Chapter 40: Lower Digestive Tract Disorders

Chapter 40: Lower Digestive Tract Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What is the most current endoscopic procedure for examining the small intestine?

a.	Capsule camera
b.	Fiberoptic light probe
c.	Rigid lighted tubes
d.	Flat plate

 

 

ANS:  A

The capsule camera is swallowed and transmits information about the small bowel to a receiver on a belt around the patient’s waist.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 823             OBJ:   1

TOP:   Endoscopy     KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. Which instruction given to a patient with irritable bowel syndrome (IBS) should lessen discomfort?

a.	Eat only whole grains.
b.	Take small bites and chew well.
c.	Include dietary fiber in at least two meals per day.
d.	Drink herbal teas and low-calorie cola drinks.

 

 

ANS:  B

Taking small bites, chewing food well, and eating slowly will reduce some of the discomfort associated with IBS. Caffeine and high-fiber foods should be avoided.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 839             OBJ:   3 | 4

TOP:   IBS                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

3. A nurse has collected several stool specimens for ova and parasites that are to be sent to the laboratory. What action is most appropriate for the nurse to implement?

a.	Immediately take the specimens to the laboratory to be tested for parasites and ova.
b.	Take the specimens to the laboratory to be tested for culture and sensitivity and leave them for later pickup.
c.	Take the specimens to the refrigerator to be tested later for parasites and ova.
d.	Leave the specimens in a warm place until convenient time to deliver to the laboratory.

 

 

ANS:  A

Parasite and ova specimens should be immediately taken to the laboratory while the parasites are still alive. Specimens for evaluating pathogenic organisms should be kept cool.

 

DIF:    Cognitive Level: Application           REF:   p. 823             OBJ:   1

TOP:   Care of Stool Specimens                  KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. A nurse is caring for a 34-year-old patient admitted with severe diarrhea that has been going on for 2 weeks. What assessment should the nurse anticipate?

a.	Edema of lower legs and feet
b.	Hypotension and fatigue
c.	Hypertension and hunger
d.	Metabolic alkalosis

 

 

ANS:  B

Diarrhea of long-standing duration will cause dehydration and fatigue with accompanying hypotension. The patient will most likely be in metabolic acidosis as a result of the loss of the essentially basic bowel contents.

 

DIF:    Cognitive Level: Application           REF:   p. 829             OBJ:   3

TOP:   Diarrhea         KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation