Nur 270 Chapter 43 Assessment of Digestive and GI Function Questions and Answers
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Course
NUR 270
Institution
NUR 270
A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel preparation will include polyethylene glycol electrolyte lavage prior to the procedure. The presence of what health problem would contraindicate the use of this form of bowel preparation? Inflammatory bowel disease
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Nur 270 Chapter 43 Assessment of
Digestive and GI Function Questions
and Answers
A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of this form of bowel
preparation? ✅Inflammatory bowel disease
Rationale:
The use of a lavage solution is contraindicated in patients with intestinal obstruction or
inflammatory bowel disease. It can safely be used with patients who have polyps, colon
cancer, or diverticulitis.
A nurse is promoting increased protein intake to enhance a patient's wound healing.
The nurse knows that enzymes are essential in the digestion of nutrients such as
protein. What is the enzyme that initiates the digestion of protein? ✅Pepsin
Rationale:
The enzyme that initiates the digestion of protein is pepsin. Intrinsic factor combines
with vitamin B12 for absorption by the ileum. Lipase aids in the digestion of fats and
amylase aids in the digestion of starch
A patient has been brought to the emergency department with abdominal pain and is
subsequently diagnosed with appendicitis. The patient is scheduled for an
appendectomy but questions the nurse about how his health will be affected by the
absence of an appendix. How should the nurse best respond? ✅Your appendix
doesn't play a major role, so you won't notice any difference after you recovery from
surgery."
A patient asks the nursing assistant for a bedpan. When the patient is finished, the
nursing assistant notifies the nurse that the patient has bright red streaking of blood in
the stool. What is this most likely a result of? ✅hemorrhoids
An adult patient is scheduled for an upper GI series that will use a barium swallow.
What teaching should the nurse include when the patient has completed the test?
✅fluids must be increased to facilitate the evacuation of the stool
A patient has come to the outpatient radiology department for diagnostic testing. Which
of the following diagnostic procedures will allow the care team to evaluate and remove
polyps? ✅colonoscopy
, A nurse is caring for a patient with recurrent hematemesis who is scheduled for upper
gastrointestinal fibroscopy (UGF). How should the nurse in the radiology department
prepare this patient? ✅apply local anesthetic to the back of the pt's throat
The nurse is providing health education to a patient scheduled for a colonoscopy. The
nurse should explain that she will be placed in what position during this diagnostic test?
✅lying on left side w/ legs drawn toward the chest
A patient has sought care because of recent dark-colored stools. As a result, a fecal
occult blood test has been ordered. The nurse should instruct the patient to avoid which
of the following prior to collecting a stool sample? ✅NSAIDS
The nurse is preparing to perform a patient's abdominal assessment. What examination
sequence should the nurse follow? ✅inspection
auscultation
percussion
palpation
A patient who has been experiencing changes in his bowel function is scheduled for a
barium enema. What instruction should the nurse provide for postprocedure recovery?
✅increase fluid intake to evacuate the barium
A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse
assesses the patient's stool after a bowel movement and notes it to be a tarry-black
color. This finding is suggestive of bleeding from what location? ✅Upper GI tract
A nursing student has auscultated a patient's abdomen and noted one or two bowel
sounds in a 2-minute period of time. How would you tell the student to document the
patient's bowel sounds? ✅hypoactive
An advanced practice nurse is assessing the size and density of a patient's abdominal
organs. If the results of palpation are unclear to the nurse, what assessment technique
should be implemented? ✅percussion
A nurse is caring for a patient with biliary colic and is aware that the patient may
experience referred abdominal pain. Where would the nurse most likely expect this
patient to experience referred pain? ✅below the right nipple
An inpatient has returned to the medical unit after a barium enema. When assessing the
patient's subsequent bowel patterns and stools, what finding should the nurse report to
the physician? ✅streaks of blood present in the stool
A nurse in a stroke rehabilitation facility recognizes that the brain regulates swallowing.
Damage to what area of the brain will most affect the patient's ability to swallow?
✅medulla oblongata
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