TEST BANK FOR BRUNNER & SUDDARTH'S
sf sf sf sf sf
TEXTBOOK OF MEDICAL- sf sf
SURGICAL NURSING, 15TH EDITION ALL CHA
sf sf sf sf sf
PTERS
1. Asfnursesfissfcaringsfforsfasfclientsfwhosfissfscheduledsfforsfasfcolonoscopysfandsfwhosesfpreparationsfwillsfincl
udesfpolyethylenesfglycolsfelectrolytesflavagesfpriorsftosfthesfprocedure.sfThesfpresencesfofsfwhatsfhealthsfpr
oblemsfwouldsfcontraindicatesfthesfusesfofsfthissfformsfofsfbowelsfpreparation?
A. Inflammatorysfbowelsfdisease
B. Intestinalsfpolyps
C. Diverticulitis
D. Colonsfcancersf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfusesfofsfasflavagesfsolutionsfissfcontraindicatedsfinsfclientssfwithsfintestinalsfobstructions
forsfinflammatorysfbowelsfdisease.sfItsfcansfsafelysfbesfusedsfwithsfclientssfwhosfhavesfpolyps,sfcolonsfcan
cer,sforsfdiverticulitis.
PTS:sf1sfREF:sfp.sf1219
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
KEY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfUnderstand
MultiplesfChoice
2. Asfnursesfissfpromotingsfincreasedsfproteinsfintakesftosfenhancesfasfclient'ssfwoundsfhealing.sfWhatsfissft
hesfenzymesfthatsfwillsfinitiatesfthesfdigestionsfofsfthesfproteinsfthatsfthesfclientsfconsumes?
A. Pepsin
B. Intrinsicsffactor
,C. Lipase
D. Amylasesf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfenzymesfthatsfinitiatessfthesfdigestionsfofsfproteinsfissfpepsin.sfIntrinsicsffactorsfcombinessfwithsfv
itaminsfB12sfforsfabsorptionsfbysfthesfileum.sfLipasesfaidssfinsfthesfdigestionsfofsffatssfandsfamylasesfaidssfinsfthesfdi
gestionsfofsfstarch.
PTS:sf1sfREF:sfp.sf1210
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfPhysiologicalsfAdaptationsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
KEY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfUnderstand
MultiplesfChoice
3. Asfclientsfhassfbeensfbroughtsftosfthesfemergencysfdepartmentsfwithsfabdominalsfpainsfandsfissfsubsequentlysf
diagnosedsfwithsfappendicitis.sfThesfclientsfissfscheduledsfforsfansfappendectomysfbutsfquestionssfthesfnursesfabo
utsfhowsfasfperson'ssfhealthsfissfaffectedsfbysfthesfabsencesfofsfthesfappendix.sfHowsfshouldsfthesfnursesfbestsfresp
ond?
A. "Yoursfappendixsfdoesn'tsfplaysfasfmajorsfrolesfinsfhealth,sfsosfyousfwon'tsfnoticesfanysfdifferencesfaftersfy
oursfrecoverysffromsfsurgery."
B. "Thesfsurgeonsfwillsfencouragesfyousftosflimitsfyoursffatsfintakesfforsfasffewsfweekssfaftersfthesfsurgery,sfbutsfy
oursfbodysfwillsfthensfbeginsftosfcompensate."
C. "Yoursfbodysfwillsfabsorbsfslightlysffewersfnutrientssffromsfthesffoodsfyousfeat,sfbutsfyousfwon'tsfbesfawar
esfofsfthis."
D. "Yoursfsmallsfintestinesfwillsfadaptsfoversftimesftosfthesfabsencesfofsfyoursfappendix."sf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfappendixsfissfansfappendagesfofsfthesfcecumsf(notsfthesfsmallsfintestine)sfthatsfhassflittlesforsfnosfp
hysiologicsffunction.sfItssfabsencesfdoessfnotsfaffectsfdigestionsforsfabsorption.
PTS:sf1sfREF:sfp.sf1209
,NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfPhysiologicalsfAdaptationsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
sf KEY:sfIntegratedsfProcess:sfTeaching/LearningsfBLM:sfCognitivesfLevel:sfAppl
y
MultiplesfChoice
4. AnsfadultsfclientsfissfscheduledsfforsfansfuppersfGIsfseriessfthatsfwillsfusesfasfbariumsfswallow.sfWhatsfteach
ingsfshouldsfthesfnursesfincludesfwhensfthesfclientsfhassfcompletedsfthesftest?
