Title: Apply the nursing process for a client with a disorder of the gastrointestinal system.
Course: Practical Nursing III (14052-III) > Section: Applying the Nursing Process to the Adult Client

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?