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Brunner and Suddarth's Textbook of Medical-surgical Nursing- Chapter 38, 39, 40, 41, 43,44 Exam Practice Questions and Answers $12.49   Add to cart

Exam (elaborations)

Brunner and Suddarth's Textbook of Medical-surgical Nursing- Chapter 38, 39, 40, 41, 43,44 Exam Practice Questions and Answers

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  • 2024/2025
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Brunner and Suddarth's Textbook of Medical-surgical Nursing- Chapter 38, 39, 40, 41, 43,44 Exam Practice Questions and Answers Chapter 38: Assessment of Digestive and Gastrointestinal Function 1. A nurse is caring for a client who is scheduled for a colonoscopy and whose preparation will includ...

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  • October 23, 2024
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Brunner and Suddarth's Textbook of Medical-surgical
Nursing- Chapter 38, 39, 40, 41, 43,44 Exam Practice
Questions and Answers


Chapter 38: Assessment of Digestive and Gastrointestinal Function




1. A nurse is caring for a client who is scheduled for a colonoscopy and whose 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?


A. Inflammatory bowel disease


B. Intestinal polyps


C. Diverticulitis


D. Colon cancer - Ans:✔✔-A




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FIRST PUBLISH OCTOBER 2024




Rationale: The use of a lavage solution is contraindicated in clients with intestinal obstruction or

inflammatory bowel disease. It can safely be used with clients who have polyps, colon cancer, or

diverticulitis.




PTS: 1 REF: p. 1219


NAT: Client Needs: Physiological Integrity: Reduction of Risk Potential


TOP: Chapter 38: Assessment of Digestive and Gastrointestinal Function


KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand


Multiple Choice




2. A nurse is promoting increased protein intake to enhance a client's wound healing. What is the

enzyme that will initiate the digestion of the protein that the client consumes?


A. Pepsin


B. Intrinsic factor


C. Lipase


D. Amylase - Ans:✔✔-A
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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.




PTS: 1 REF: p. 1210


NAT: Client Needs: Physiological Integrity: Physiological Adaptation


TOP: Chapter 38: Assessment of Digestive and Gastrointestinal Function


KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand


Multiple Choice




3. A client has been brought to the emergency department with abdominal pain and is subsequently

diagnosed with appendicitis. The client is scheduled for an appendectomy but questions the nurse about

how a person's health is affected by the absence of the appendix. How should the nurse best respond?


A. "Your appendix doesn't play a major role in health, so you won't notice any difference after your

recovery from surgery."



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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




B. "The surgeon will encourage you to limit your fat intake for a few weeks after the surgery, but your

body will then begin to compensate."


C. "Your body will absorb slightly fewer nutrients from the food you eat, but you won't be aware of this."


D. "Your small intestine will adapt over time to the absence of your appendix." - Ans:✔✔-A




Rationale: The appendix is an appendage of the cecum (not the small intestine) that has little or no

physiologic function. Its absence does not affect digestion or absorption.




PTS: 1 REF: p. 1209


NAT: Client Needs: Physiological Integrity: Physiological Adaptation


TOP: Chapter 38: Assessment of Digestive and Gastrointestinal Function


KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply


Multiple Choice




4. An adult client is scheduled for an upper GI series that will use a barium swallow. What teaching

should the nurse include when the client has completed the test?
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