A. Stoolsfwillsfbesfyellowsfforsfthesffirstsf24sfhours'sfpostprocedure.
B. Thesfbariumsfmaysfcausesfdiarrheasfforsfthesfnextsf24sfhours.
C. Fluidssfmustsfbesfincreasedsftosffacilitatesfthesfevacuationsfofsfthesfstool.
D. Slightsfanalsfbleedingsfmaysfbesfnotedsfassfthesfbariumsfissfpassed.sf-sfCORRECTsfANSWERsf-C
Rationale:sfPostproceduralsfclientsfeducationsfincludessfinformationsfaboutsfincreasingsffluidsfintake;sfevaluati
ngsfbowelsfmovementssfforsfevacuationsfofsfbarium;sfandsfnotingsfincreasedsfnumbersfofsfbowelsfmovements.sf
Thesfnumbersfofsfbowelsfmovementsfissfnotedsfbecausesfbarium,sfduesftosfitssfhighsfosmolarity,sfmaysfdrawsffluid
sfintosfthesfbowel,sfthussfincreasingsfthesfintraluminalsfcontentssfandsfresultingsfinsfgreatersfoutput.sfYellowsfsto
ol,sfdiarrhea,sfandsfanalsfbleedingsfaresfnotsfexpected.
PTS:sf1sfREF:sfp.sf1219
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunctionsfK
EY:sfIntegratedsfProcess:sfTeaching/LearningsfBLM:sfCognitivesfLevel:sfApply
MultiplesfChoice
5. Asfnursesfissfcaringsfforsfasfclientsfwithsfrecurrentsfhematemesissfwhosfissfscheduledsfforsfuppersfgastrointesti
nalsffibroscopy.sfHowsfshouldsfthesfnursesfinsfthesfradiologysfdepartmentsfpreparesfthissfclient?
, A. Insertsfasfnasogastricsftube.
B. AdministersfasfmicrosfFleetsfenemasfatsfleastsf3sfhourssfbeforesfthesfprocedure.
C. Havesfthesfclientsfliesfinsfasfsupinesfpositionsfforsfthesfprocedure.
D. Applysflocalsfanestheticsftosfthesfbacksfofsfthesfclient'ssfthroat.sf-sfCORRECTsfANSWERsf-D
Rationale:sfPreparationsfincludessfsprayingsforsfgarglingsfwithsfasflocalsfanesthetic.sfAsfnasogastricsftubesfo
rsfasfmicrosfFleetsfenemasfissfnotsfrequiredsfforsfthissfprocedure.sfThesfclientsfshouldsfbesfpositionedsfinsfasfsid
e-lyingsfpositionsfinsfcasesfofsfemesis.
PTS:sf1sfREF:sfp.sf1222
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunctionsfK
EY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfApply
MultiplesfChoice
6. Thesfnursesfissfcaringsfforsfasfclientsfscheduledsfforsfasfcolonoscopy.sfThesfnursesfshouldsfassistsfthesfclientsfi
ntosfwhatsfpositionsfduringsfthissfdiagnosticsftest?
A. Insfasfknee-chestsfpositionsf(lithotomysfposition)
B. Lyingsfpronesfwithsflegssfdrawnsftowardsfthesfchest
C. Lyingsfonsfthesfleftsfsidesfwithsflegssfdrawnsftowardsfthesfchest
D. Insfasfpronesfpositionsfwithsftwosfpillowssfelevatingsfthesfbuttockssf-sfCORRECTsfANSWERsf-C
Rationale:sfForsfbestsfvisualization,sfcolonoscopysfissfperformedsfwhilesfthesfclientsfissflyingsfonsfthesfleftsfsidesf
withsfthesflegssfdrawnsfupsftowardsfthesfchest.sfAsfknee-
chestsfposition,sflyingsfonsfthesfstomachsfwithsflegssfdrawnsftosfthesfchest,sfandsfasfpronesfpositionsfwithsftwosfpill
owssfelevatingsfthesflegssfdosfnotsfallowsfforsfthesfbestsfvisualization.
sf sf sf sf sf
TEXTBOOK OF MEDICAL- sf sf
SURGICAL NURSING, 15TH EDITION ALL CHA
sf sf sf sf sf
PTERS
1. Asfnursesfissfcaringsfforsfasfclientsfwhosfissfscheduledsfforsfasfcolonoscopysfandsfwhosesfpreparationsfwillsfincl
udesfpolyethylenesfglycolsfelectrolytesflavagesfpriorsftosfthesfprocedure.sfThesfpresencesfofsfwhatsfhealthsfpr
oblemsfwouldsfcontraindicatesfthesfusesfofsfthissfformsfofsfbowelsfpreparation?
