Title: Perform procedures related to the gastrointestinal system.
Course: Practical Nursing III (14052-III) > Section: Mastering Nursing Competencies and Skills in the Clinical Setting

Performance should include

- use of appropriate equipment and supplies
- focused assessment of client's gastrointestinal system
- assistance with diagnostic procedures
  - X-ray
  - gastric analysis
  - endoscopy
  - stool culture
  - scans
  - liver biopsy
  - ultrasound of abdomen
  - tests for occult blood
  - potential of hydrogen (pH) testing
  - barium enema
  - paracentesis
- interpretation of lab values
- steps related to bowel elimination
  - retention and non-retention enemas
  - removal of fecal impaction
  - suppositories
  - stool specimens
- use of tubes, drainage, gavage and lavage, pumps, feeding systems, and ostomy care.

Process/Skill Questions:

- What steps would one follow to assess the client's gastrointestinal system through observation, inspection, auscultation, and palpation?
- How would one assist with gastrointestinal system diagnostic procedures, while assuring appropriate use of equipment and supplies?
- How would one perform procedures related to bowel elimination?
- How would one manage and monitor various tubes, drainage, lavage, pumps, feeding systems, and ostomy care?