GASTROINTESTINAL AND URINARY SYSTEMS NURSING Course
on CD

 

TABLE OF CONTENTS


1 NURSING CARE RELATED TO THE GASTROINTESTINAL SYSTEM
Section I. Anatomy and Physiology 1-1--1-12
Section II. Nursing Assessment 1-13--1-19
Section III. Diagnostic Procedures 1-20--1-24
Section IV. Gastrointestinal Intubation 1-25--1-39
Section V. Gastrostomy, Colostomy, Ileostomy 1-40--1-48
Section VI. Gastrointestinal Disorders 1-49--1-54
Section VII. Hepato-Biliary Disorders 1-55--1-64
Section VIII. Diabetes 1-64--1-76
Exercises


2 NURSING CARE RELATED TO THE URINARY SYSTEM
Section I. Anatomy and Physiology 2-1--2-8
Section II. Nursing Assessment and Diagnostic
Procedures 2-9--2-14
Section III. Catheterization and Drainage 2-15--2-23
Section IV. Urinary Disorders 2-24--2-40
Exercises





LESSON OBJECTIVES

LESSON 1 OBJECTIVES
Nursing Care Related to the Gastrointestinal System.

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.


LESSON 2 OBJECTIVES
Nursing Care Related to the Urinary System.

LESSON OBJECTIVES
After completing this lesson, you should be able to:

2-1. State the functions of the urinary system.
2-2. List the anatomical parts of the urinary system.
2-3. Identify the anatomical parts of the kidney.
2-4. Name the functional unit of the kidney.
2-5. Define polyuria.

2-6. Define oliguria.
2-7. Define anuria.
2-8. Define dysuria.
2-9. Define hematuria.
2-10. List two nursing implications associated with the care of a patient undergoing a cystoscopy.

2-11. List the steps for collection of a clean-catch urine specimen.
2-12. List the steps for collection of a 24-hour urine specimen.
2-13. List five purposes for cauterization of the urinary bladder.
2-14. List three general nursing implications associated with the insertion of a urinary catheter.
2-15. List the steps for insertion of a retention

2-16. State the purpose of a closed urinary drainage system.
2-17. List the steps for collecting a sterile urine specimen from an indwelling catheter.
2-18. List three purposes for continuous bladder irrigation.
2-19. List the steps for performing a continuous bladder irrigation.
2-20. State the route of entry of bacteria in most urinary tract infections.

2-21. List three nursing implications associated with care of a patient with a urinary tract infection.
2-22. Define pyelonephritis.
2-23. List three factors, which may precipitate urolithiasis.
2-24. List the symptoms associated with urolithiasis.
2-25. Define glomerulonephritis.

2-26. List at least three nursing implications associated with the care of a patient with glomerulonephritis.
2-27. Explain the purpose of restricting dietary protein in patients with renal disease.
2-28. Define renal failure.
2-29. List at least three nursing implications associated with care of a patient with renal failure.