Chapter 49--Upper Gastrointestinal Tract Dysfunction: Nursing Management

Chapter 49–Upper Gastrointestinal Tract Dysfunction: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Before administering an antacid, the nurse should instruct a client that this medication works in the:

1.	blood.
2.	stomach.
3.	small intestine.
4.	esophagus.

 

 

ANS:  2

Antacids work in the stomach to neutralize stomach acids. They do not work in the esophagus or small intestines. Antacids do not work in the blood.

 

PTS:   1                    DIF:    Apply            REF:   Gastroesophageal Reflux Disease: Pharmacology

 

2. The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following should be included in this assessment?

1.	Degree of mouth burning
2.	Difficulty swallowing
3.	Presence of pyrosis
4.	Painful swallowing

 

 

ANS:  3

Mouth burning is not a symptom of gastroesophageal reflux disease. Difficulty swallowing or dysphagia is not associated with gastroesophageal reflux disease. Pain when swallowing is associated with esophagitis, not acid reflux disease. Presence of pyrosis or heartburn should be assessed in this client.

 

PTS:   1                    DIF:    Apply            REF:   Gastroesophageal Reflux Disease

 

3. During an assessment, the nurse determines a client is at risk for ulcerative stomatitis and gum disease because the client has a history of:

1.	alcohol intake.
2.	smoking.
3.	kissing.
4.	eating.

 

 

ANS:  2

Clients who smoke have seven times the risk of developing gum disease. Alcohol intake increases the risk of throat cancer. Ulcerative stomatitis and gum disease is not associated with kissing or eating.

 

PTS:   1                    DIF:    Analyze         REF:   Disorders of the Oral Cavity

 

4. A client is diagnosed with a swallowing disorder. The nurse realizes that which type of diet would be indicated for this client? ?

1.	Regular diet
2.	Clear liquid diet
3.	Mechanical soft diet
4.	Low-fat diet

 

 

ANS:  3

Some clients may need a pureed diet or mechanical soft diet, especially if their swallowing difficulty is with the oral phase. Some clients may have difficulty swallowing thin liquids and foods that are tough. The client will most likely have difficulty with a regular or low-fat diet.

 

PTS:   1                    DIF:    Analyze         REF:   Dysphagia: Nutrition

 

5. To support the nutritional needs of a client with dysphagia, the nurse realizes that all of the following are mechanisms to provide enteral feeding EXCEPT:

1.	nasogastric tube.
2.	percutaneous endoscopic gastrostomy (PEG) tube.
3.	jejunostomy tube.
4.	hyperalimentation.

 

 

ANS:  4

Hyperalimentation is associated with parenteral nutrition, not enteral nutrition. The others are forms of administration of nutrients into the gastrointestinal tract.

 

PTS:   1                    DIF:    Analyze         REF:   Dysphagia: Nutrition