Chapter 50--Lower Gastrointestinal Tract Dysfunction: Nursing Management

Chapter 50–Lower Gastrointestinal Tract Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. In caring for a client diagnosed with a small bowel obstruction, what would the nurse expect to do first?

ANS:  4

Starting an IV to give fluids and electrolytes would be the first step in caring for this client. Although an NG tube will be ordered, fluid balance is more important. Administering pain medication may make the problem worse. Drawing lab work would not be the first intervention needed for this client.

PTS:   1                    REF:   Surgery

2. The nurse, instructing a client about malabsorption syndrome, should include that food is absorbed in the:

ANS:  4

The mouth and stomach are used mostly for digestion. The small intestine is where most of the absorption of food nutrients occurs. Food is not directly absorbed into the bloodstream.

PTS:   1                    DIF:    Apply            REF:   Small Intestine: Absorption of Nutrients

3. A client is diagnosed with appendicitis. One of the laboratory tests the nurse would expect to monitor would be:

ANS:  2

Infection often accompanies the inflammation of the appendix. The nurse would be looking for an elevated WBC count. Serum sodium, hemoglobin, hematocrit, and bilirubin levels are not necessarily indicated in the care of a client diagnosed with appendicitis.

PTS:   1                    DIF:    Analyze         REF:   Appendicitis: Diagnostic Tests

4. When assessing the pain in a client diagnosed with appendicitis, the nurse would expect to assess:

ANS:  3

Typically rebound pain is associated with appendicitis. Rebound pain is described as more pain when pressure is released than when pressure is applied. Appendicitis pain is not associated with pain anywhere on the abdomen upon slight palpation. Appendicitis pain is not typically assessed in the upper back. Appendicitis is associated with pain.

PTS:   1                    DIF:    Apply            REF:   Box 50-3 Rovsing’s Sign for Appendicitis

5. A client is being evaluated for symptoms associated with diverticular disease. The nurse realizes that the best diagnostic test to be used to aid in this diagnosis would be:

ANS:  1

A CT scan is the best method of detecting abscesses and complications evidenced in diverticulitis. Barium enema is contraindicated in acute diverticulitis because of the risk of contamination if there is an existing perforation. An ultrasound or x-rays would not adequately diagnose the presence of the disorder.

PTS:   1                    DIF:    Analyze         REF:   Diverticulitis: Diagnostic Tests