Question 1

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best
Nursing response?

Accepted Answer

A)  "Go for it.Alternative medicine does great things." 
B)  "YIKES! An acupuncturist?" 
C)  "It may help,but there has been no clinical proof of its effectiveness." 
D)  "You should confirm that the acupuncturist is licensed."

Question 2

In designing a teaching plan to present to a group of older adults regarding the prevention of esophageal cancer,the nurse would include information about the significance of (select all that apply):

Accepted Answer

A)  cessation of smoking. 
B)  good oral care. 
C)  regular checkups if dysphagia is present. 
D)  reducing excessive weight. 
E)  limiting alcohol consumption.
F) reduction of consumption of citrus fruits.

Question 3

Due to frequent bouts of constipation,the nurse examines the bedfast nursing home resident for ulceration of the anus,called __________________.

Accepted Answer

The answer of Due to frequent bouts of constipation,the nurse...

Question 4

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

Accepted Answer

A)  Strangulated 
B)  Hiatal 
C)  Ventral 
D)  Umbilical

Question 5

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.

Accepted Answer

The answer of The nurse caring for a patient with...

Question 6

Which of the following is the purpose of antibiotic therapy in treating peptic ulcers?

Accepted Answer

A)  It eradicates H.pylori 
B)  It inhibits gastric acid secretion 
C)  It protects the gastric mucosa 
D)  It neutralizes or reduces the acidity of stomach contents

Question 7

The home health nurse evaluates a patient being treated for a peptic ulcer with Riopan (antacid)and famotidine (histamine receptor blocker).Which statement made by the patient indicates a need for further instruction?

Accepted Answer

A)  "I know famotidine will not interfere with my Coumadin." 
B)  "I take the Riopan at least 2 hours after any of my other drugs." 
C)  "Boy! That Riopan keeps my stomach happy!" 
D)  "I take both those meds at the same time every morning."

Question 8

The home health nurse is caring for a patient who has frequent abdominal pain and diarrhea.The nurse uses the Rome Criteria to direct assessment for irritable bowel syndrome.What is included in the Rome Criteria? (Select all that apply. )

Accepted Answer

A)  Discomfort at least 3 days a month 
B)  Blood in stool 
C)  Pain relieved by defecation 
D)  Excessive flatulence 
E)  Nausea and vomiting associated with onset
F) Onset associated with change in stool consistency or frequency

Question 9

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

Accepted Answer

A)  omeprazole (Prilosec) 
B)  ranitidine (Zantac) 
C)  sucralfate (Carafate) 
D)  olsalazine (Dipentum)

Question 10

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?

Accepted Answer

A)  Eat a diet high in fiber content 
B)  Increase dietary fat intake 
C)  Exercise to increase intra-abdominal pressure 
D)  Take daily laxatives

Question 11

Which of the following should be included in the patient teaching of a patient with a peptic ulcer?

Accepted Answer

A)  Introducing irritating foods in minute amounts to desensitize the stomach 
B)  Restricting fluid to 1000 mL per day 
C)  Eating 6 small meals a day 
D)  Drinking alcohol and caffeine in moderation

Question 12

Celiac sprue in the adult can lead to systemic problems.Arrange the pathophysical events of this in order of their appearance.(Separate letters by a comma and space as follows: A,B,C,D)
A) Malabsorption
B) Weight loss/vitamin deficiency
C) Systemic involvement
D) Diarrhea
E) Ingestion of gluten
F) Destruction of villi in the small intestine

Accepted Answer

The answer of Celiac sprue in the adult can lead...

Question 13

Which of the following are indicators of colorectal cancer? (Select all that apply. )

Accepted Answer

A)  Constant diarrhea 
B)  Excessive flatulence 
C)  Cachexia 
D)  Cramps 
E)  Rectal bleeding
F) Anemia

Question 14

The nurse explains to the patient with Crohn disease that the tube feedings allow for:

Accepted Answer

A)  Rapid absorption in the upper GI tract 
B)  Decompression of the stomach 
C)  Reduction of diarrheic episodes 
D)  A permanent nutritional support

Question 15

Which activities should the home health nurse suggest to an elderly patient to avoid constipation? (Select all that apply. )

Accepted Answer

A)  Increasing physical activity 
B)  Taking bulk-forming laxatives 
C)  Increasing fiber intake 
D)  Drinking at least 1000 mL fluid 
E)  Taking a daily stool softener
F) Using tap water enemas for persons with altered mobility

Question 16

The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the:

Accepted Answer

A)  gastric lining of the stomach. 
B)  villi of the small intestine. 
C)  bile of the liver in the large intestine. 
D)  excretion from the cecum.

Question 17

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:

Accepted Answer

A)  a tablet and pencil as a communication aid. 
B)  a TV for diversion. 
C)  a bell to summon help. 
D)  a walkie-talkie.

Question 18

Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes.What would the nurse suggest to reduce the risk of dumping syndrome?

Accepted Answer

A)  Eating a high-carbohydrate diet 
B)  Drinking 10 oz of fluids with meals 
C)  Remaining upright for 2 hours after meals 
D)  Eating six small daily meals high in protein and fat

Question 19

The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube;the patient complains of pain and has become hypotensive.Which condition should the nurse recognize these as signs of?

Accepted Answer

A)  Hiatal hernia 
B)  Gastritis 
C)  Perforation 
D)  Bowel obstruction

Question 20

Why are peptic ulcers a common problem of aging?

Accepted Answer

A)  Because of overuse of antibiotics 
B)  Because of overuse of antacids 
C)  Because of overuse of NSAIDs 
D)  Because of overuse of laxatives

Exam 5: Care of the Patient with a Gastrointestinal Disorder

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best Nursing response?

In designing a teaching plan to present to a group of older adults regarding the prevention of esophageal cancer,the nurse would include information about the significance of (select all that apply) :