Apply the nursing process for a client with a disorder of the gastrointestinal system.
Application should include
- recognizing the clinical judgment model components
- identifying of factors in the prevention of gastrointestinal system disorders
- describing the steps in nursing assessment
- nursing management in diagnostic tests
- describing procedures with related equipment
- using skills involved with related procedures
- using nursing management of selected disorders
- describing diagnoses and plan of care
- identifying pharmacological management and dietary plan
- providing educational guidelines.
Process/Skill Questions:
- How can one explain the purpose and nursing management of diagnostic tests, such as
- endoscopy
- barium enema
- ultrasonography
- nuclear imaging
- gastric analysis
- paracentesis?
- How would one demonstrate procedures related to nasogastric (NG) tubes, collection of specimens, auscultation of bowel sounds, testing for occult blood, and administration of enteral feedings?
- What are the procedures related to ileostomy/colostomy care?
- What are the pathophysiology, clinical manifestations, nursing management, and treatment modalities of selected disorders, such as
- obesity
- malnutrition
- periodontal disorders
- hiatal hernia
- esophageal varices
- peptic ulcer disease
- cirrhosis of the liver
- inflammatory/infectious disorders (e.g., stomatitis, Crohn's disease, appendicitis, peritonitis, diverticulitis, and hepatitis A, B, C, and D)?
- What nursing diagnoses are related to the client with disorders of the gastrointestinal system?
- What are the pre- and post-operative nursing care of the client experiencing surgical procedures, such as
- esophagectomy
- colostomy
- appendectomy
- duodenostomy
- pyloroplasty
- ileostomy
- hemorrhoidectomy
- bariatric surgery?
- What pharmacological agents are often associated with gastrointestinal system procedures? How would one integrate these agents into nursing management plans, including
- antacids
- laxatives
- cathartics
- stool softeners
- digestants
- antidiarrheal agents
- emetics and antiemetics
- anticholinergics?
- How would one incorporate dietary principles, such as soft, high-fiber, low-residue, and bland diets, in the care of the client?
- How would one implement a plan of care to meet the biological, psychological, social, and cultural needs of the client?
- What educational guidelines would one provide for the client?