Question 1

A male patient complains that he will never adjust to his colostomy.Which is the best action for the nurse in this situation?

Accepted Answer

A)   Encourage him to express his concern.
B)   Suggest that he discuss his concerns with his physician.
C)   Counsel him that everything will be all right.
D)   Assure him that his concerns will diminish when he is able to care for his colostomy.

Question 2

What should the nurse include in a teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?

Accepted Answer

A)   Drinking 10 oz of milk with every meal
B)   Lie down after eating
C)   Panting through mouth when symptoms begin
D)   Eating small meals

Question 3

A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats,but pain does not waken him.The nurse recognizes a diagnostic sign of which condition?

Accepted Answer

A)   Duodenal ulcer
B)   Gastritis
C)   Achalasia
D)   Peptic ulcer D

Question 4

What is the most lethal complication of a peptic ulcer?

Accepted Answer

A)   Bleeding
B)   Perforation
C)   Severe pain
D)   Gastric outlet obstruction

Question 5

Bowel sound assessment on a patient with an obstruction who has distention,nausea,and visible peristaltic waves would be:

Accepted Answer

A)   loud and clearly audible.
B)   high pitched.
C)   hyperactive.
D)   absent.

Question 6

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

Accepted Answer

A)   Evaluation and assessment of dietary intake of fiber
B)   Evaluation and assessment of patient cleanliness
C)   Evaluation and assessment of peristomal skin integrity
D)   Evaluation and assessment of the adequacy of the collection device C

Question 7

Which of the following would be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?

Accepted Answer

A)   Application of ice bag
B)   Administration of small tap water enema
C)   Warm compress over entire abdomen
D)   Ambulate for short periods in the room

Question 8

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best nursing response?

Accepted Answer

A)   "Go for it.Alternative medicine does great things."
B)   "YIKES! An acupuncturist?"
C)   "It may help,but there has been no clinical proof of its effectiveness."
D)   "You should confirm that the acupuncturist is licensed."

Question 9

Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes.What would the nurse suggest to reduce the risk of dumping syndrome?

Accepted Answer

A)   Eating a high-carbohydrate diet
B)   Drinking 10 oz of fluids with meals
C)   Remaining upright for 2 hours after meals
D)   Eating six small daily meals high in protein and fat

Question 10

The home health nurse evaluates a patient being treated for a peptic ulcer with Riopan (antacid) and famotidine (histamine receptor blocker) .Which statement made by the patient indicates a need for further instruction?

Accepted Answer

A)   "I know famotidine will not interfere with my Coumadin."
B)   "I take the Riopan at least 2 hours after any of my other drugs."
C)   "Boy! That Riopan keeps my stomach happy!"
D)   "I take both those meds at the same time every morning." D

Question 11

The nurse points out which of the following as an example of a nonmechanical bowel obstruction?

Accepted Answer

A)   A paralytic ileus
B)   Narrowed bowel lumen from an inflammatory process
C)   Tumor of the bowel
D)   Fecal impaction

Question 12

Which of the following should be included in the patient teaching of a patient with a peptic ulcer?

Accepted Answer

A)   Introducing irritating foods in minute amounts to desensitize the stomach
B)   Restricting fluid to 1000 mL per day
C)   Eating 6 small meals a day
D)   Drinking alcohol and caffeine in moderation

Question 13

Due to frequent bouts of constipation,the nurse examines the bedfast nursing home resident for ulceration of the anus,called anal __________________.

Accepted Answer

The answer of Due to frequent bouts of constipation,the nurse...

Question 14

How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine) for Crohn disease? (Select all that apply. )

Accepted Answer

A)   Expose her to sunlight at least 30 minutes a day for vitamin D synthesis.
B)   Tell her to drink at least 1500 mL of fluid a day.
C)   Advise assessing self for rash.
D)   Use alternate birth control methods to oral contraception.
E)   Take drug on an empty stomach.

Question 15

The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube;the patient complains of pain and has become hypotensive.Which condition should the nurse recognize these as signs of?

