Chapter 29: Care of Patients with Disorders of the Upper Gastrointestinal System

Chapter 29: Care of Patients with Disorders of the Upper Gastrointestinal System

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse explains that the diagnosis of morbidly obese is reserved for people who are ____% above their recommended weight.

ANS:  D

Those people who weigh 100% over their recommended weight are considered morbidly obese.

DIF:    Cognitive Level: Comprehension     REF:   641                OBJ:   1 (theory)

TOP:   Obesity: Morbid Obesity                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

2. The nurse calculates the body mass index (BMI) of a man who is 6 feet tall (1.8 meters) and weighs 150 pounds (68.1 kilograms) to be:

ANS:  A

The formula to calculate BMI is: weight in kilograms divided by height in meters squared (68.1 kilograms ÷ 3.24 meters = 21.0).

DIF:    Cognitive Level: Analysis                REF:   641                OBJ:   1 (theory)

TOP:   BMI: Calculation                            KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance

3. The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as:

ANS:  A

The three types of bariatric surgery are restrictive, malabsorptive, and restrictive/malabsorptive. Laparoscopic adjustable gastric banding is performed by placing an inflatable band around the fundus of the stomach. This procedure may be performed laparoscopically. The band is inflated and deflated via a subcutaneous port to change the size of the stomach as the patient loses weight.

DIF:    Cognitive Level: Comprehension     REF:   641                OBJ:   1 (theory)

TOP:   Restrictive Procedures                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

4. The nurse is discussing bariatric surgery complications with a patient. Which statement by the patient indicates understanding of a common side effect of the procedure?

ANS:  B

Nutritional deficiencies caused by the banding result in the formation of gallstones in a large percentage of bariatric surgery patients. About a third of patients who undergo bariatric surgery develop gallstones.

DIF:    Cognitive Level: Comprehension     REF:   642                OBJ:   1 (theory)

TOP:   Bariatric Surgery: Side Effects         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

5. The nurse is assessing the efficiency of swallowing in a patient with dysphagia. During the assessment, the nurse will use what finding to evaluate the process?

ANS:  B

An effective swallow will be accompanied by the rising of the larynx.

DIF:    Cognitive Level: Application           REF:   643                OBJ:   6 (theory)

TOP:   Dysphagia: Evaluation of the Swallow

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential