Chapter 15: Gastrointestinal Disorders

Chapter 15: Gastrointestinal Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. What is being assessed when auscultating the gastrointestinal system?

 

1. Changes in the abdominal appearance
2. Presence or absence of bowel sounds
3. Distension as well as spleen and liver size
4. Presence of a hernia

 

ANS: 2

	Feedback
1.	A visual inspection is done or this.
2.	Auscultation allows the examiner to assess the bowel sounds and assess for any changes that may occur in the bowel sounds due to a GI problem.
3.	Palpation assesses the distension and size.
4.	Presence of a hernia is detected with palpation and a visual inspection.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Physiological Adaptation | Cognitive Level: Comprehension | REF: CHAPTER 15 | Type: Multiple Choice

 

 

 

2. Which of the following symptoms may be found in Celiac Disease?

 

1. Abdominal pain with bloating
2. Weight gain with very skinny extremities
3. Small, hard stools
4. Normal growth

 

ANS: 1

	Feedback
1.	The most common complaint of celiac patients is abdominal bloating that is usually painful.
2.	Patients with this disorder usually appear skinny with thin extremities.
3.	Patients with this disorder tend to have diarrhea and foul smelling stools.
4.	This can affect growth because of villi damage due to gluten intolerance.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Physiological Adaption | Cognitive Level: Comprehension | REF: CHAPTER 15 | Type: Multiple Choice

 

 

 

3. When teaching the family about a gluten-free diet, what are the recommendations for the family about diet?
   1. Many gluten-free products are available, so it is important to read labels.
   2. Participation in a support group may help with identifying stores that carry gluten-free food.
   3. Communion wafers contain gluten and may need to be avoided.
   4. All of the above.

 

ANS: 4

	Feedback
1.	Reading labels will help identify food that can cause difficulty, as well as make the family aware of foods that the child will not tolerate.
2.	Support groups are excellent resources for information about gluten-free foods and stores in the area that carry these products.
3.	Speaking with the clergy may be important due to the gluten in communion wafers.
4.	All are important factors for teaching about a gluten-free diet.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Teaching/Learning | Cognitive Level: Comprehension | REF: CHAPTER 15 | Type: Multiple Choice

 

 

 

4. Appendicitis may have abdominal pain as a symptom. Where does the abdominal pain occur?
   1. Left upper quadrant
   2. Right lower quadrant
   3. Periumbilical
   4. 2 and 3 only

 

ANS: 4

	Feedback
1.	Pain usually is not in the upper left quadrant.
2.	Advances to the right lower quadrant
3.	Begins in the periumbilical area
4.	Pain usually is not in the upper left quadrant. It begins in the periumbilical area.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Physiological Adaptation | Cognitive Level: Application | REF: CHAPTER 15 | Type: Multiple Choice

 

 

 

5. The most commonly used measure to diagnose obesity is:

 

1. Body mass index.
3. Weight measurement.
4. Cholesterol measurement.

 

ANS: 4

	Feedback
1.	Body mass index is the most commonly used measurement for diagnosing obesity. The CDC web site allows for the computation of body mass index for children and adults.
2.	Ultrasounds do not assess obesity.
3.	Weight measurements may be part of the diagnosis, but are not as definitive as the body mass index.
4.	Cholesterol measurements may be part of the diagnosis, but are not as definitive as the body mass index.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Physiological Adaptation | Cognitive Level: Analysis | REF: CHAPTER 15 | Type: Multiple Choice

 

 

 

6. Gallstones are occurring more often in children. Which of the following is not a treatment for children with gallstones?

 

1. Surgery is always the treatment for gallstones.
2. Infants do not need treatment.
3. Crohn’s patients may have an ERCP, only without surgery.
4. Laser lithotripsy may be an effective option.

 

ANS: 1

	Feedback
1.	Surgery is not the only treatment for gallstones.
2.	Infants usually resolve gallstones on their own.
3.	Children with Crohn’s disease need a functioning gallbladder, and an ERCP may help them retain the gallbladder while removing the stones.
4.	Laser lithotripsy has been found to be an effective treatment and is being used in children as an alternative treatment.

KEY: Content Area: Gastrointestinal Disorders | Integrated Processes: Nursing Process | Client Need: Physiological Adaptation | Cognitive Level: Comprehension | REF: CHAPTER 15 | Type: Multiple Choice