Chapter 5: Care of the Patient with a Gastrointestinal Disorder

Chapter 5: Care of the Patient with a Gastrointestinal Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the:

a.	gastric lining of the stomach.
b.	villi of the small intestine.
c.	bile of the liver in the large intestine.
d.	excretion from the cecum.

 

 

ANS:  B

The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 179        OBJ:   2

TOP:   Digestive        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. A 56 -year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102° F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock?

a.	Chest pain
b.	Seizure
c.	Tachycardia
d.	Massive diarrhea

 

 

ANS:  C

The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 215        OBJ:   9

TOP:   Diverticulitis                                   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

3. Because bowel contents from an ileostomy are virtually liquid, what should the nurse include in the plan of care?

a.	Evaluation and assessment of dietary intake of fiber
b.	Evaluation and assessment of patient cleanliness
c.	Evaluation and assessment of periostomal skin integrity
d.	Evaluation and assessment of the adequacy of the collection device

 

 

ANS:  C

The nurse should assess the periostomal skin for impairment of integrity. The fecal material is liquid and has a potential for severe skin excoriation from the digestive enzymes.

 

DIF:    Cognitive Level: Application           REF:   Page 224        OBJ:   8

TOP:   Ulcerative colitis                             KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

4. The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide:

a.	a tablet and pencil as a communication aid.
b.	a TV for diversion.
c.	a bell to summon help.
d.	a walkie-talkie.

 

 

ANS:  A

The provision of an alternative method of communicating will lessen the frustration of the patient who has trouble speaking understandably. The call bell would be helpful also, but without a way to communicate, the bell is not as essential as a method of communication.

 

DIF:    Cognitive Level: Application           REF:   Page 187        OBJ:   5

TOP:   Cancer of esophagus                        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

5. Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?

a.	Consume only liquid
b.	Avoid fruit juices
c.	Drink 10 oz of fluid with each meal
d.	Lie down for 30 minutes after each meal

 

 

ANS:  C

The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 191        OBJ:   5

TOP:   Esophageal dilation                         KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity