CHAPTER 29- DISORDERS OF THE
ESOPHAGUS, STOMACH, AND SMALL
INTESTINE DAVIS QUIZ & UPDATED
ANSWERS 100%
A nurse is caring for a patient with peritonitis. Which of the following is appropriate
management? Multi answer.
Watchful Waiting
Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Proton pump inhibitors - Correct Answer ✔✔ Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Explanation:
Peritoneal lavage can be uses to reduce bacterial load. IV fluids and electrolytes will
help counteract any losses. Peritonitis involves a bacterial infection, so antibiotics are
needed.
A client is considering bariatric surgery. Which of the following statements by the client
should the nurse correct?
Bariatric surgery is primarily for those with morbid obesity.
Only one type of bariatric surgery option exists.
Patients who undergo bariatric surgery experience significant weight loss.
Bariatric surgery may help with other issues, such as improving glucose control. -
Correct Answer ✔✔ Only one type of bariatric surgery option exists.
A patient is taking a proton pump inhibitor medication. Which of the following is the most
likely purpose of this medication?
Reduce inflammation in the gastrointestinal (GI) tract.
Decrease acidity of stomach secretions.
Increase GI motility.
Decrease bouts of diarrhea. - Correct Answer ✔✔ Decrease acidity of stomach
secretions.
Explanation: Proton pump inhibitors reduce hydrogen ion levels (acidity) in the stomach.
A woman is stating that she feels she has celiac disease. Which diagnosis test may be
indicated?
Endoscopic examination, Colonoscopy, Serology panel, Barium swallow test. - Correct
Answer ✔✔ Serology panel
,Explanation: Celiac disease is considered an autoimmune condition, so antibody testing
would be recommended.
On a patient's chart is listed "achalasia." Which of the following can the nurse expect?
The patient has difficulty chewing food and moving it into the throat area.
The patient has motility issues of the esophagus.
The patient has reflux of stomach acid into the esophagus.
The patient has an inability to move substances from the stomach to the duodenum. -
Correct Answer ✔✔ The patient has motility issues of the esophagus.
Explanation: Achalasia has motility issues of the esophagus.
Place the following in the proper sequence of how a patient's (who is severely obese)
weight may play a role in heartburn and also lead to changes in the esophageal cells.
Poor closure of lower esophageal sphincter (LES)
Burning sensation in sternal area.
Metaplasia of esophageal cells in response to stomach acid.
Stomach acid enters esophagus.
Increased body weight. - Correct Answer ✔✔ 1) Increased body weight
2) Poor closure of lower esophageal sphincter (LES)
3) Stomach acid enters esophagus
4) Burning sensation in sternal area
5) Metaplasia of esophageal cells in response to stomach acid
Explanation: Increased body weight can increase the likelihood of poor LES closure,
which enables stomach acid to enter the esophagus. This can cause a burning
sensation in the sternal area (heartburn). The acid from the stomach can cause
metaplastic changes of esophageal cells.
A nursing student sees on a patient's chart the word "sprue." She wonders what that
condition may also be called. Her colleague answers with which of the following terms?
Form of dysphagia
Esophageal varices
Dumping syndrome
Celiac disease - Correct Answer ✔✔ Celiac disease
Explanation: Sprue can be called celiac disease or gluten-sensitive enteropathy.
A patient suffering from gastroesophageal reflux disease (GERD) is reviewing some of
the instructions she has received to help manage her condition. Which of the following
statements show correct understanding by the patient?
I should wait for two to three hours after eating before I lie down.
Larger, more filling meals will help my digestion.
Smoking does not make my condition worse.
Eating small, frequent meals makes my GERD worse. - Correct Answer ✔✔ I should
wait for two to three hours after eating before I lie down.
, Explanation: Waiting to lie down after eating can help prevent reflux into the esophagus.
A patient has short-bowel syndrome. What are the three phases of this disorder in
order?
Adaptation, acute, maintenance.
Maintenance, adaptation, acute.
Acute, adaptation, maintenance.
Adaptation, maintenance, acute. - Correct Answer ✔✔ Acute, adaptation, maintenance.
A patient is scheduled for a manometry test. How would the nurse explain the purpose
of this procedure to the patient?
The procedure measures pressure at the junction between the stomach and
esophagus.
The procedure measures pressure at the base of the stomach.
The procedure measures stomach-acid levels.
The procedure measures bacterial levels in the stomach. - Correct Answer ✔✔ The
procedure measures pressure at the junction between the stomach and esophagus.
Explanation: A manometry test measures the pressure at the end of the esophagus and
beginning on the stomach. It can be used in assessment of gastroesophageal reflux
disease (GERD).
A patient is suffering from gastroesophageal reflux disease (GERD). Which of the
following are lifestyle management suggestions that may be beneficial for the patient?
Lifestyle changes will have limited effect bc this is a progressive disease.
Eat one large meal a day to maintain caloric needs.
Lay down after eating to reduce stress on the stomach.
Plan small, frequent meals so as to not over-distend the stomach. - Correct Answer ✔✔
Plan small, frequent meals so as to not over-distend the stomach.
Explanation: Smaller meals are more beneficial in GERD.
A nurse is working in a gastrologist's office. What is the most accurate method of
diagnosing upper GI tract disorders?
Computed tomography (CT) scan.
Abdominal x-ray.
Colonoscopy.
Endoscopy. - Correct Answer ✔✔ Endoscopy
A patient has been diagnosed with a gastric ulcer. He wants to discuss dietary
recommendations. Which of the following may the nurse share that will be helpful?
Increase your caffeine intake to aid in stomach motility.
Eat plenty of high-fat foods, such as ice cream.
