Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 44, Introduction to the Gastrointestinal System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important? | |
| A) | Checking if the skin is discolored | |
| B) | Checking if the mucous membranes are dry | |
| C) | Examining the sclera if it is yellow | |
| D) | Observing for distended abdominal veins | |
| Ans: | B | |
| Feedback: | ||
| Mucous membranes may be dry, and skin turgor may be poor in clients suffering from dehydration as a result of fluid losses from the GI tract. Checking the skin for discoloration and inspecting the sclera if it is yellow is taken into consideration when the client could have symptoms of jaundice, not fluid losses. Distended abdominal veins are not associated with dehydration. | ||
| 2. | When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include? | |
| A) | Avoid smoking for at least 12 to 24 hours before the procedure. | |
| B) | Take vitamin K before the procedure. | |
| C) | Take three cleansing enemas before the procedure. | |
| D) | Avoid the intake of red meat before the procedure. | |
| Ans: | A | |
| Feedback: | ||
| The nurse should instruct the client to avoid smoking for at least a day before the procedure of barium swallow because smoking stimulates gastric motility. The client is advised to take vitamin K before a liver biopsy and instructed to take three cleansing enemas before a barium enema. Instruction to avoid red meat would be appropriate for a client who is having a Hemoccult test. | ||
| 3. | A client is scheduled for an esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for which of the following while assessing the client during the procedure? | |
| A) | Signs of perforation | |
| B) | Client’s ability to retain the barium | |
| C) | Client’s tolerance for pain and discomfort | |
| D) | Gag reflex | |
| Ans: | C | |
| Feedback: | ||
| The nurse has to assess the client’s tolerance for pain and discomfort during the procedure. The nurse should assess the signs of perforation and the gag reflex after the procedure of EGD and not during the procedure. Assessing the client’s level for retaining barium is important for a diagnostic test that involves the use of barium. EGD does not involve the use of barium. | ||
| 4. | A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered? | |
| A) | Instruct the client to have low-residue meals. | |
| B) | Allow the client to ingest fat-free meal. | |
| C) | Permit the client to drink only clear liquids. | |
| D) | Provide saline gargles to the client. | |
| Ans: | C | |
| Feedback: | ||
| After polyethylene glycol/electrolyte solution is administered, the client should have clear liquids because this ensures watery stools, which are necessary for procedures like a barium enema. Allowing the client to ingest a fat-free meal is used in preparation for oral cholecystography. Instructing the client to have low-residue meals is a pretest procedure for barium enema. A client is offered saline gargles after esophagogastroduodenoscopy. | ||
| 5. | Which of the following would be most important to ensure that a client does not retain any barium after a barium swallow? | |
| A) | Placing any stool passed in a specific preservative | |
| B) | Monitoring the stool passage and its color | |
| C) | Observing the color of urine | |
| D) | Monitoring the volume of urine | |
| Ans: | B | |
| Feedback: | ||
| Monitoring stool passage and its color will ensure that the client remains barium free following a barium swallow test. The white or clay color of the stool would indicate barium retention. The stool should be placed in a special preservative if the client undergoes a stool analysis. Observing the color and volume of urine will not ensure that the client is barium free because barium is not eliminated through urine but through stool. | ||
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