A nurse is performing gastric lavage for a client who has gastrointestinal bleeding
A nurse is performing gastric lavage for a client who has gastrointestinal bleeding. For patients with active bleeding, begin fluid resuscitation immediately; administer 500 mL of normal saline or lactated Ringer’s solution over 30 minutes. It may be performed in an emergency, such as when a person ingests some type of poison. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. This technique was first described in 1812 and has been used for nearly 200 years. Decreased urinary The nurse is caring for a patient who is admitted with gastrointestinal bleeding and whose blood pressure is 140/80 mm Hg, pulse 72 beats/minute, respirations 14 breaths/minute, and temperature 98. Prepare the client for hemodialysis c. Tests also may be ordered, such as: Blood tests. 1°C). After several days of treatment, the client is ready for discharge. The client begins to complain of increased abdominal pain and begins to vomit. Imaging technology or an endoscopic investigation can usually locate the cause of the bleeding. place the patient in reverse trendelenberg. This involves infusing the lavage fluid slowly and gently into the stomach to avoid causing further trauma to the gastrointestinal tract and elevating the head of the bed to a high Fowler's The nurse should instill 500 ml of solution through the NG tube and instruct the client to lie on his right side when performing a gastric lavage for upper gastrointestinal bleeding. Which of the following actions should the nurse take to prevent clogging of the tube? A. Lavage through a small-bore nasogastric tube 2. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. The nurse tells the client that products of digestion are absorbed mainly in the:, Which response is a parasympathetic response in the GI tract?, An enzyme that begins the 3 days ago · The nurse is caring for a client with a long history of peptic ulcer disease. Stomach decompression is commonly used after surgery or trauma to reduce pressure from the buildup of fluids and gas that cause Mar 15, 2023 · INTRODUCTION. b, c, d. b. how will the nurse best describe it. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test as not requiring the use of a contrast medium? Upper GI series Computer tomography Small bowel series Oct 13, 2023 · Gastrointestinal (GI) bleeding is a sign of a disorder in the digestive tract. 9% sodium chloride solution for irrigation, and connect the tube to lower intermittent suction as directed. A 60-year-old client who has a gastrointestinal hemorrhage: a client who has a gastrointestinal hemorrhage should have a nasogastric tube inserted for compression. A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 2. Double contrast barium enema C magnetic resonance imaging D colonoscopy Oct 13, 2023 · To find the cause of gastrointestinal bleeding, a health care professional will first take your medical history, including a history of previous bleeding, and do a physical exam. 3. Medical-Surgical. Which of the following actions should the nurse take first? A. Patients receiving NGL were more likely to take nonsteroidal anti-inflammatory drugs and be a. A nurse is assessing a client who is in the early stages of hepatitis A. The blood often shows up in stool or vomit but isn't always obvious. Exploratory laparotomy B. " 3. Sep 28, 2023 · When performing gastric lavage for a client who has gastrointestinal bleeding and an NG tube in place, the nurse should primarily follow options C) and D). C. The orogastric route should be used to avoid traumatic injury to the nasal mucosa, nasal turbinates, and nasal septum. You may need a complete blood count, a test to see how fast your blood clots, a platelet count and liver function tests. Study with Quizlet and memorize flashcards containing terms like The nurse has placed a nasogastric (NG) tube in a client with upper gastrointestinal (GI) bleeding to administer gastric lavage. Which of the following findings should the nurse expect? A. 6. Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation. Which of the following actions should the nurse take first? a. The nurse is caring for a client with a gastrointestinal bleed who has a nasogastric (NG) tube. Based on this finding it is most important for the nurse to monitor the client for signs and symptoms of which potential complication? 1. Testing the client's emesis for blood is an important assessment, but assessing orthostatic blood pressure is a priority. Should have a nasogastric tube inserted for compression. The client reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. Perform immediate gastric lavage. The nurse determines one or two bowel sounds in 2 minutes should be documented as. Discuss the laboratory and diagnostic examinations and give the nursing interventions for patients with disorders of the gastrointestinal tract. 3 days ago · This can assist in stopping or preventing gastrointestinal hemorrhage. See full list on osmosis. , 3. 