Ans: A, B, C, D, E
Feedback: Older adult clients diagnosed with progressive
COPD may be taking many combined drugs to help them
maintain effective respirations. These clients should have an
overall treatment plan involving complex pulmonary hygiene,
positioning, fluids, nutrition, humidified air, rest, and activity
plans, as well as a complicated drug regimen to deal with the
impact of this disease. Each of the options address at least one
of these areas that affects the stress placed on the heart and lungs by this disease
process.
Test Generator Questions, Chapter 56, Introduction to the
Gastrointestinal System
Format: Multiple Choice
Chapter: 56
Client Needs: Physiological Integrity: Physiological Adaptation
Cognitive Level: Understand
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 1
Page and Header: 1008, Structure and Function of the Gastrointestinal System:
Structures
1. The nurse is educating a client about the peritoneum. What will the nurse state is the
purpose of the peritoneum?
A) Help propel the gastrointestinal contents down the tract.
B) To keep the gastrointestinal tract in place and prevent friction with movement.
C) Decrease the muscle tone to slow the gastrointestinal tract from moving too fast.
D) Serve as a supportive layer and helps the tube maintain its shape.
Ans: B
Feedback: The peritoneum lines the abdominal wall and viscera and helps keep the
gastrointestinal (GI) tract in place and prevents a buildup of friction with movement. The
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, john
muscularis mucosa layer helps propel the GI contents downward. The nerve plexus helps
to slow the GI tract when digestion is not a priority or stimulates it for digestion. The
adventitia serves as a supportive layer and helps the tube maintain its shape.
Format: Multiple Choice
Chapter: 56
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Understand
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 1011, Structure and Function of the Gastrointestinal System: Key
Points
2. The nurse administers a medication that stimulates the parasympathetic nervous
system to a client. The nurse will inform the client that the drug will have what impact
on the gastrointestinal system?
A) decreased sphincter tone
B) decreased muscle tone
C) decreased contractions
D) decreased secretions
Ans: A
Feedback: The effect of the parasympathetic nervous system is that of “rest and
digest.” It stimulates the nerve plexus that in turn stimulates the gastrointestinal (GI)
tract causing increased muscle tone, secretions and contractions, and decreased
sphincter tone allowing for easy movement.
Format: Multiple Choice
Chapter: 56
Client Needs: Physiological Integrity: Physiological Adaptation
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