Pay And Download the Complete Chapter Questions And Answers
$2.50
MULTIPLE CHOICE
1. The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the:
a. |
gastric lining of the stomach. |
b. |
villi of the small intestine. |
c. |
bile of the liver in the large intestine. |
d. |
excretion from the cecum. |
ANS: B
The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion.
DIF: Cognitive Level: Comprehension REF: Page 179 OBJ: 2
TOP:DigestiveKEY:Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. A 56 -year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102° F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock?
a. |
Chest pain |
b. |
Seizure |
c. |
Tachycardia |
d. |
Massive diarrhea |
ANS: C
The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension.
DIF: Cognitive Level: Comprehension REF: Page 215 OBJ: 9
TOP: Diverticulitis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3. Because bowel contents from an ileostomy are virtually liquid, what should the nurse include in the plan of care?
a. |
Evaluation and assessment of dietary intake of fiber |
b. |
Evaluation and assessment of patient cleanliness |
c. |
Evaluation and assessment of periostomal skin integrity |
d. |
Evaluation and assessment of the adequacy of the collection device |
ANS: C
The nurse should assess the periostomal skin for impairment of integrity. The fecal material is liquid and has a potential for severe skin excoriation from the digestive enzymes.
DIF: Cognitive Level: Application REF: Page 224 OBJ: 8
TOP: Ulcerative colitis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
4. The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide:
a. |
a tablet and pencil as a communication aid. |
b. |
a TV for diversion. |
c. |
a bell to summon help. |
d. |
a walkie-talkie. |
ANS: A
The provision of an alternative method of communicating will lessen the frustration of the patient who has trouble speaking understandably. The call bell would be helpful also, but without a way to communicate, the bell is not as essential as a method of communication.
DIF: Cognitive Level: Application REF: Page 187 OBJ: 5
TOP: Cancer of esophagus KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
a. |
Consume only liquid |
b. |
Avoid fruit juices |
c. |
Drink 10 oz of fluid with each meal |
d. |
Lie down for 30 minutes after each meal |
ANS: C
The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.
DIF: Cognitive Level: Comprehension REF: Page 191 OBJ: 5
TOP: Esophageal dilation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
There are no reviews yet.