Chapter 41: Nursing Assessment: Gastrointestinal System Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam 2023 Questions and Answers(A+ Solution guide)

1. Which of the following is an abnormal finding when performing an assessment of an 80-year-old patient? a. Loss of appetite and anorexia b. Difficulty chewing and swallowing food c. Complaints of indigestion and stomach fullness d. Consistent weight loss without change in dietary habits - ANS: D Unintentional weight loss is not a normal finding in older patients and may indicate a problem such as cancer or depression. PTS: 1 DIF: Cognitive Level: Application REF: page 1066 OBJ: 4 TOP: Nursing Process: Assessment MSC: CRNE: CH-1 2. To promote bowel evacuation in a patient with irregular bowel elimination, what should the nurse teach the patient about how to initiate the gastrocolic and duodenocolic reflexes, to facilitate bowel elimination when the patient attempts defecation? a. Try defecating after physical exercise. b. Try defecating after the first daily meal. c. Try defecating on arising in the morning. d. Try defecating on seeing and smelling food. - ANS: B These reflexes are most active after the first daily meal. PTS: 1 DIF: Cognitive Level: Application REF: page 1046 OBJ: 3 TOP: Nursing Process: Implementation MSC: CRNE: CH-383. Upon doing a physical assessment of a patient's gastrointestinal (GI) system, the nurse would expect to find the cecum and appendix in which quadrant? a. Right upper quadrant b. Left upper quadrant c. Right lower quadrant d. Left lower quadrant - ANS: C