5. Prepare intubation and suction supplies at the bedside 4. Administer pain medication. Nasogastric aspirate predicts high-risk endoscopic lesions in patients with acute upper-GI bleeding. • For diagnostic lavage, notice presence of fresh red blood, blood clots, or coffee ground material to confirm upper gastrointestinal bleeding. 1 mEq/L. Carefully space activity periods with rest. Explain the procedure for an upper gastrointestinal series c. A nurse performing gastric lavage for a client with gastrointestinal (GI) bleeding and a nasogastric tube in place can use sodium chloride or sterile water to irrigate. Test the client's emesis for blood. , A 68-year-old patient with a bleeding duodenal ulcer has a nasogastric (NG) tube in place, and the health care provider orders 30 mL of aluminum A. A. Erythromycin infusion or gastric lavage for upper gastrointestinal bleeding: a multicenter randomized controlled trial. clamped for 10 minutes every hour. Explanation: The primary purpose of gastric lavage in the case of a client who has gastrointestinal bleeding is to remove ingested toxins or substances from the stomach. Avoid nicotine and alcohol use. Jan 30, 2021 · a. Terms in this set (28) The nurse is assessing a client who is stating gastrointestinal upset and a feeling of bloating. Explain the etiology and pathophysiology, clinical manifestations, assessments, diagnostic tests, medical-surgical 3 days ago · Study with Quizlet and memorize flashcards containing terms like 1. " The nurse performing gastric lavage for a client with an NG tube should instill a chilled lavage solution into the tube, use a 0. "Medication goes down This procedure is usually done through the insertion of a sizable tube into the nose or the mouth and dispensing solution into the stomach. Decreased heart rate b. Erosion of the lining of the stomach or intestine C. If a 3 days ago · The nurse has placed a nasogastric (NG) tube in a client with upper gastrointestinal (GI) bleeding to administer gastric lavage. On assessment, the nurse notes that the abdomen is distended and bowel sounds are Magnesium hydroxide-- this med increases gastrointestinal motility and can increase the risk for an electrolyte imbalance and contribute to dehydration. " Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching about hepatitis A for a group of adolescents. in case of drug overdose ; What is gastric decompression? • Lavage should continue until the effluent is clear. Request a state repeat of the lab Nov 27, 2023 · Gastric lavage primarily aims to remove harmful substances from the stomach in cases of gastrointestinal bleeding, not to measure gastric components or assess gastric motility. Test the client's emesis for blood, A nurse is caring for a client who is Sep 19, 2023 · To perform gastric lavage for a client with gastrointestinal bleeding and an NG tube in place, the nurse should follow certain actions: Ensure that the client is positioned correctly, preferably on their left side, to prevent aspiration. Ask the client to take several small sips of water 2 Oct 20, 2022 · b. Perform immediate gastric lavage. - Flush with 5 mL cold water after each medication. To help prevent complications associated with gastric bypass surgery, the nurse needs to educate the client. 1016/j. - High, Fowlers position (reduces risk for aspiration) - measure from tip of nose to the tip of the earlobe to the tip of the Mar 6, 2021 · Background Risk stratification before endoscopy is crucial for proper management of patients suspected as having upper gastrointestinal bleeding (UGIB). Bleeding 2. The tube has two lemons; one tube removes gastric contents and the other tube serves as an air vent. apply the skin barrier while the skin is slightly moist. A three lumen tube is for: Sengstaken-Blakemore tube; Aspiration, irrigation and escape of air. gastric analysis. Which patient statement indicates that teaching has been effective? a. 0 (1 review) A client is scheduled for bowel resection with anastomosis involving the large intestine. Jul 21, 2016 · Gastric Lavage. • At this time, diagnostic lavage should be stopped. 2 days ago · It would be prudent to consult a poison control center or a Medical Toxicologist when considering gastric lavage in any poisoned patient. ANS: B. A nurse is preforming a gastric lavage for a client who has upper from MATHEMATICS 1 at Academy Charter High School A nurse is teaching a client how to use a quad cane for ambulation following a right- hemispheric stroke. Malnutrition, The nurse is caring for a client admitted with severe Aug 4, 2022 · Gastrointestinal bleeding occurs due to various gastrointestinal disorders, including peptic ulcer disease, gastric cancer, and inflammatory bowel disease. , cast placement) A nurse is performing a nasogastric intubation on a client and has reached the tube's predetermined length. . Client holds the cane with the left hand Client moves the cane 2 feet ahead Client advances the weaker leg Prep U: GI. Amylase D. A nurse is performing gastric lavage for a client who has gastrointestinal bleeding and a nasogastric tube in place. When reaching the client about his new diagnosis. B. Gastric lavage is the process of emptying the stomach of the contents it contains. What finding should be reported to the RN or physician immediately? a. wash the peristomal skin with mild soap and water. Eat foods rich in calcium. Question: 47 of 100 Time Remaining: 00:40:21 Pause Remaining: 00:00:11 PAUSE A nurse is preparing to perform gastric lavage for a client who has a bleeding gastric ulcer. To ensure that the tube reaches the stomach, the nurse would measure the distance from the bridge of the nose to which of the following? The nurse has placed a nasogastric (NG) tube in a client with upper gastrointestinal (GI) bleeding to administer gastric lavage. 