NSG 3023 Chapter 35 QUIZ

NSG 3023 Chapter 35 QUIZMULTIPLE CHOICE 1. A student nurse is caring for a patient who has dehydration as a result of diarrhea. Diarrhea is a result of abnormally fast peristalsis in what organ? a. Jejunum b. Stomach c. Duodenum d. Colon ANS: D The large intestine is the primary organ of bowel elimination. If peristalsis is abnormally fast in the colon, there is less time for water to be absorbed and the stool will be watery. The stomach is part of the upper GI system. The duodenum and jejunum are part of the small intestines. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: 994 OBJ: Explain the physiology of digestion, absorption, and bowel elimination. TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity 2. The labor/delivery nurse is caring for a 33-year-old who is in labor with her first child. The patient complained to the nurse about the hemorrhoids that she has experienced during the last month of her pregnancy. She asks, “what can I do to prevent future problems with hemorrhoids?” What is the nurse’s best response? a. “Hemorrhoids are caused by defecation of stools that are loose and watery.” b. “You need to soften your stools by drinking plenty of fluids.” c. “You should eat less carbohydrates.” d. “There is nothing that you can do to prevent hemorrhoids.” ANS: B Hemorrhoids are dilated, engorged veins in the lining of the rectum. Increased venous pressure resulting from straining at defecation, pregnancy, and chronic illnesses, such as congestive heart failure and chronic liver disease, are causative factors. A hemorrhoid forms either within the anal canal (internal) or through the opening of the anus (external). Passage of hard stool causes hemorrhoid tissue to stretch and bleed. Hemorrhoid tissue becomes inflamed and tender, and patients complain of itching and burning. Because pain worsens during defecation, the patient sometimes ignores the urge to defecate, resulting in constipation. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 997 | 1013 OBJ: List nursing measures aimed at promoting normal elimination and defecation. TOP: Nursing Process: Planning