The epithelial cells and villi thin the small intestine
GI:
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43
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Question 1 See full question 17s
When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are
You Selected:
• normal.Correct response:
• normal.You Selected:
• Listen longer for the sounds.Correct response:
• Listen longer for the sounds.Question 3 See full question 8s
A client is to have an upper GI procedure with barium ingestion and abdominal ultrasonography. While scheduling these diagnostic tests, the nurse must consider which factor?
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1233
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Bookmark this Question What's this?Question 4 See full question 46s
A health care provider plans to send a client home with supplies to complete a hemoccult test on all stools for 3 days. During the client education, the nurse informs the client to avoid which medication while collecting stool for the test?Add a Note
Bookmark this Question What's this?Question 5 See full question 44s
The nurse is preparing to examine the abdomen of a client who reports a change in bowel pattern. The nurse would place the client in which position?Question 6 See full question 18s
When examining the abdomen of a client with reports of nausea and vomiting, what would the nurse do first?You Selected:
• Inspection
Correct response:
• Inspection
https://webapp.prep-‐u.com/ Explanation:
When assessing the abdomen, the nurse would first inspect or observe the abdomen. This would be followed by auscultation, percussion, and lastly, palpation.Question 7 See full question 12s
A client is scheduled for several diagnostic tests to evaluate gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test as not requiring the use of a contrast medium?You Selected:
Colonoscopy •
Correct response:
• Colonoscopy
https://webapp.prep-‐u.com/ Explanation:
Reference:Therefore, the nurse should notify the health care provider about the client's statement. Typically, the client is NPO for 6 to 8 hours before the test, and he or she must remove any metal objects, credit cards, jewelry, and watch before the test. The machine makes loud repetitive noises while the test is in progress, so earphones may be helpful.
Reference:
You Selected:
• Amylase
Correct response:
Amylase •
https://webapp.prep-‐u.com/ Explanation:
Digestive enzymes secreted by the pancreas include trypsin, which aids in digesting protein; amylase, which aids in digesting starch; and lipase, which aids in digesting fats. Bile is secreted by the liver and is not considered a digestive enzyme.Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Assessment of Digestive and Gastrointestinal Function, Laparoscopy (Peritoneoscopy), p. 1241.
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1241
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Bookmark this Question What's this?• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Assessment of Digestive and Gastrointestinal Function, Table 43-2, p.
1227.
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018.
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Bookmark this Question What's this?Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1225
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Bookmark this Question What's this?Question 14 See full question 4s
Which term describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?Question 15 See full question 32s
The nurse conducts education related to test preparation for a client scheduled to undergo an abdominal ultrasonography. The nurse should give the client which instruction?You Selected:
• Restrict eating of solid food for 8 to 12 hours before the test.Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1234
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Bookmark this Question What's this?Question 16 See full question 8s
The client describes a test previously completed to detect a small bowel
obstruction prior to admission to the hospital. The client states that the test involved insertion of a tube through the nose and lasted over 6 hours. The nurse determines which test name should be documented?Question 17 See full question 35s
The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions? Select all that apply.You Selected:
• The client must fast for 8 hours before the examination.• The throat will be sprayed with a local anesthetic.
• After gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours).
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1237-1238
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Bookmark this Question What's this?Question 18 See full question 6s
During a colonoscopy with moderate sedation, the patient groans with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring?Question 19 See full question 7s
After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that theteaching was successful when the students identify which of the following structures as possibly being affected?
Question 20 See full question 12s
The nurse is assessing a client who is stating gastrointestinal upset and a feeling of bloating. Which type of meal would the nurse anticipate causing these types of symptoms?You Selected:
• Hamburger and French fries
Correct response:
• Hamburger and French fries
https://webapp.prep-‐u.com/ Explanation:
Fatty foods delay stomach emptying (bloating) and can cause symptoms of gastrointestinal upset. Fried and deep fried foods contain elevated amounts of fat. The other options have a lower fat content.A nurse is giving a client barium swallow test. What is the most important assessment a nurse would make to ensure that a client does not retain any barium after a barium swallow?
You Selected:
• Monitoring the stool passage and its color.Question 2 See full question 6s
The nurse is to obtain a stool specimen from a client who reported that he is taking iron supplements. The nurse would expect the stool to be which color?You Selected:
• Black
Correct response:
• Black
https://webapp.prep-‐u.com/ Explanation:
Reference:students demonstrate understanding of the material when they identify which of the following as the opening between the stomach and duodenum?
