Common causes of perforation include trauma, instrumentation, inflammation, infection, malignancy, ischemia, and obstruction. 5. Statement # 1 Empiric treatment of pyloriis not recommended. Patient will be able to verbalize an understanding of gastrointestinal bleeding, the treatment plan, and when to contact a healthcare provider. Examine the patients pain indicators, both verbal and nonverbal cues.The disparity between verbal and nonverbal signs may disclose clues about the severity of pain, the need for additional management, and the interventions effectiveness. This guide covers everything from pre-operative preparation to post-operative management. Gastrointestinal bleeding StatPearls NCBI bookshelf. B. 2. This reduces the patients urge to vomit and gastrointestinal stimulation. Patient will be able to verbalize relief or control of pain. The nurse can assess by asking the patient to rate their pain with the use of pain assessment tools applicable to the patient and determine whether the pain is constant, aching, stabbing, or burning. Assess the patients level of pain and pain characteristics.Patients typically describe a worsening of abdominal pain and distention with bowel perforation. To minimize the occurrence of signs and symptoms of GERD and avoid exacerbation of the condition. St. Louis, MO: Elsevier. Monitor intake and output.To track and record trends, the nurse must maintain precise intake and output (I&O) documentation. Assessment of the patients usual food intake and food habits. To make up for blood and fluid loss and to keep GI circulation and cellular function intact, IV fluids, blood products, and electrolytes are often required. Invasive procedure or surgical intervention, Leakage of bowel contents into the peritoneum. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. As an outpatient department nurse, she has honed her skills in delivering health education to her patients, making her a valuable resource and study guide writer for aspiring student nurses.