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has cholecystitis. Kehr's sign, A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Assess orthostatic blood pressure. A nurse is performing a nasogastric intubation on a client and has reached the A nurse is caring for a client who has gastrointestinal bleeding. Which of the following serum laboratory values should return to the expected range within 72 hours of treatment beginning? A. The client asks which part of the GI tract absorbs food. Select all that apply. " Gastric lavage is a gastrointestinal decontamination technique that aims to empty the stomach of toxic substances by the sequential administration and aspiration of small volumes of fluid via an orogastric tube. To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase? Enteral tubes are tubes placed in the gastrointestinal tract for stomach decompression, as well as an alternate route for feeding and/or medication administration. Upper gastrointestinal (GI) bleeding d. barium studies. A nurse is caring for a patient who has a diagnosis of GI bleed. Administer pain medication d. - Cleanse the skin around the tube Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. 10. Stomach decompression is commonly used after surgery or trauma to reduce pressure from fluids and gas that Study with Quizlet and memorize flashcards containing terms like The nurse will anticipate preparing a 71-year-old female patient who is vomiting "coffee-ground" emesis for a. Viral invasion of the stomach wall, A nurse is admitting a client diagnosed with late-stage gastric cancer. c. Maintain the client on bed rest during the feedings. endoscopy. Nov 20, 2023 · The nurse's first action when caring for a client with gastrointestinal bleeding should be to assess vital signs, ensure a patent airway, establish IV access, place the patient in a supine position if hypotensive, and notify the healthcare provider. " 2. Firstly, the nurse should ensure that the patient is in the proper position, typically on their side or with their head tilted to prevent aspiration. Place client in Trendelenburg position during lavage 3. Jan 9, 2023 · The indications include the following: When the patient has swallowed anything unwanted or poisonous. Rationale: Hepatitis B immunoglobulin is given as part of the standard childhood immunizations. 0 (1 review) The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Infection 3. Ann Emerg Med. Which indication does this assessment finding suggest? A. com Oct 19, 2016 · 2. A client with a history of alcohol abuse was admitted with bleeding esophageal varices. Check the gastrostomy tube for position every 2 days. W Get the answers you need, now! A nurse is performing gastric lavage for a client who has gastrointestinal bleeding and an NG tube in - brainly. Endoscopy : upper endoscopy or esophagogastroduodenoscopy (EGD) is considered the gold standard to diagnose UGIB. changed every 72 hours. Wait an hour after gastric decompression to The nurse determines the client understands the education when the client indicates a sign and/or symptom of metabolic complications is. The client needs an immediate gastric lavage. Find step-by-step Health solutions and your answer to the following textbook question: The chart entry for a client with chronic pharyngitis reads: Progress notes 10/15/16 0945 A 37-year-old female, who works in a textile factory, has returned to the clinic with symptoms of a persistent sore throat which makes swallowing uncomfortable Gastric dilation. 4. Article 2: Aljebreen AM, Fallone CA, Barkun AN. previously widely favoured method that has now been all but abandoned due to lack of evidence of efficacy and risk of complications. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has gastrointestinal bleeding. Thirty-day mortality rate, length of hospital stay, transfusion requirements, surgery, and time to endoscopy. Maintain the head of the bed at a 15-degree elevation continuously. Blumberg's sign B. Perform immediate gastric lavageB. frequently repositioned to the opposite nostril. Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. jaundice. Methods From January 3 days ago · The client with a small bowel obstruction asks the nurse to explain the purpose of the nasogastric tube attached to continuous gastric suction. Gastric lavage (for swallowed sputum) is useful for collecting specimens from patients who, for a variety of reasons, are unable to produce sputum by other means. Limit fluids to 1500 mL daily. Which of the following client actions indicates an understanding of the teaching? Client takes a step before advancing the cane . the client tells the nurse in the PACU that he does not remember why the surgeon said he has to have a tube in his nose. Which of the following equipment should the nurse plan to use for the procedure? o For gastric lavage in a patient with a bleeding gastric ulcer, a nurse should use a large-bore orogastric tube, lavage solution, collection basins, IV fluids, PPE, and suction equipment. Trauma to the pharynx or larynx. 04. Inadvertent instillation of fluid into respiratory tract. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance tissue repair. NCLEX_Gastrointestinal Disorders. Request a stat repeat of the laboratory test. "Saline goes down the tube to help clean out your stomach. What are some of the compilations that you may see in a gastric lavage patient? 1. In this study, we investigated the usefulness of nasogastric lavage to identify patients with UGIB requiring endoscopic examination. Bile is a product of the liver and aids in the digestion of fats. Subsequent diagnostic tests and treatments will depend on the specific cause of the bleeding. After administering the medications via the NG tube, what would the nurse do next? - Reestablish nasogastric tube to low-intermittent wall suction. Because of the surgical site, the nurse formulates the nursing diagnosis of Risk for infection. What is the nurse's best response? A. Which of the following enzymes plays a role Chapter 43. This allows for gastric lavage and can help diagnose the source of bleeding. Magnetic resonance imaging (MRI), The nurse is caring for a client who has been diagnosed with peptic ulcer disease. 36. Which of the following actions should the nurse take first? Inspect the oropharynx with a penlight and a tongue blade. The initial evaluation of patients with acute upper GI bleeding involves an assessment of hemodynamic stability and resuscitation if necessary. The nurse observes that the bag of TPN solution has 50mL - decompress the stomach - remove gass and fluid - lavage the stomach to remove ingested toxins other than poison - determine problems with gastrointestinal motility and other disorders - treat and obstruction - compress a bleeding site when endoscopy is not immediately available - aspirate contents for analysis - administer radiographic contrast media to the gastrointestinal tract Jan 17, 2023 · is used for continuous to decompress the stomach. Prior to initiating the feeding, which of the following actions should the nurse take first? - Flush the tube with water. A male client is recovering from a small-bowel resection. Perform daily aerobic exercise. Which of the following should the nurse include in the teaching as increasing the risk of contracting hepatitis A?, The nurse is caring for a client receiving total parenteral nutrition (TPN). The client is diagnosed with saltwater aspiration. Hematemesis f. Jan 31, 2024 · Educate client about managing illness (e. The nurse will observe the client for several hours to monitor for symptoms of, The emergency nurse is preparing to triage a group of four clients who have presented to the emergency department (ED) and arrived at the 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has acute pancreatitis. inflammation of the lining of the stomach. Discuss the function of each digestive and accessory organ. Lactic dehydrogenase, A nurse is caring for a client who has cholelithiasis and will undergo a cholecystectomy Oct 4, 2023 · A nurse is performing gastric lavage for a client who has gastrointestinal bleeding and an NG tube in place. Clearing the contents of the stomach before an upper endoscopic procedure. Mar 6, 2015 · Gastric lavage in GI hemorrhage may be helpful in clearing the stomach of blood and clots to facilitate evaluation of the source of bleeding and to improve visualization of the gastric fundus in preparation for endoscopic treatment. What assessment findings would the nurse anticipate if the client experiences upper gastrointestinal (GI) bleeding? (Select all that apply. GI bleeding D. The nurse determines that teaching has been effective if the client makes which statement? 1. Identify the factors that should be included in the nurse's teaching plan for this client. 3 days ago · A nurse is preparing to assist with a gastric lavage for a client who has ingested an unknown poison and is obtunded. "It will help to provide me with nourishment. Assess orthostatic blood pressure b. Explanation: The correct action the nurse should take when performing a gastric lavage for a client with upper gastrointestinal bleeding is to instill 500 ml of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a low thrombin level as a result of cirrhosis. Which action would be appropriate? 1. Inflammation of the lining of the stomach B. Feedback: The nurse encourages the patient to eat small, frequent portions of nonirritating foods to decrease gastric irritation. The provider suspects a bleeding lesion in the colon. Bleeding can range from mild to severe and can be life-threatening. During the assessment, the client vomited coffee-ground emesis. Explain the procedure for an upper gastrointestinal series. Keep the vent lumen above the patient's waist to prevent gastric content reflux. 