Chapter 50 Lower Gastrointestinal Tract Dysfunction: Nursing Management

Chapter 50  Lower Gastrointestinal Tract Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. In caring for a client diagnosed with a small bowel obstruction, what would the nurse expect to do first?
1.
Prepare to put in a nasogastric (NG) tube.
2.
Give pain medication.
3.
Draw lab work.
4.
Start an intravenous (IV) line.

ANS: 4
Starting an IV to give fluids and electrolytes would be the first step in caring for this client. Although an NG tube will be ordered, fluid balance is more important. Administering pain medication may make the problem worse. Drawing lab work would not be the first intervention needed for this client.

PTS: 1 REF: Surgery

2. The nurse, instructing a client about malabsorption syndrome, should include that food is absorbed in the:
1.
mouth.
2.
bloodstream.
3.
stomach.
4.
small intestine.

ANS: 4
The mouth and stomach are used mostly for digestion. The small intestine is where most of the absorption of food nutrients occurs. Food is not directly absorbed into the bloodstream.

PTS: 1 DIF: Apply REF: Small Intestine: Absorption of Nutrients

3. A client is diagnosed with appendicitis. One of the laboratory tests the nurse would expect to monitor would be:
1.
serum sodium.
2.
white blood cell (WBC) count.
3.
hemoglobin (Hgb) and hematocrit (Hct).
4.
bilirubin level.

ANS: 2
Infection often accompanies the inflammation of the appendix. The nurse would be looking for an elevated WBC count. Serum sodium, hemoglobin, hematocrit, and bilirubin levels are not necessarily indicated in the care of a client diagnosed with appendicitis.

PTS: 1 DIF: Analyze REF: Appendicitis: Diagnostic Tests

4. When assessing the pain in a client diagnosed with appendicitis, the nurse would expect to assess:
1.
extreme pain with slight palpation anywhere on the abdomen.
2.
pain in the upper back when the right lower quadrant is palpated.
3.
more pain when the pressure is released in the right lower quadrant.
4.
no pain when the abdomen is palpated.

ANS: 3
Typically rebound pain is associated with appendicitis. Rebound pain is described as more pain when pressure is released than when pressure is applied. Appendicitis pain is not associated with pain anywhere on the abdomen upon slight palpation. Appendicitis pain is not typically assessed in the upper back. Appendicitis is associated with pain.

PTS: 1 DIF: Apply REF: Box 50-3 Rovsing’s Sign for Appendicitis