Question 1

Flexible sigmoidoscopy should be performed every ________ years.

Accepted Answer

The answer of Flexible sigmoidoscopy should be performed every ________...

Question 2

Symptoms of GERD (gastroesophageal reflux disease) can be modified or eliminated by which nursing interventions?

Accepted Answer

Remain upright for 1 to 2 hours after meals. Eat four to six small meals daily. Follow a low-fat, adequate protein diet. Avoid evening snacking 2 to 3 hours before bedtime.

Question 3

A NANDA-accepted nursing diagnosis that could be written for the patient who is hemorrhaging and in hypovolemic shock from a bleeding peptic ulcer would include

Accepted Answer

Hemorrhage, with accompanying symptoms of shock, occurs when the ulcer erodes into a blood vessel.

Question 4

You administered the medication GoLYTELY to a 78-year-old woman in preparation for diagnostic tests. In planning for her care, which would be most appropriate?

Accepted Answer

Provide a bedside commode for older or weak patients when giving GoLYTELY as this causes rapid and copious clearing of the bowel.

Question 5

A patient was recently diagnosed with colorectal cancer. His wife asks the nurse, "What prevents colon cancer?" The nurse's answer should include which factors? (Select all that apply.)

Accepted Answer

These factors encourage diet changes; decreased animal fat and increased high dietary fiber found in fruits, vegetables, and bran may have a protective effect and act as a primary preventive measure. Recent research has isolated a gene that causes colon cancer in certain families. History-taking and regular checkups are important preventive measures.

Question 6

MATCHING
Match the purpose of nasogastric tubes with its description.

-Gavage

Accepted Answer

Gavage refers to the process of feeding a person through a nasogastric tube, specifically for the purpose of delivering liquid nutritional supplements directly into the stomach.

Question 7

The purpose of antibiotic therapy in treating stomach disorders is that it

Accepted Answer

Antibiotic therapy eradicates H. pylori.

Question 8

Peptic ulcers are often common in the aging population. Which medications should be taken with caution to help prevent this problem?

Accepted Answer

Medications such as aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) taken for arthritis or degenerative joint conditions may contribute to ulcer formation.

Question 9

The most lethal complication of a peptic ulcer is

Accepted Answer

Perforation is considered the most lethal complication of peptic ulcer. Bleeding may occur when the ulcer erodes into a blood vessel; however, perforation occurs when the ulcer crater penetrates the entire thickness of the wall of the stomach or duodenum. Gastric outlet obstruction can occur at any time and can be relieved by NG aspiration of stomach contents.

Question 10

A patient is admitted with a diagnosis of Crohn's disease. What nursing interventions would be appropriate when caring for this patient? (Select all that apply.)

Accepted Answer

Weight is monitored for losses or gains. Oral diets of 2500 mL/day to replace fluids and electrolytes caused from diarrhea are not uncommon. When the person is hospitalized, a bedside commode or a bedpan must be accessible at all times because of the urgency and frequency of stools.

Question 11

Colonoscopy should be performed every ________ years.

Accepted Answer

The answer of Colonoscopy should be performed every ________ years....

Question 12

What nursing interventions would be appropriate for inflammatory bowel disease diagnoses of Imbalanced Nutrition: less than body requirements related to bowel hypermotility and decreased absorption?

Accepted Answer

Provide small frequent meals, which will help with poor appetite or intolerance to consume large amounts. Alcohol and caffeine should be restricted to decrease irritation.

Question 13

Which nursing intervention would be the highest priority in evaluating a patient with peritonitis from a ruptured appendix?

Accepted Answer

First priority is pain management. Assessment of vital signs, preventing wound infection, and promoting balanced nutrition are not the highest priority.

Question 14

Sulfasalazine is the recommended medication for treatment of Crohn's disease. Patient teaching should include:

Accepted Answer

The importance of adequate hydration to prevent kidney problems is high priority. Sulfasalazine should be taken with meals to reduce nausea and vomiting. Sulfasalazine decreases the effectiveness of oral contraceptives.

Question 15

Bowel sound assessment is especially important for a postoperative patient who has had abdominal surgery as it can determine the:

Accepted Answer

The patient should be assessed for stable vital signs and return of bowel sounds.

Question 16

Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply):

Accepted Answer

Inactivity and changes in diet and fluid intake can contribute to constipation. A nutritional diet high in fiber and bulk-forming foods can promote normal elimination. Increasing fluids to 8 to 10 glasses per day will be beneficial in preventing constipation. A daily bowel routine will also benefit elimination.

Question 17

MATCHING
Match the purpose of nasogastric tubes with its description.

-Compression

Accepted Answer

Compression in the context of nasogastric tubes refers to the internal application of pressure by means of an inflated balloon to prevent gastrointestinal (GI) bleeding.

Question 18

MATCHING
Match the purpose of nasogastric tubes with its description.

-Decompression

Accepted Answer

Decompression tubes are used to relieve abdominal distention by removing excess gas and fluid from the stomach.

Answer: D
 Nasogastric tubes can be used to administer liquid nutritional supplements directly into the stomach, which is useful for patients who cannot eat or swallow normally.

Answer: A
 This description is actually for a different kind of tube - an esophageal balloon tamponade. It is used to exert pressure on bleeding blood vessels in the esophagus to help stop the bleeding. Nasogastric tubes cannot be used for this purpose.

Answer: B
 This type of tube is called a lavage tube, and it is used for irrigation of the stomach to remove secretions or toxins. It is not the purpose of a nasogastric tube.

Question 19

MATCHING
Match the purpose of nasogastric tubes with its description.

-Lavage

Accepted Answer

Lavage refers to the irrigation or washing out of the stomach to remove secretions or other substances.

Quiz 5: Care of the Patient With a Gastrointestinal Disorder

Flexible sigmoidoscopy should be performed every ________ years.

Symptoms of GERD (gastroesophageal reflux disease) can be modified or eliminated by which nursing interventions?

A NANDA-accepted nursing diagnosis that could be written for the patient who is hemorrhaging and in hypovolemic shock from a bleeding peptic ulcer would include

You administered the medication GoLYTELY to a 78-year-old woman in preparation for diagnostic tests. In planning for her care, which would be most appropriate?

A patient was recently diagnosed with colorectal cancer. His wife asks the nurse, "What prevents colon cancer?" The nurse's answer should include which factors? (Select all that apply.)

MATCHING Match the purpose of nasogastric tubes with its description. -Gavage

The purpose of antibiotic therapy in treating stomach disorders is that it

Peptic ulcers are often common in the aging population. Which medications should be taken with caution to help prevent this problem?

The most lethal complication of a peptic ulcer is

A patient is admitted with a diagnosis of Crohn's disease. What nursing interventions would be appropriate when caring for this patient? (Select all that apply.)

Colonoscopy should be performed every ________ years.

What nursing interventions would be appropriate for inflammatory bowel disease diagnoses of Imbalanced Nutrition: less than body requirements related to bowel hypermotility and decreased absorption?

Which nursing intervention would be the highest priority in evaluating a patient with peritonitis from a ruptured appendix?

Sulfasalazine is the recommended medication for treatment of Crohn's disease. Patient teaching should include:

Bowel sound assessment is especially important for a postoperative patient who has had abdominal surgery as it can determine the:

Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply) :

MATCHING Match the purpose of nasogastric tubes with its description. -Compression

MATCHING Match the purpose of nasogastric tubes with its description. -Decompression

MATCHING Match the purpose of nasogastric tubes with its description. -Lavage