Exam 45: Care of the Patient With a Gastrointestinal Disorder

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The nurse explains that ___________,the chief enzyme of gastric juice,is activated by hydrochloric acid to begin digestion of protein.

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

(Multiple Choice)
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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:

(Multiple Choice)
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A patient with a large inguinal hernia has abdominal distention and inguinal pain.The nurse recognizes these as indicators of which type of hernia?

(Multiple Choice)
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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?

(Multiple Choice)
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The home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence,diarrhea,and nausea.Which of the following is the most appropriate suggestion to lessen these symptoms?

(Multiple Choice)
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy.The patient is upset and says,"I didn't know it was going to be this awful.I hate this!" Which response made by the nurse would be most helpful?

(Multiple Choice)
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Flexible sigmoidoscopy should be performed every ________ years.

(Short Answer)
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To assist a family with a bowel-training program to reduce fecal incontinence,the nurse would suggest the use of a ___________ at an optimal time to stimulate defecation.

(Multiple Choice)
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The nurse caring for a patient with Crohn disease will closely monitor the urinary output to ensure that the patient is excreting at least _______ mL/day.

(Short Answer)
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The nurse takes into consideration that a proton pump inhibitor drug,such as ______________,will completely eradicate gastric acid production.

(Multiple Choice)
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The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the bloodstream by the:

(Multiple Choice)
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What should a nurse do when obtaining a stool specimen to be examined for ova and parasites?

(Multiple Choice)
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The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate (Pepto-Bismol)to combat Helicobacter pylori.What color will this drug turn the stool?

(Multiple Choice)
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The nurse takes into consideration that long-term use of antibiotics can cause an antibiotic-associated pseudomembranous colitis from the organism ________.

(Short Answer)
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Which of the following is the purpose of antibiotic therapy in treating peptic ulcers?

(Multiple Choice)
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