NUR 2571 Rasmussen Final (GI,GU)

NUR 2571 Rasmussen Final (GI,GU)
1. Dysphagia (Assessment)
Answer
Difficulty swallowing liquids orsolids. Recurrent pulmonary infections. (Related to aspiration)
Coughing after eating or drinking.
2. Dysphagia (Diagnostics)
Answer
Barium swallow test or an endoscopic evaluation. Swallow studies are preformed by
occupational therapy, NOT the nurse.
The nurse can do a swallow screening and request a consult with OT for further evaluation.
3. Dysphagia (Nursing Interventions)
Answer
Provide the patient with thickened fluids and foods.
- Do not provide a patient on thickened fluids with a straw!
Keep the patients head of bed at 30-45 degrees to prevent aspiration.
4. Appendicitis (S/S)
Answer
Generalized abdominal pain that progressively worsens. Nausea and vomiting
Localized RLQ pain (McBurney's Point)** Rebound tenderness.
5. A patient admitted with appendicitis is scheduled for an appendectomy tomorrow. As the
nurse you are evaluating the patients pain,the patientstates their pain suddenly went away.What
does this indicate?
Answer
Sudden relief of pain indicates that the appendix has ruptured.