Chapter 39 Patient Assessment- Gastrointestinal System

Chapter 39  Patient Assessment- Gastrointestinal System

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient with severe ascites is scheduled for a paracentesis. Before the paracentesis, what is the most important nursing intervention?
A)
Assessing electrolyte and serum protein values
B)
Administering colon preparation medication
C)
Ensuring that the patient’s bladder is empty
D)
Shaving the patient’s abdomen

2.
A nurse is assisting a patient with Crohn’s disease who has just undergone surgery to remove part of her small intestine. The nurse notices blood in the stool of the patient. Which of the following should be included as part of the nurse’s responsibilities in caring for this patient? Select all that apply.
A)
Determining the origin of blood in the stool
B)
Performing emergency surgical repair of the small intestine
C)
Monitoring the patient’s blood pressure
D)
Administering parenteral nutrition for the patient

3.
The nurse is gathering information regarding the health history of a patient recently admitted to the critical care unit. Which pieces of information would the nurse need to update continually during this patient’s stay in the hospital? Select all that apply.
A)
Presence of bleeding
B)
Preexisting gastrointestinal conditions
C)
Nutritional status
D)
Previous abdominal surgeries
E)
Location of pain
F)
Family history of gastrointestinal conditions

4.
A nurse is performing an oral examination of a patient. Which of the following should she do as part of her examination?
A)
Palpate the temporomandibular joint for mobility.
B)
Leave the patient’s dentures in during the oral examination.
C)
Dim the lights to provide a calm environment for the patient.
D)
Recline the patient to the supine position.

5.
The nurse carefully assembles at the bedside the tools she needs for the oral examination of a patient who is on a ventilator. She then performs a thorough examination of the patient’s oral cavity, in compliance with her facility’s protocol. What is the best rationale for this nurse’s approach to examining the patient’s oral cavity?
A)
Prevention of cavities
B)
Elimination of halitosis
C)
Reduction in risk for ventilator-associated pneumonia
D)
Determination for the need for orthodontics

Answer Key

1.
C
2.
A, C, D
3.
A, C, E
4.
A
5.
C