stretching as in pregnancy or weight gain (C)</p> Signup and view all the answers

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

<p>It suggests possible vascular issues in the abdomen (B)</p> 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?

<p>Light palpation (C)</p> Signup and view all the answers

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

<p>Gently from the pelvis up towards the umbilicus (A)</p> 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?

<p>Distended bladder (A)</p> Signup and view all the answers

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

<p>Involuntary guarding (D)</p> 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?

<p>To elicit rebound tenderness (C)</p> Signup and view all the answers

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

<p>Encourage bending their knees while in a supine position (C)</p> Signup and view all the answers

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

<p>Normoactive bowel sounds (A)</p> Signup and view all the answers

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