A. Inflammatorysfbowelsfdisease
B. Intestinalsfpolyps
C. Diverticulitis
D. Colonsfcancersf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfusesfofsfasflavagesfsolutionsfissfcontraindicatedsfinsfclientssfwithsfintestinalsfobstructions
forsfinflammatorysfbowelsfdisease.sfItsfcansfsafelysfbesfusedsfwithsfclientssfwhosfhavesfpolyps,sfcolonsfcan
cer,sforsfdiverticulitis.
PTS:sf1sfREF:sfp.sf1219
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
KEY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfUnderstand
MultiplesfChoice
2. Asfnursesfissfpromotingsfincreasedsfproteinsfintakesftosfenhancesfasfclient'ssfwoundsfhealing.sfWhatsfissft
hesfenzymesfthatsfwillsfinitiatesfthesfdigestionsfofsfthesfproteinsfthatsfthesfclientsfconsumes?
A. Pepsin
B. Intrinsicsffactor
,C. Lipase
D. Amylasesf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfenzymesfthatsfinitiatessfthesfdigestionsfofsfproteinsfissfpepsin.sfIntrinsicsffactorsfcombinessfwithsfv
itaminsfB12sfforsfabsorptionsfbysfthesfileum.sfLipasesfaidssfinsfthesfdigestionsfofsffatssfandsfamylasesfaidssfinsfthesfdi
gestionsfofsfstarch.
PTS:sf1sfREF:sfp.sf1210
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfPhysiologicalsfAdaptationsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
KEY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfUnderstand
MultiplesfChoice
3. Asfclientsfhassfbeensfbroughtsftosfthesfemergencysfdepartmentsfwithsfabdominalsfpainsfandsfissfsubsequentlysf
diagnosedsfwithsfappendicitis.sfThesfclientsfissfscheduledsfforsfansfappendectomysfbutsfquestionssfthesfnursesfabo
utsfhowsfasfperson'ssfhealthsfissfaffectedsfbysfthesfabsencesfofsfthesfappendix.sfHowsfshouldsfthesfnursesfbestsfresp
ond?
A. "Yoursfappendixsfdoesn'tsfplaysfasfmajorsfrolesfinsfhealth,sfsosfyousfwon'tsfnoticesfanysfdifferencesfaftersfy
oursfrecoverysffromsfsurgery."
B. "Thesfsurgeonsfwillsfencouragesfyousftosflimitsfyoursffatsfintakesfforsfasffewsfweekssfaftersfthesfsurgery,sfbutsfy
oursfbodysfwillsfthensfbeginsftosfcompensate."
C. "Yoursfbodysfwillsfabsorbsfslightlysffewersfnutrientssffromsfthesffoodsfyousfeat,sfbutsfyousfwon'tsfbesfawar
esfofsfthis."
D. "Yoursfsmallsfintestinesfwillsfadaptsfoversftimesftosfthesfabsencesfofsfyoursfappendix."sf-sfCORRECTsfANSWERsf-A
Rationale:sfThesfappendixsfissfansfappendagesfofsfthesfcecumsf(notsfthesfsmallsfintestine)sfthatsfhassflittlesforsfnosfp
hysiologicsffunction.sfItssfabsencesfdoessfnotsfaffectsfdigestionsforsfabsorption.
PTS:sf1sfREF:sfp.sf1209
,NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfPhysiologicalsfAdaptationsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunction
sf KEY:sfIntegratedsfProcess:sfTeaching/LearningsfBLM:sfCognitivesfLevel:sfAppl
y
MultiplesfChoice
4. AnsfadultsfclientsfissfscheduledsfforsfansfuppersfGIsfseriessfthatsfwillsfusesfasfbariumsfswallow.sfWhatsfteach
ingsfshouldsfthesfnursesfincludesfwhensfthesfclientsfhassfcompletedsfthesftest?
