CH45 - Care of the Patient with a Gastrointestinal Disorder | Nursing Test Banks.

1.The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the: a. gastric lining of the stomach. b. villi of the small intestine. c. bile of the liver in the large intestine. d. excretion from the cecum. 2.A 56 -year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102° F, and has an elevated white count. Which assessment would alert the nurse to impend- ing septic shock? a. Chest pain b. Seizure c. Tachycardia d. Massive diarrhea ANS: C The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-98 OBJ:9TOP:Diverticulitis KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3. Because bowel contents from an ileostomy are virtually liquid, what should the nurse include in the plan of care? a. Evaluation and assessment of dietary intake of fiber b. Evaluation and assessment of patient cleanliness c. Evaluation and assessment of periostomal skin integrity d. Evaluation and assessment of the adequacy of the collection device 4. The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide: a. a tablet and pencil as a communication aid. b. a TV for diversion. c. a bell to summon help. d. a walkie-talkie. 5. Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia? a. Consume only liquid b. Avoid fruit juices c. Drink 10 oz of fluid with each meal d. Lie down for 30 minutes after each meal 6.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? a. Duodenal ulcer b. Gastritis c. Achalasia d. Peptic ulcer ANS: D A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eat- ing, but not with an empty stomach, because there would be pain with a duodenal ulcer. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 5-46 OBJ: 5 TOP: Peptic ulcer KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 7. The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental: 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. .....................................CONTINUED.................................