Accepted Answer

A)   Hiatal hernia
B)   Gastritis
C)   Perforation
D)   Bowel obstruction

Question 16

The patient has come to the PACU following an ileostomy for the treatment of ulcerative colitis.The patient is conscious and has a nasogastric tube in place and a pouch over the stoma.What should be the nurse's initial action?

Accepted Answer

A)   Turn patient to right side.
B)   Give patient ice chips to moisten mouth.
C)   Attach NG tube to suction.
D)   Irrigate NG tube.

Question 17

Why are peptic ulcers a common problem of aging?

Accepted Answer

A)   Because of overuse of antibiotics
B)   Because of overuse of antacids
C)   Because of overuse of NSAIDs
D)   Because of overuse of laxatives

Question 18

The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:

Accepted Answer

A)   protein due to the loss of some of the digestive processes.
B)   vitamin B12 due to the loss of the intrinsic factor.
C)   bulk to prevent constipation.
D)   vitamin A due to the loss of the gastric lining.

Question 19

The nurse explains to the patient with Crohn disease that the tube feedings allow for:

Accepted Answer

A)   rapid absorption in the upper GI tract.
B)   decompression of the stomach.
C)   reduction of diarrheic episodes.
D)   a permanent nutritional support.

Question 20

In caring for a patient with gastric bleeding who has a nasogastric tube in place,the nurse should include in the plan of care to ensure that the NG tube is:

Accepted Answer

A)   clamped for 10 minutes every hour.
B)   kept patent with irrigation.
C)   frequently repositioned to the opposite nostril.
D)   changed every 72 hours.

Exam 45: Care of the Patient With a Gastrointestinal Disorder

A male patient complains that he will never adjust to his colostomy.Which is the best action for the nurse in this situation?

Correct AnswerverifiedShow Answer

What should the nurse include in a teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?

Correct AnswerverifiedShow Answer

A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats,but pain does not waken him.The nurse recognizes a diagnostic sign of which condition?

Correct AnswerverifiedD

What is the most lethal complication of a peptic ulcer?

Correct AnswerverifiedShow Answer

Bowel sound assessment on a patient with an obstruction who has distention,nausea,and visible peristaltic waves would be:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedC

Which of the following would be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?

Correct AnswerverifiedShow Answer

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best nursing response?

Correct AnswerverifiedShow Answer

Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes.What would the nurse suggest to reduce the risk of dumping syndrome?

Correct AnswerverifiedShow Answer

The home health nurse evaluates a patient being treated for a peptic ulcer with Riopan (antacid) and famotidine (histamine receptor blocker) .Which statement made by the patient indicates a need for further instruction?

Correct AnswerverifiedD

The nurse points out which of the following as an example of a nonmechanical bowel obstruction?

Correct AnswerverifiedShow Answer

Which of the following should be included in the patient teaching of a patient with a peptic ulcer?

Correct AnswerverifiedShow Answer

Due to frequent bouts of constipation,the nurse examines the bedfast nursing home resident for ulceration of the anus,called anal __________________.

Correct AnswerverifiedShow Answer

How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine) for Crohn disease? (Select all that apply. )

Correct AnswerverifiedShow Answer

The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube;the patient complains of pain and has become hypotensive.Which condition should the nurse recognize these as signs of?

Correct AnswerverifiedShow Answer

The patient has come to the PACU following an ileostomy for the treatment of ulcerative colitis.The patient is conscious and has a nasogastric tube in place and a pouch over the stoma.What should be the nurse's initial action?

Correct AnswerverifiedShow Answer

Why are peptic ulcers a common problem of aging?

Correct AnswerverifiedShow Answer

The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:

Correct AnswerverifiedShow Answer

The nurse explains to the patient with Crohn disease that the tube feedings allow for:

Correct AnswerverifiedShow Answer

In caring for a patient with gastric bleeding who has a nasogastric tube in place,the nurse should include in the plan of care to ensure that the NG tube is:

Correct AnswerverifiedShow Answer

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