Chapter 45: Care of the Patient With a Gastrointestinal Disorder Cooper: Foundations and Adult Healt

Questions 42

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Foundations and Adult Health Nursing Test Bank

Chapter 45 Questions

Question 1 of 5

The nurse clarifies that the end product of food is absorbed and put into the bloodstream by which anatomical feature?

Correct Answer: B

Rationale: 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.

Question 2 of 5

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?

Correct Answer: C

Rationale: 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.

Question 3 of 5

Because bowel contents from an ileostomy are virtually liquid, which does the nurse expect to see in the plan of care?

Correct Answer: C

Rationale: The nurse should assess the peristomal skin for impairment of integrity. The fecal material is liquid and has a potential for severe skin excoriation from the digestive enzymes.

Question 4 of 5

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 which device?

Correct Answer: A

Rationale: 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.

Question 5 of 5

Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?

Correct Answer: C

Rationale: The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.

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