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- Discuss the common effects of immobility on appetite,bowel function, and urinary function.Discuss postoperative nausea and vomiting including definition, risk factors, clinical manifestations, and prevention/treatment interventions.Describe the etiology and pathophysiology of medication -induced injury and lifestyle factors for peptic ulcer
- Case Study: Upper GI Chap 33 Mrs. B is a 54 y/o female that went to her PCP with complaints of heartburn, dyspepsia, nausea and chest pain. She feels bloated and obtains little or no relief from OTC antacids. Her past medical hx includes 2 ppd cigarette smoking, a stressful job and chronic use of NSAIDs for chronic back pain. 1- Mrs. B’s doctor ordered an esophagoscopy (EGD). Why was this test ordered? 2- What teaching would the nurse provide to the client who is scheduled for EGD? 3- What classification of medication might be used during the procedure? What nursing considerations should be considered while pt is receiving this medication? 4- After EGD Mrs. B was diagnosed with GERD. What are nursing considerations & patient education that should be provided to the client with GERD? 5- What discharge instructions & patient education should be provided to Mrs. B after having EGD?Describe the nursing considerations for a patient with a gastrointestinal bleed.Case Study: A 68-year-old diabetic male resident in a long term care facility is bedridden and has refused food and fluids for two days. He has a Stage 3 pressure ulcer in the coccyx and multiple venous ulcerations in the left lower leg. The following questions will assist the nursing student in the assessment of a client with skin breakdown. 1. How is skin turgor assessed? Give the different sites for checking skin turgor in clients with special considerations (i.e., pediatric and gerontological cases). 2. How will you check skin moisture? 3. Describe the techniques in checking skin temperature. 4. How will you assess for edema of the lower extremities? 5. Describe the key features in pressure ulcer assessment. 6. Describe a Stage III pressure ulcer. 7. Differentiate an arterial ulcer from a venous ulcer.