2011 Jun; 57 (6):582-9. bleeding from the mucosa in the stomach. " B. Bleeding that originates above the ligament of Treitz usually Oct 3, 2023 · When a nurse is performing a gastric lavage for a client who has upper gastrointestinal bleeding due to conditions like acute or chronic gastritis, there are several important steps to consider. The client's family is distraught and angry that the client was not diagnosed earlier in the A. 2. org Nov 20, 2019 · One study showed that an NGT lavage was associated with shorter time to endoscopy but did not make a difference in length of hospital stay, surgery, transfusion requirements, or mortality. Administer blood products, as recommended in the table below. a. 1 It was repopularized in the 1950s and 1960s and thrived during the heyday of In caring for a patient with gastric bleeding who has a nasogastric tube in place, the nurse should include in the plan of care to ensure that the NG tube is: a. e. 510 The presence of bright red blood in the aspirate could be an indicator for the need for urgent enodoscopy. 1 / 4. Gastric lavage is used to irrigate the stomach in cases of poisoning. + + 3 days ago · Which of the following is an appropriate action by the nurse?A. The instillation of 500 mL volumes is not generally recommended. place the patient in a sitting position. 3 days ago · Ans: A. A nurse is caring for a client who has a new prescription for lithium carbonate. A client is scheduled for several diagnostic tests to evaluate gastrointestinal function. the nurse should anticipate that the most likely initial approach to treatment will involve which of the following procedures? A. ANSWER KEY. - A client who ingested a toxic substance should have a nasogastric tube inserted for gastric lavage within 1 hr of ingestion. The nurse should identify that which of the following medication Impact of nasogastric lavage on outcomes in acute GI bleeding. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. • Confirm presence of blood with Gastroccult cards. angiography. Based on the client's assessment, what will the nurse suspect? A. Enteral tubes are tubes placed in the gastrointestinal tract. d. Aspiration of gastric contents into respiratory tract. No trials to date have evaluated if large volume gastric lavage prior to endoscopy improves visualization during acute upper gastrointestinal bleeding. , A nurse is caring for a client who The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Gastric Lavage. Bounding radial pulse d. "It will help to relieve the congestion from excess mucus. Change the tube feeding solutions and tubing at least every 24 hours. Nasogastric placement of a gastric lavage tube is not advised. g. avoid giving narcotic pain meds no matter how much pain they are in. D. Nuclear medicine scan d. The nurse has placed a nasogastric (NG) tube in a client with upper gastrointestinal (GI) bleeding to administer gastric lavage. Jun 5, 2023 · Gastrointestinal bleeding can fall into two broad categories: upper and lower sources of bleeding. The nurse teaching a patient with gastroesophageal reflux about the influence of body position on the disease process. pale feces. ) a. Which action should the nurse take first? 1. The vent lets air enter the stomach; allowing the tube to float freely and preventing damage to the gastric and mucosa. for surgery) Collection of gastric content samples: to check for gastrointestinal bleeding; Lavage: washing out the stomach e. The anatomic landmark that separates upper and lower bleeds is the ligament of Treitz, also known as the suspensory ligament of the duodenum. The usefulness of nasogastric aspiration and nasogastric lavage in patients with gastrointestinal bleeding is controversial, as evidenced by conflicting recommendations, both among and within society guidelines. Study with Quizlet and memorize flashcards containing terms like A client is admitted to the ED after a near-drowning accident. The client has fresh, active upper GI bleeding. Dec 4, 2023 · Medication administration: when clients can not swallow medications; Gastric decompression: drain contents and air from stomach (e. What nursing action should be done? A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. With GI bleeding, the patient will experience nutrient malabsorption, deficient fluid volume, anemia, and other GI symptoms. Dehydration 4. To relieve pressure in the stomach which has a blockage in the stomach and nearby areas like the intestine. Areas covered: Considering these controversies, we reviewed the evidence regarding the following questions: 1) Can nasogastric lavage C. 2011. gie. Patients with acute upper gastrointestinal (GI) bleeding commonly present with hematemesis (vomiting of blood or coffee-ground-like material) and/or melena (black, tarry stools). Stool may look black or tarry. A gastric lavage must be sent to the laboratory d) Repeat the dose if the child vomits. Gastric lavage is a method of gastrointestinal decontamination, performed in the setting of an acute poisoning by ingestion, to decrease the absorption of substances in the stomach. - check for kinks and to ensure the tube is not coiled in the airway. 