Test Bank For Brunner & Suddarth's Textbook Of Medical-Surgical Nursing, 15Th Edition All Chapters

TEST BANK FOR BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING, 15TH EDITION ALL CHAPTERS 1. A nurse is caring for a client who is scheduled for a colonoscopy and whose preparation will include polyethylene glycol electrolyte lavage prior to the procedure. The presence of what health problem would contraindicate the use of this form of bowel preparation? A. Inflammatory bowel disease B. Intestinal polyps C. Diverticulitis D. Colon cancer - CORRECT ANSWER -A Rationale: The use of a lavage solution is contraindicated in clients with intestinal obstruction or inflammatory bowel disease. It can safely be used with clients who have polyps, colon cancer, or diverticulitis. PTS: 1 REF: p. 1219 NAT: Client Needs: Physiological Integrity: Reduction of Risk Potential TOP: Chapter 38: Assessment of Digestive and Gastrointestinal Function KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand Multiple Choice 2. A nurse is promoting increased protein intake to enhance a client's wound healing. What is the enzyme that will initiate the digestion of the protein that the client consumes? A. Pepsin B. Intrinsic factor C. Lipase D. Amylase - CORRECT ANSWER -A Rationale: The enzyme that initiates the digestion of protein is pepsin. Intrinsic factor combines with vitamin B12 for absorption by the ileum. Lipase aids in the digestion of fats and amylase aids in the digestion of starch. PTS: 1 REF: p. 1210 NAT: Client Needs: Physiological Integrity: Physiological Adaptation TOP: Chapter 38: Assessment of Digestive and Gastrointestinal Function KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand Multiple Choice 3. A client has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The client is scheduled for an appendectomy but questions the nurse about how a person's health is affected by the absence of the appendix. How should the nurse best respond? A. "Your appendix doesn't play a major role in health, so you won't notice any difference after your recovery from surgery." B. "The surgeon will encourage you to limit your fat intake for a few weeks after the surgery, but your body will then begin to compensate." C. "Your body will absorb slightly fewer nutrients from the food you eat, but you won't be aware of this." D. "Your small intestine will adapt over time to the absence of your appendix." - CORRECT ANSWER -A Rationale: The appendix is an appendage of the cecum (not the small intestine) that has little or no physiologic function. Its absence does not affect digestion or absorption. PTS: 1 REF: p. 1209