Chapter 41 Common Gastrointestinal Disorders

Chapter 41  Common Gastrointestinal Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A 20-year-old man presents with upper gastrointestinal bleeding. His health history indicates binge drinking on weekends. The nurse inquires about the patient’s alcohol use and learns that the patient frequently vomits violently after drinking. Which of the following underlying causes should the nurse suspect for this patient’s bleeding?
A)
Mallory-Weiss tears
B)
Dieulafoy’s lesions
C)
Peptic ulcer disease
D)
Stress-related erosive syndrome

2.
The nurse places a large-bore nasogastric tube in a patient who has acute upper gastrointestinal bleeding. What is the rationale for this intervention? Select all that apply.
A)
Aspiration of gastric contents
B)
Improvement of ventilation
C)
Decompression
D)
Enteral feeding
E)
Lavage of gastric contents
F)
Control of bleeding

3.
An elderly patient is experiencing lower gastrointestinal bleeding. On questioning the patient, the nurse learns that she consumes little fiber in her diet, takes aspirin daily, and frequently has constipation. The nurse should suspect which of the following as the most likely cause of this patient’s bleeding?
A)
Hemorrhoids
B)
Crohn’s disease
C)
Diverticulosis
D)
Ulcerative colitis

4.
The source of lower gastrointestinal bleeding has been found in a patient during colonoscopy. Which of the following should the nurse expect as the next intervention?
A)
Endoscopy
B)
Angiography
C)
Radionucleotide imaging
D)
Thermal coagulation

5.
A patient with small bowel obstruction (SBO) due to adhesions is no longer passing gas. She has a fever and has shown no signs of improvement in 24 hours. There is no evidence of stool or gas in the distal intestine on radiograph. What is the most important intervention for this patient at this point?
A)
Withholding oral food and fluid
B)
Laparoscopic lysis of adhesions
C)
Placement of nasogastric tube
D)
Aggressive treatment with IV fluid and electrolytes

Answer Key

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