Chapter 05: Care of the Patient with a Gastrointestinal Disorder

Chapter 05: Care of the Patient with a Gastrointestinal Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The end-products of carbohydrate and protein digestion are absorbed by the

ANS:   B

The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion.

DIF:    Cognitive Level: Knowledge             REF:    Page 178         OBJ:    2

TOP:    Digestive         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

2. A 56-year-old patient with diverticulitis has been admitted to the medical unit. The nurse will most likely document which assessment in the charting?

ANS:   C

Patients with diverticulitis will complain of mild to severe pain in the left lower quadrant.

DIF:    Cognitive Level: Comprehension      REF:    Page 213         OBJ:    8

TOP:    Diverticulitis                                       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

3. An ileostomy was performed on a patient for the treatment of debilitating ulcerative colitis disease. A problem the nurse should watch for in patients after this surgery is

ANS:   C

The nurse should assess the peristomal skin for impairment of integrity.

DIF:    Cognitive Level: Analysis                  REF:    Page 209, Box 5-5

OBJ:    11                    TOP:    Ulcerative colitis

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

4. A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for

ANS:   A

Radiation therapy may be curative or palliative. Special problems associated with radiation therapy include the development of an esophagotracheal fistula. Aspiration from the fistula and edema from the radiation must be anticipated.

DIF:    Cognitive Level: Analysis                  REF:    Page 188         OBJ:    5

TOP:    Cancer of esophagus                          KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

5. A patient has been admitted for diagnostic procedures including an esophagogastroduodenoscopy. The nurse explains to this patient that during this procedure, the physician will

ANS:   C

The esophagus, stomach, and duodenum can be evaluated not only by endoscopy, but also by the use of a longer flexible fiberoptic scope. This procedure is called an esophagogastroduodenoscopy.

DIF:    Cognitive Level: Comprehension      REF:    Page 192         OBJ:    5

TOP:    Diagnostic procedures                        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity