Chapter 28 Gastrointestinal Elimination

Chapter 28 Gastrointestinal Elimination

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A nurse is to schedule four diagnostic procedures for a client. Which of the four procedures shouldthe nurse plan to schedule first to ensure accuracy of results?1)A)Intravenous pyelogram (IVP)B)Chest x-ray (CXR)C)Complete blood count (CBC)D)Barium enema (BaE)Answer:AExplanation:A)For accuracy, an intravenous pyelogram needs to have a clear view of the urinarysystem organs, especially the kidneys. Doing a barium enema prior to this willobscure the large intestine. For an intravenous pyelogram (IVP), the contrastmedium is an injectable iodine-based solution; for a barium enema (BaE), thecontrast is a solid substance instilled into the rectum. The complete blood count(CBC) and chest x-ray (CXR) results do not influence, and are not influenced by,the other tests.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisB)For accuracy, an intravenous pyelogram needs to have a clear view of the urinarysystem organs, especially the kidneys. Doing a barium enema prior to this willobscure the large intestine. For an intravenous pyelogram (IVP), the contrastmedium is an injectable iodine-based solution; for a barium enema (BaE), thecontrast is a solid substance instilled into the rectum. The complete blood count(CBC) and chest x-ray (CXR) results do not influence, and are not influenced by,the other tests.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisC)For accuracy, an intravenous pyelogram needs to have a clear view of the urinarysystem organs, especially the kidneys. Doing a barium enema prior to this willobscure the large intestine. For an intravenous pyelogram (IVP), the contrastmedium is an injectable iodine-based solution; for a barium enema (BaE), thecontrast is a solid substance instilled into the rectum. The complete blood count(CBC) and chest x-ray (CXR) results do not influence, and are not influenced by,the other tests.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisD)For accuracy, an intravenous pyelogram needs to have a clear view of the urinarysystem organs, especially the kidneys. Doing a barium enema prior to this willobscure the large intestine. For an intravenous pyelogram (IVP), the contrastmedium is an injectable iodine-based solution; for a barium enema (BaE), thecontrast is a solid substance instilled into the rectum. The complete blood count(CBC) and chest x-ray (CXR) results do not influence, and are not influenced by,the other tests.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis1
2)A client is to have a stool sample collected for ova and parasites. As part of the specimen collection,the nurse does all of the following actions. Performing which actions indicates a lack ofunderstanding by the nurse in collecting the specimen? (Select all that apply.)2)A)The specimen is labeled properly and placed in a paper bag for pickup by the lab.B)Approximately 1 inch of formed stool is placed in the specimen container.C)The specimen is placed in the refrigerator until it can be picked up by the lab.D)The nurse uses sterile tongue blades to collect the specimen.E)A notation is made on the lab request slip that the client has eaten red meat in the last twodays.F)The nurse wears sterile gloves when obtaining the specimen.Answer:A, C, E, FExplanation:A)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplicationB)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplicationC)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplication2
D)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplicationE)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplicationF)The amount of formed stool being collected is appropriate. Using sterile tongueblades to transfer the stool to the specimen container will reduce the chances ofadding any extraneous organisms to the specimen. The nurse can wear cleangloves as part of body substance precautions. Sterile gloves are not neededbecause the nurse will not touch the inside of the container or the ends of thetongue blades. The specimen should be placed in a plastic bag, not a paper bag, incase of leakage. Stool specimens for ova and parasites must be kept warm andtaken to the lab immediately. Refrigeration kills the ova and parasites and willalter the test results. Reducing intake of red meat prior to stool collection isnecessary for examining for occult blood, not for ova and parasite testing.EvaluationSafe, Effective Care Environment-Safety and Infection ControlApplication3)A nurse has been specially trained to assist surgeons in selecting stoma sites for clients who will behaving intestinal ostomies. The nurse meets with the client at least a week before surgery, andduring the assessment observes the client standing, sitting, and in a supine position. Several factorsshould be considered in choosing the most appropriate site. Which of the following factors shouldbe the least influential?3)A)Location of skin folds, scars, and bony prominencesB)Adjacent surface area available for placing a pouchC)Client’s line of vision in relation to the ostomyD)Client’s preference regarding the location of the ostomyAnswer:D3
Explanation:A)Selecting an appropriate stoma site is crucial for the health of the ostomy as well aspositively contributing to the client’s acceptance and sense of esthetics. Placing thestoma in the client’s line of vision will aid in the client’s ability to independentlycare for the ostomy. Placing the stoma within or near skin folds, scars, bonyprominences, the umbilicus, and pendulous breasts increases the risk for anunhealthy stoma and skin breakdown, and also creates difficulty for applying andsecuring drainage collection bags. The client’s preference regarding the location ofthe ostomy should have the least influence on the final decision.AssessmentPsychosocial IntegrityAnalysisB)Selecting an appropriate stoma site is crucial for the health of the ostomy as well aspositively contributing to the client’s acceptance and sense of esthetics. Placing thestoma in the client’s line of vision will aid in the client’s ability to independentlycare for the ostomy. Placing the stoma within or near skin folds, scars, bonyprominences, the umbilicus, and pendulous breasts increases the risk for anunhealthy stoma and skin breakdown, and also creates difficulty for applying andsecuring drainage collection bags. The client’s preference regarding the location ofthe ostomy should have the least influence on the final decision.AssessmentPsychosocial IntegrityAnalysisC)Selecting an appropriate stoma site is crucial for the health of the ostomy as well aspositively contributing to the client’s acceptance and sense of esthetics. Placing thestoma in the client’s line of vision will aid in the client’s ability to independentlycare for the ostomy. Placing the stoma within or near skin folds, scars, bonyprominences, the umbilicus, and pendulous breasts increases the risk for anunhealthy stoma and skin breakdown, and also creates difficulty for applying andsecuring drainage collection bags. The client’s preference regarding the location ofthe ostomy should have the least influence on the final decision.AssessmentPsychosocial IntegrityAnalysisD)Selecting an appropriate stoma site is crucial for the health of the ostomy as well aspositively contributing to the client’s acceptance and sense of esthetics. Placing thestoma in the client’s line of vision will aid in the client’s ability to independentlycare for the ostomy. Placing the stoma within or near skin folds, scars, bonyprominences, the umbilicus, and pendulous breasts increases the risk for anunhealthy stoma and skin breakdown, and also creates difficulty for applying andsecuring drainage collection bags. The client’s preference regarding the location ofthe ostomy should have the least influence on the final decision.AssessmentPsychosocial IntegrityAnalysis