045. - Shut off nasogastric tube for 30 minutes. Dec 4, 2022 · 21. Equipment needed for a gastric lavage procedure? The emergency department nurse is caring for a client who requires gastric lavage for a drug overdose. empty the bag when it is one-third to one-half full. Decreased blood pressure c. Prepare the client for hemodialysisC. hypoactive. Administer an additional oral dose of lithiumD. The nurse enters the client's room to review discharge instructions with the client when the client tells the nurse that they want help to quit drinking. cut the skin barrier opening a little larger than the ostomy. everything else are LATE manifestations of hep A. Bleeding from the mucosa in the stomach D. 3 days ago · A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. a nurse is caring for a client who had a gastric resection to treat a adenocarcinoma of the stomach. - Place the client in semi-Fowlers's position. There is no consensus regarding the role of nasogastric lavage for risk stratification. Abdominal arteriogram c. - used to treat upper gastrointestinal bleeding from esophagus when endoscopy isnt available. kept patent with irrigation. erosion of the lining of the stomach or intestine. Patients with acute upper gastrointestinal bleeding and a retained gastric fundic pool during endoscopy may have worse outcomes than patients without a retained fundic pool. The client asks the nurse about the purpose of the NG tube for the procedure. What is the nurse's best response? "Saline goes down the tube to help clean out your stomach. The client needs a transfusion of packed RBCs. , acquired immune deficiency syndrome [AIDS], chronic illnesses) Implement interventions to manage the client's recovery from an illness; Perform gastric lavage; Promote and provide continuity of care in illness management activities (e. 8°F (37. Large bowel obstruction b. Avoid over-transfusion in patients with suspected variceal bleeding as it can worsen the condition. The nurse is managing a gastric (Salem) sump tube for a patient who has an intestinal obstruction and will be going to surgery. Lipase C. prepare a barium enema for the patient. Administer a small amount of normal saline or water through the NG tube to clear it. Gastric lavage flushes the stomach and removes ingested substances through a gastric lavage tube. Avoid high-stress situations. Gastric lavage is the specimen of choice from infants and children (up to 12 years) suspected of having pulmonary tuberculosis. A nurse is caring for a client who just has been diagnosed with a peptic ulcer. Administer an additional oral dose of lithium. Gastric cancer and more. For which complication would the nurse monitor? a. During insertion, after the tube passes the nasopharynx, the client begins to cough and gag. dark urine. 8. Pulse 78 beats/minute b. Ingest three small feedings daily. 3 days ago · Study with Quizlet and memorize flashcards containing terms like The nurse performs nasogastric (NG) tube insertion using a large-bore NG tube on a hospitalized client with a gastrointestinal bleed. anorexia. Flush the client's gastrostomy tube with 30 mL of water before administering the medication. Rationale: The nurse should report a urinary output of less than 30 ml/hr to the provider, as this can indicate hypovolemia or renal complication. Gastric compression is an internal application of pressure caused by inflating a balloon. Which action by the nurse will assist the patient in having a successful bowel movement? A. Which of the following is an appropriate action by the nurse? a. Explanation: A nurse preparing to perform gastric lavage for a client with a bleeding gastric ulcer should plan to use specific equipment designed for the A. Inserting a Nasogastric tube. This peritoneal structure suspends the duodenojejunal flexure from the retroperitoneum. Orthostatic blood pressure measurement helps identify if the client is experiencing significant blood loss, as changes in blood pressure upon standing may indicate hypovolemia. The procedure may be used to empty the stomach in preparation for endoscopic examination or after poisoning or a drug overdose, especially in patients who have central nervous system depression or an inadequate gag reflex. Collecting stomach acids for testing. A total of 632 patients admitted with GI bleeding. Dyspepsia c. Dizziness e. Aldolase B. Ascites C. Which type of meal would the nurse anticipate causing these types of symptoms? Hamburger and French fries. The nurse is caring for a client with a history of peptic ulcer. A nurse is providing discharge teaching for a client who has a new prescription for medications to treat peptic ulcer disease. Choice B is wrong because ketorolac is 3 days ago · A nurse is administering medications to a client who has a percutaneous gastrostomy tube for enteral feedings. melgvfqtqcbtkngwrctn