A. Stoolsfwillsfbesfyellowsfforsfthesffirstsf24sfhours'sfpostprocedure.
B. Thesfbariumsfmaysfcausesfdiarrheasfforsfthesfnextsf24sfhours.
C. Fluidssfmustsfbesfincreasedsftosffacilitatesfthesfevacuationsfofsfthesfstool.
D. Slightsfanalsfbleedingsfmaysfbesfnotedsfassfthesfbariumsfissfpassed.sf-sfCORRECTsfANSWERsf-C
Rationale:sfPostproceduralsfclientsfeducationsfincludessfinformationsfaboutsfincreasingsffluidsfintake;sfevaluati
ngsfbowelsfmovementssfforsfevacuationsfofsfbarium;sfandsfnotingsfincreasedsfnumbersfofsfbowelsfmovements.sf
Thesfnumbersfofsfbowelsfmovementsfissfnotedsfbecausesfbarium,sfduesftosfitssfhighsfosmolarity,sfmaysfdrawsffluid
sfintosfthesfbowel,sfthussfincreasingsfthesfintraluminalsfcontentssfandsfresultingsfinsfgreatersfoutput.sfYellowsfsto
ol,sfdiarrhea,sfandsfanalsfbleedingsfaresfnotsfexpected.
PTS:sf1sfREF:sfp.sf1219
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunctionsfK
EY:sfIntegratedsfProcess:sfTeaching/LearningsfBLM:sfCognitivesfLevel:sfApply
MultiplesfChoice
5. Asfnursesfissfcaringsfforsfasfclientsfwithsfrecurrentsfhematemesissfwhosfissfscheduledsfforsfuppersfgastrointesti
nalsffibroscopy.sfHowsfshouldsfthesfnursesfinsfthesfradiologysfdepartmentsfpreparesfthissfclient?
, A. Insertsfasfnasogastricsftube.
B. AdministersfasfmicrosfFleetsfenemasfatsfleastsf3sfhourssfbeforesfthesfprocedure.
C. Havesfthesfclientsfliesfinsfasfsupinesfpositionsfforsfthesfprocedure.
D. Applysflocalsfanestheticsftosfthesfbacksfofsfthesfclient'ssfthroat.sf-sfCORRECTsfANSWERsf-D
Rationale:sfPreparationsfincludessfsprayingsforsfgarglingsfwithsfasflocalsfanesthetic.sfAsfnasogastricsftubesfo
rsfasfmicrosfFleetsfenemasfissfnotsfrequiredsfforsfthissfprocedure.sfThesfclientsfshouldsfbesfpositionedsfinsfasfsid
e-lyingsfpositionsfinsfcasesfofsfemesis.
PTS:sf1sfREF:sfp.sf1222
NAT:sfClientsfNeeds:sfPhysiologicalsfIntegrity:sfReductionsfofsfRisksfPotentialsfT
OP:sfChaptersf38:sfAssessmentsfofsfDigestivesfandsfGastrointestinalsfFunctionsfK
EY:sfIntegratedsfProcess:sfNursingsfProcesssfBLM:sfCognitivesfLevel:sfApply
MultiplesfChoice
6. Thesfnursesfissfcaringsfforsfasfclientsfscheduledsfforsfasfcolonoscopy.sfThesfnursesfshouldsfassistsfthesfclientsfi
ntosfwhatsfpositionsfduringsfthissfdiagnosticsftest?
A. Insfasfknee-chestsfpositionsf(lithotomysfposition)
B. Lyingsfpronesfwithsflegssfdrawnsftowardsfthesfchest
C. Lyingsfonsfthesfleftsfsidesfwithsflegssfdrawnsftowardsfthesfchest
D. Insfasfpronesfpositionsfwithsftwosfpillowssfelevatingsfthesfbuttockssf-sfCORRECTsfANSWERsf-C
Rationale:sfForsfbestsfvisualization,sfcolonoscopysfissfperformedsfwhilesfthesfclientsfissflyingsfonsfthesfleftsfsidesf
withsfthesflegssfdrawnsfupsftowardsfthesfchest.sfAsfknee-
chestsfposition,sflyingsfonsfthesfstomachsfwithsflegssfdrawnsftosfthesfchest,sfandsfasfpronesfpositionsfwithsftwosfpill
owssfelevatingsfthesflegssfdosfnotsfallowsfforsfthesfbestsfvisualization.