Refrain from or severely limit alcohol intake.
ESOPHAGUS, STOMACH, AND SMALL
INTESTINE DAVIS QUIZ & UPDATED
ANSWERS 100%
A nurse is caring for a patient with peritonitis. Which of the following is appropriate
management? Multi answer.
Watchful Waiting
Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Proton pump inhibitors - Correct Answer ✔✔ Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Explanation:
Peritoneal lavage can be uses to reduce bacterial load. IV fluids and electrolytes will
help counteract any losses. Peritonitis involves a bacterial infection, so antibiotics are
needed.
A client is considering bariatric surgery. Which of the following statements by the client
should the nurse correct?
Bariatric surgery is primarily for those with morbid obesity.
Only one type of bariatric surgery option exists.
Patients who undergo bariatric surgery experience significant weight loss.
Bariatric surgery may help with other issues, such as improving glucose control. -
Correct Answer ✔✔ Only one type of bariatric surgery option exists.
A patient is taking a proton pump inhibitor medication. Which of the following is the most
likely purpose of this medication?
Reduce inflammation in the gastrointestinal (GI) tract.
Decrease acidity of stomach secretions.
Increase GI motility.
Decrease bouts of diarrhea. - Correct Answer ✔✔ Decrease acidity of stomach
secretions.
Explanation: Proton pump inhibitors reduce hydrogen ion levels (acidity) in the stomach.
A woman is stating that she feels she has celiac disease. Which diagnosis test may be
indicated?
Endoscopic examination, Colonoscopy, Serology panel, Barium swallow test. - Correct
Answer ✔✔ Serology panel
,Explanation: Celiac disease is considered an autoimmune condition, so antibody testing
would be recommended.
On a patient's chart is listed "achalasia." Which of the following can the nurse expect?
The patient has difficulty chewing food and moving it into the throat area.
The patient has motility issues of the esophagus.
The patient has reflux of stomach acid into the esophagus.
The patient has an inability to move substances from the stomach to the duodenum. -
Correct Answer ✔✔ The patient has motility issues of the esophagus.
Explanation: Achalasia has motility issues of the esophagus.
Place the following in the proper sequence of how a patient's (who is severely obese)
weight may play a role in heartburn and also lead to changes in the esophageal cells.
Poor closure of lower esophageal sphincter (LES)
Burning sensation in sternal area.
Metaplasia of esophageal cells in response to stomach acid.
Stomach acid enters esophagus.
Increased body weight. - Correct Answer ✔✔ 1) Increased body weight
2) Poor closure of lower esophageal sphincter (LES)
3) Stomach acid enters esophagus
4) Burning sensation in sternal area
5) Metaplasia of esophageal cells in response to stomach acid
Explanation: Increased body weight can increase the likelihood of poor LES closure,
which enables stomach acid to enter the esophagus. This can cause a burning
sensation in the sternal area (heartburn). The acid from the stomach can cause
metaplastic changes of esophageal cells.
A nursing student sees on a patient's chart the word "sprue." She wonders what that
condition may also be called. Her colleague answers with which of the following terms?
Form of dysphagia
Esophageal varices
Dumping syndrome
Celiac disease - Correct Answer ✔✔ Celiac disease
Explanation: Sprue can be called celiac disease or gluten-sensitive enteropathy.
A patient suffering from gastroesophageal reflux disease (GERD) is reviewing some of
the instructions she has received to help manage her condition. Which of the following
statements show correct understanding by the patient?
I should wait for two to three hours after eating before I lie down.
Larger, more filling meals will help my digestion.
Smoking does not make my condition worse.
Eating small, frequent meals makes my GERD worse. - Correct Answer ✔✔ I should
wait for two to three hours after eating before I lie down.
, Explanation: Waiting to lie down after eating can help prevent reflux into the esophagus.
A patient has short-bowel syndrome. What are the three phases of this disorder in
order?
Adaptation, acute, maintenance.
Maintenance, adaptation, acute.
Acute, adaptation, maintenance.
Adaptation, maintenance, acute. - Correct Answer ✔✔ Acute, adaptation, maintenance.
A patient is scheduled for a manometry test. How would the nurse explain the purpose
of this procedure to the patient?
The procedure measures pressure at the junction between the stomach and
esophagus.
The procedure measures pressure at the base of the stomach.
The procedure measures stomach-acid levels.
The procedure measures bacterial levels in the stomach. - Correct Answer ✔✔ The
procedure measures pressure at the junction between the stomach and esophagus.
Explanation: A manometry test measures the pressure at the end of the esophagus and
beginning on the stomach. It can be used in assessment of gastroesophageal reflux
disease (GERD).
A patient is suffering from gastroesophageal reflux disease (GERD). Which of the
following are lifestyle management suggestions that may be beneficial for the patient?
Lifestyle changes will have limited effect bc this is a progressive disease.
Eat one large meal a day to maintain caloric needs.
Lay down after eating to reduce stress on the stomach.
Plan small, frequent meals so as to not over-distend the stomach. - Correct Answer ✔✔
Plan small, frequent meals so as to not over-distend the stomach.
Explanation: Smaller meals are more beneficial in GERD.
A nurse is working in a gastrologist's office. What is the most accurate method of
diagnosing upper GI tract disorders?
Computed tomography (CT) scan.
Abdominal x-ray.
Colonoscopy.
Endoscopy. - Correct Answer ✔✔ Endoscopy
A patient has been diagnosed with a gastric ulcer. He wants to discuss dietary
recommendations. Which of the following may the nurse share that will be helpful?
Increase your caffeine intake to aid in stomach motility.
Eat plenty of high-fat foods, such as ice cream.
Refrain from or severely limit alcohol intake.
