Chapter 47 Assessment of Gastrointestinal Function

Chapter 47  Assessment of Gastrointestinal Function

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client asks the nurse what will happen to her digestion if she needs to have her appendix removed. The nurse should respond that the purpose of the appendix is:
1.
to digest food products and another organ will take over this function.
2.
to absorb nutrients and another organ will take over this function.
3.
to secrete enzymes and another organ will take over this function.
4.
nothing, so no other organ will need to take over this function.

ANS: 4
The appendix is a blind-ended, tube-like structure exiting from the cecum, and it has no function in humans. The appendix is not needed to digest food, absorb nutrients, or secrete enzymes.

PTS: 1 DIF: Apply REF: Cecum and Appendix

2. Which of the following questions should the nurse ask while doing an assessment of a client’s digestive system?
1.
“Were you breastfed or bottle-fed as an infant?”
2.
“Do you have knowledge of the food pyramid?”
3.
“What medication have you taken, even over-the-counter drugs?”
4.
“Do you drink coffee or tea with meals?”

ANS: 3
During the assessment, it is very important to discover what medications or over-the-counter drugs are being taken by the patient. Treatment and therapies may change because of this information. How the client was fed as an infant is not a part of this assessment. Asking if the client has knowledge of the food pyramid is not part of this assessment. If the client drinks coffee or tea with meals is not a part of this assessment.

PTS: 1 DIF: Apply REF: Assessment

3. The nurse realizes that a client diagnosed with heartburn will most likely experiencing symptoms:
1.
1 hour before eating.
2.
while eating a meal.
3.
1 hour after eating.
4.
first thing in the morning.

ANS: 3
Heartburn is a substernal burning sensation that is experienced within 1 hour after eating or 1 to 2 hours after reclining. Heartburn is not experienced before eating, while eating, or the first thing in the morning.

PTS: 1 DIF: Analyze REF: Heartburn

4. A client is experiencing straining at stool with the production of hard stools. The nurse realizes this client might be diagnosed with constipation if the client also has:
1.
fewer than six bowel movements per week.
2.
fewer than five bowel movements per week.
3.
fewer than four bowel movements per week.
4.
fewer than three bowel movements per week.

ANS: 4
The number of bowel movements a client has is very individual, but if a client has fewer than three bowel movements per week or must vigorously strain when passing stool, the client is considered to have constipation. The other choices do not fit the criteria for the diagnosis of constipation.

PTS: 1 DIF: Analyze REF: Constipation