You Selected:
• Pyloric sphincter
Correct response:
• Pyloric sphincter
https://webapp.prep-‐u.com/ Explanation:
The pyloric sphincter is the opening between the stomach and duodenum. The cardiac sphincter is the opening between the esophagus and the stomach. The hypopharyngeal sphincter or upper esophageal sphincter prevents food or fluids from re-entering the pharynx. The ileocecal valve is located at the distal end of the small intestine and regulates flow of intestinal contents into the large intestine.You Selected:
• Pepsin
Correct response:
Pepsin •
https://webapp.prep-‐u.com/ Explanation:
Pepsin is secreted by the gastric mucosa. Trypsin is secreted by the pancreas. The salivary glands secrete ptyalin. The liver and gallbladder secrete bile.Reference:
You Selected:
• Permit the client to drink only clear liquids.Correct response:
• Permit the client to drink only clear liquids.Question 6 See full question 5s
The nurse recognizes which change of the GI system is an age-related change?You Selected:
• weakened gag reflex
Correct response:
weakened gag reflex •
https://webapp.prep-‐u.com/ Explanation:
A weakened gag reflex is an age-related change of the GI system. There is decreased motility, atrophy of the small intestine, and decreased mucus secretion.Question 7 See full question 6s
A client asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). The nurse answers:
You Selected:
• “It indicates if a cancer is present.”
Correct response:• “It indicates if a cancer is present.”
https://webapp.prep-‐u.com/ Explanation:
The carcinoembryonic antigen (CEA) blood test detects the presence of cancer by identifying the presence of a protein not normally detected in the blood of a healthy person. However, it does not indicate what type of cancer is present nor does it detect the functionality of the liver.You Selected:
• clear liquids day before
Correct response:
clear liquids day before •
https://webapp.prep-‐u.com/ Explanation:
The nurse should place the client on clear liquids the evening before the
procedure, a low-residue diet 1 to 2 days before the test, and NPO at midnight in preparation for the barium enema.Reference:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
1230
Add a NoteBookmark this Question What's this?
• The client will change positions frequently throughout the procedure.
Correct response:
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1433
Question 1 See full question 47s
An older adult client is admitted to an acute care facility for treatment of an acute flare-up of a chronic gastrointestinal condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the gastrointestinal tract. Which age-related change increases the risk of anemia?Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14 th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Assessment of Digestive and Gastrointestinal Function, Table 43-3, p. 1228.
• "I'll avoid eating or drinking anything 6 to 8 hours before the test." https://webapp.prep-‐u.com/ Explanation:
The client demonstrates understanding of a barium swallow when stating he or she must refrain from eating or drinking for 6 to 8 hours before the test. No other preparation is needed. Before a lower GI series, the client should eat a low-residue or clear liquid diet for 2 days and take a potent laxative and an oral liquid preparation.Reference:
You Selected:
• weakened gag reflex
Correct response:Question 4 See full question 9s
While completing an abdominal assessment, the nurse will use which landmark as the upper boundary for auscultating bowel sounds?You Selected:
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1231
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Bookmark this Question What's this?Question 5 See full question 25s
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14 th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Assessment of Digestive and Gastrointestinal Function, Table 43-3, p. 1228.
• Medulla oblongata
https://webapp.prep-‐u.com/ Explanation:
Swallowing begins as a voluntary act that is regulated by the swallowing center in the medulla oblongata of the CNS. The act of swallowing requires the innervations of five cranial nerves (CNs), especially CN V, VII, IX, X, and XII. Swallowing is not regulated by the pons, cerebellum, or hypothalamus.Reference:
• small bowel enteroscopy
Correct response:• small bowel enteroscopy
https://webapp.prep-‐u.com/ Explanation:
Small bowel enteroscopy is the endoscopic examination and visualization of the lumen of the small bowel. Colonoscopy is the examination of the entire large intestine with a flexible fiberoptic colonoscope. Panendoscopy is the examination of both the upper and lower GI tracts. Peritoneoscopy is the examination of GI structures through an endoscope inserted
percutaneously through a small incision in the abdominal wall.You Selected:
• The stools may be a white or clay colored. Correct response:
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1230
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Bookmark this Question What's this?Question 9 See full question 9s
The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14 th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Assessment of Digestive and Gastrointestinal Function, Breath Tests, p. 1233.
Chapter 43: Assessment of Digestive and Gastrointestinal Function - Page 1233
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