Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 39: Upper Digestive Tract Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Roll the patient flat. |
| b. | Check for a residual formula and return the residual to his or her stomach. |
| c. | Place the end of the tube in water and check for bubbles. |
| d. | Flush the tube. |
ANS: B
Verifying tube placement by pulling up the residual formula is a standard of care for a tube feeding.
DIF: Cognitive Level: Application REF: p. 788 OBJ: 4
TOP: Tube Feeding KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
| a. | Expected reaction to the tube feeding |
| b. | Dumping syndrome |
| c. | Gastric reflux syndrome |
| d. | Onset of gastroenteritis |
ANS: B
Dumping syndrome is caused by infusing a tube feeding too fast or infusing a tube feeding that is too rich a formula.
DIF: Cognitive Level: Application REF: p. 788 OBJ: 3
TOP: Dumping Syndrome KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Alcohol consumption |
| b. | Chewing gum |
| c. | Environmental pollution |
| d. | Consumption of a high-fat diet |
ANS: A
Alcohol is statistically proven to be a factor because of irritation of the oral mucosa.
DIF: Cognitive Level: Comprehension REF: p. 801 OBJ: 2
TOP: Oral Cancer KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Narrowing of the esophagus |
| b. | Limiting the types of food that can be consumed |
| c. | Increased risk of aspiration |
| d. | A neck injury |
ANS: C
Tilting the head back not only makes it more difficult to eat, but it also increases the risk of aspiration.
DIF: Cognitive Level: Comprehension REF: p. 805 OBJ: 3
TOP: Feeding Technique with Esophageal Cancer
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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