Category Archives: 517

Gastrointestinal System Disorders Q 221

When teaching a client about pancreatic function, the nurse understands that pancreatic lipase performs which function?        A. Transports fatty acids into the brush border     B. Breaks down fat into fatty acids and glycerol     C. Triggers cholecystokinin to contract the gallbladder     D. Breaks down protein into dipeptides and amino acids     … Read More »

Gastrointestinal System Disorders Q 222

Nitrosocarcinogen production can be inhibited with the intake of:        A. Vitamin C     B. Vitamin E     C. Carbohydrates     D. Fiber           Correct Answer: A. Vitamin C Vitamin C and refrigeration of foods inhibit nitroso carcinogen. Humans are exposed to a wide range of nitrogen-containing compounds and nitrosating agents, such… Read More »

Gastrointestinal System Disorders Q 223

Anthony, a 60 y.o. patient, has just undergone a bowel resection with a colostomy. During the first 24 hours, which of the following observations about the stoma should you report to the doctor?        A. Pink color     B. Light edema     C. Small amount of oozing     D. Trickles of bright red blood   … Read More »

Gastrointestinal System Disorders Q 224

A client with rectal cancer may exhibit which of the following symptoms?        A. Abdominal fullness     B. Gastric fullness     C. Rectal bleeding     D. Right upper quadrant pain           Correct Answer: C. Rectal bleeding Rectal bleeding is a common symptom of rectal cancer. Rectal cancer may be missed because other… Read More »

Gastrointestinal System Disorders Q 225

The nurse would question an order for which type of antacid in patients with chronic renal failure?        A. Aluminum-containing antacids     B. Calcium-containing antacids     C. Magnesium-containing antacids     D. All of the above.           Correct Answer: C. Magnesium-containing antacids Magnesium-containing antacids can cause hypermagnesemia in patients with chronic renal failure.… Read More »

Gastrointestinal System Disorders Q 226

Which of the following symptoms best describes Murphy’s sign?        A. Periumbilical ecchymosis exists.     B. On deep palpation and release, pain elicited.     C. On deep inspiration, pain is elicited and breathing stops.     D. Abdominal muscles are tightened in anticipation of palpation.           Correct Answer: C. On deep inspiration, pain… Read More »

Gastrointestinal System Disorders Q 227

Nurse Oliver checks for residual before administering a bolus tube feeding to a client with a nasogastric tube and obtains a residual amount of 150 mL. What is the appropriate action for the nurse to take?        A. Hold the feeding     B. Reinstill the amount and continue with administering the feeding     C. Elevate… Read More »

Gastrointestinal System Disorders Q 228

A male client with extreme weakness, pallor, weak peripheral pulses, and disorientation is admitted to the emergency department. His wife reports that he has been “spitting up blood.” A Mallory-Weiss tear is suspected, and the nurse begins taking the client’s history from the client’s wife. The question by the nurse that demonstrates her understanding of… Read More »

Gastrointestinal System Disorders Q 229

You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?        A. Peas     B. Cabbage     C. Broccoli     D. Yogurt           Correct Answer: D. Yogurt High-fiber foods stimulate peristalsis, and as a result, flatus. Yogurt reduces gas formation. Eating bland foods will… Read More »

Gastrointestinal System Disorders Q 230

Which of the following definitions best describes gastritis?        A. Erosion of the gastric mucosa.     B. Inflammation of a diverticulum.     C. Inflammation of the gastric mucosa.     D. Reflux of stomach acid into the esophagus.           Correct Answer: C. Inflammation of the gastric mucosa. Gastritis is an inflammation of the… Read More »