Contemporary Medical Surgical Nursing 2nd Edition by Daniels, Rick
Contemporary Medical Surgical Nursing 2nd Edition by Daniels, Rick
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Chapter 47–Assessment of Gastrointestinal Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 1. | to digest food products and another organ will take over this function. |
| 2. | to absorb nutrients and another organ will take over this function. |
| 3. | to secrete enzymes and another organ will take over this function. |
| 4. | nothing, so no other organ will need to take over this function. |
ANS: 4
The appendix is a blind-ended, tube-like structure exiting from the cecum, and it has no function in humans. The appendix is not needed to digest food, absorb nutrients, or secrete enzymes.
PTS: 1 DIF: Apply REF: Cecum and Appendix
| 1. | “Were you breastfed or bottle-fed as an infant?” |
| 2. | “Do you have knowledge of the food pyramid?” |
| 3. | “What medication have you taken, even over-the-counter drugs?” |
| 4. | “Do you drink coffee or tea with meals?” |
ANS: 3
During the assessment, it is very important to discover what medications or over-the-counter drugs are being taken by the patient. Treatment and therapies may change because of this information. How the client was fed as an infant is not a part of this assessment. Asking if the client has knowledge of the food pyramid is not part of this assessment. If the client drinks coffee or tea with meals is not a part of this assessment.
PTS: 1 DIF: Apply REF: Assessment
| 1. | 1 hour before eating. |
| 2. | while eating a meal. |
| 3. | 1 hour after eating. |
| 4. | first thing in the morning. |
ANS: 3
Heartburn is a substernal burning sensation that is experienced within 1 hour after eating or 1 to 2 hours after reclining. Heartburn is not experienced before eating, while eating, or the first thing in the morning.
PTS: 1 DIF: Analyze REF: Heartburn
| 1. | fewer than six bowel movements per week. |
| 2. | fewer than five bowel movements per week. |
| 3. | fewer than four bowel movements per week. |
| 4. | fewer than three bowel movements per week. |
ANS: 4
The number of bowel movements a client has is very individual, but if a client has fewer than three bowel movements per week or must vigorously strain when passing stool, the client is considered to have constipation. The other choices do not fit the criteria for the diagnosis of constipation.
PTS: 1 DIF: Analyze REF: Constipation
| 1. | inspection, palpation, auscultation, and percussion. |
| 2. | inspection, auscultation, percussion, and palpation. |
| 3. | auscultation, palpation, percussion, and inspection. |
| 4. | percussion, palpation, inspection, and auscultation. |
ANS: 2
The order of abdominal assessment is inspection, auscultation, percussion, and palpation. Auscultation is performed second because palpation and percussion can alter bowel sounds. The other choices list the incorrect order for conducting this assessment.
PTS: 1 DIF: Apply REF: Assessment
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