Chapter 10 Gastrointestinal Surgery

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Chapter 10  Gastrointestinal Surgery

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

MULTIPLE CHOICE

1. Select the statement that best reflects the functional components of the gastrointestinal (GI) tract.

  1. The GI tract is a continuous pathway from mouth to rectum.
  2. Peristaltic waveforms produce agitation, which digests large food particles.
  3. The alimentary canal extends from the mouth to the anus.
  4. The microscopic ecosystem of the GI tract is an unbalanced colony of germs.

ANS: C
The GI tract, or alimentary canal, is a continuous tubelike structure that extends the entire length of the trunk. The tract includes the mouth; pharynx; esophagus; stomach; small intestine, consisting of the duodenum, jejunum, and ileum; and large intestine, which consists of the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anus.

REF: Page 295

2. A patient whose neck has been slashed and has a severed lower trachea may also have injury to the:

  1. aorta.
  2. esophagus.
  3. duodenum.
  4. bronchial merge.

ANS: B
The esophagus begins at C6 and passes through the neck posterior to the trachea.

REF: Page 295

3. Exposure of intra-abdominal anatomy is crucial to safe surgery and employs varied instruments, applications of highly technical energy sources, patient manipulations, light, and imaging. What is unique to the laparoscopic approach that promotes exposure?

  1. Self-retaining retractors
  2. Automatic rod-lens fiberscope
  3. Carbon dioxide pneumoperitoneum
  4. Endoscopic fan blades

ANS: C
Abdominal insufflation with carbon dioxide expands the abdominal compartment, permitting better visualization and room to manipulate instruments.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 10-2

REF: Pages 317-318

4. Select the statement that most correctly matches a risk factor for adhesions with an appropriate preventive strategy.

  1. Multiple surgeries may be managed with the use of sequential compression

    devices.

  2. Glove powder adhesions can be prevented with cellulose mist.
  3. Patients with endometriosis may be best served with a laparoscopic approach.
  4. Fibrous bands within the peritoneum can be treated with sterile talcum powder.

ANS: C
Adhesions may also develop as a result of radiation-induced endarteritis, endometriosis, pelvic inflammatory disease (PID), or Crohn’s disease. Preventive measures include the following: minimizing tissue trauma and inflammation with meticulous surgical technique and using the laparoscopic approach when indicated.

REF: Pages 316-317

5. The general risks associated with gastrointestinal surgery parallel those risks associated with most abdominal procedures. Select a complication that is the most typical risk associated with surgery of the large bowel.

  1. Colitis
  2. Peritonitis
  3. Paralytic ileostomy
  4. Intestinal obstruction

ANS: B
The risks for injury or failure to achieve the intended outcome are equally present in GI surgery as in any surgical or invasive procedure. The surgical and anesthesia experience challenges the immune system and poses many risks of introducing endogenous and exogenous microorganisms.

REF: Pages 299, 310

6. As the surgeon prepared to clamp and transect the bowel during a small bowel resection for tumor, the scrub person transferred instruments from the Mayo stand to the back table and prepared the sterile field for bowel isolation technique. The rationale for this application involves which nursing diagnosis and matched stage of the nursing process?

  1. Risk for Infection/implementation
  2. Risk for Metastasis/implementation
  3. Risk for Tissue injury/planning
  4. Risk for Infection/planning

ANS: A
Bowel technique, also referred to as contamination or isolation technique, prevents cross-contamination of the wound or abdomen with bowel organisms. Initiate practices required for creating and maintaining a sterile field. Protect the patient from cross-contamination—employ bowel/GI technique as appropriate.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 10-3

REF: Pages 304, 309

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