Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment, and Therapeutic Measures

Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment, and Therapeutic Measures

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A 30-year-old patient with ulcerative colitis is scheduled for a proctosigmoidoscopy. Which finding should cause the nurse to clarify routine preparation orders with the physician?

a.	The patient’s age
b.	Presence of severe diarrhea
c.	Complaints of abdominal cramping
d.	Patient’s weight is 10% below ideal body weight

 

 

____     2.   The nurse is caring for a patient who is placed on a modified bland diet. Which should be removed before serving the patient’s dinner tray?

a.	Salt
b.	Sugar
c.	Pepper
d.	Mayonnaise

 

 

____     3.   The nurse is preparing to initiate a tube feeding through a patient’s nasogastric (NG) tube. Prior to initiating this feeding what should the nurse use to irrigate the tube?

a.	Sterile water
b.	Normal saline
c.	Cranberry juice
d.	Carbonated water

 

 

____     4.   The nurse is inspecting a patient’s oral cavity. What is the most important safety reason for the nurse to inspect for loose teeth when collecting data on the oral cavity of a patient?

a.	Loose teeth are unsightly to the patient.
b.	Loose teeth can cause dental abscesses.
c.	Loose teeth can be aspirated into the airway.
d.	Loose teeth can prevent the patient from eating.

 

 

____     5.   The nurse is collecting data from a patient who is scheduled for an ileostomy. Which technique should the nurse use to help identify optimal stoma placement?

a.	Palpation
b.	Inspection
c.	Percussion
d.	Auscultation

 

MULTIPLE CHOICE

 

1. ANS:  B

Routine preparation with severe diarrhea can result in electrolyte imbalance. Bowel preparation may not be ordered for patients with bleeding or severe diarrhea. A. C. D. The patient’s age, complaints of abdominal cramping, or current weight are not contraindications for the routine preparation for this diagnostic test.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

 

2. ANS:  C

Pepper, which is spicy, would not be included in a bland diet. A. B. D. These food items are bland.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

 

3. ANS:  B

Normal saline is used for NG tube irrigation to prevent loss of electrolytes. A. Sterile water could cause an electrolyte imbalance in the patient. C. D. Cranberry juice and carbonated water are not appropriate fluids to flush a nasogastric tube.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

 

4. ANS:  C

Loose teeth can be aspirated into the airway and become a choking risk. A. The nurse is not inspecting for loose teeth because it is unsightly to the patient. B. The nurse is not inspecting for loose teeth because of the risk for dental abscesses. D. Missing teeth is more likely to prevent a patient from eating.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

 

5. ANS:  B

Inspection is observation. The abdomen is visually inspected to note the condition of the skin, the contour, belt line, and other factors that would affect optimal stoma placement. A. C. D. These techniques of data collection would not be appropriate when determining optimal placement for a stoma.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Application