Page 1517 - Saunders Comprehensive Review For NCLEX-RN

7. Instruct the client in the use of sitz baths three or four
times a day as prescribed.

Box 48-1
Risk Factors Associated with the Gastrointestinal

System

▪ Allergic reactions to food or medications
▪ Cardiac, respiratory, and endocrine disorders that may lead to slowed
gastrointestinal (GI) movement or constipation

▪ Chronic alcohol use
▪ Chronic high stress levels
▪ Chronic laxative use
▪ Chronic use of aspirin or nonsteroidal antiinflammatory drugs (NSAIDs)
▪ Diabetes mellitus, which may predispose to oral candidal infections or other GI
disorders
▪ Family history of GI disorders
▪ Long-term GI conditions, such as ulcerative colitis, that may predispose to
colorectal cancer
▪ Neurological disorders that can impair movement, particularly with chewing
and swallowing
▪ Previous abdominal surgery or trauma, which may lead to adhesions
▪ Tobacco use

Box 48-2

Common Gastrointestinal System Diagnostic
Studies

▪ Capsule endoscopy
▪ Endoscopic retrograde cholangiopancreatography (ERCP)
▪ Magnetic resonance cholangiopancreatogrraphy (MRCP)
▪ Endoscopic ultrasound
▪ Fiberoptic colonoscopy
▪ Gastric analysis

▪ Gastrointestinal motility studies
▪ Hydrogen and urea breath test
▪ Laparoscopy: Liver and pancreas laboratory studies
▪ Liver biopsy

1517