Section I. Anatomy and Physiology
Section II. Nursing Assessment
Section III. Diagnostic Procedures
Section IV. Gastrointestinal Intubation
Section V. Gastrostomy, Colostomy, Ileostomy
Section VI. Gastrointestinal Disorders
Section VII. Hepato-Biliary Disorders
LESSON OBJECTIVES After completing this lesson, you should be able to:
1-1. Describe the processes of digestion.
1-2. List the organs of the digestive system, to include the accessory organs.
1-3. Describe the function of each digestive organ.
1-4. Describe the nursing assessment of a gastrointestinal patient.
1-5. Identify the abdominal quadrants.
1-6. Describe the nursing actions to be taken when performing a physical examination of the abdomen.
1-7. State the nursing implications associated with an X-ray that utilizes contrast medium.
1-8. List the nursing implications associated with an endoscopy.
1-9. State the purposes for gastrointestinal intubation.
1-10. Differentiate between the types of N/G tubes used.
1-11. List the steps for inserting a nasogastric tube.
1-12. List the nursing implications associated with care of a patient with diabetes.
1-13. State the nursing action taken for obstruction of a nasogastric tube.
1-14. Define the relationship between glucose and insulin.
1-15. List the steps for irrigation of a nasogastric tube.
1-16. List the steps for administering a gavage feeding.
1-17. State the purposes for gastric lavage.
1-18. List the steps for performing gastric lavage.
1-19 State the procedure for changing a gastrostomy dressing.
1-20. List the causes, symptoms, and nursing management of diabetic ketoacidosis.
1-21. Describe the anatomical and physiological differences between colostomy and ileostomy.
1-22. List the steps for performing a colostomy irrigation.
1-23. List the causes, symptoms, and nursing management of “insulin shock.”
1-24. State the nursing care objectives for a patient with gastrointestinal ulcers.
1-25. List the nursing implications associated with appendicitis.
1-26. List the nursing implications associated with intestinal obstruction.
1-27. Describe the symptoms of intestinal obstruction.
1-28. State the guidelines used for accuracy when measuring abdominal girth.
1-29. Differentiate between diverticulosis and diverticulitis.
1-30. Differentiate between the types of hepatitis.
1-31. Explain the relationship between cirrhosis, portal hypertension, and esophageal varices.
1-32. List the nursing implications related to cirrhosis.
SUGGESTION After studying the assignment, complete the exercises at the end of this lesson. These exercises will help you to achieve the lesson objectives.