Exam 44: Care of the Patient with a Gastrointestinal Disorder

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.)

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

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?

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

A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, but pain does not waken him. The nurse recognizes a diagnostic sign of which condition?

What is the most lethal complication of a peptic ulcer?

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

What should the nurse include in a teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?

Bowel sound assessment on a patient with an obstruction who has distention, nausea, and visible peristaltic waves would be:

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

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?

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?

The nurse uses a poster to show the process of bowel obstruction from diverticulitis. Arrange the pathophysiologic event in order. (Separate letters by a comma and space as follows: A, B, C, D) A) Increase in intra-abdominal pressure B) Weakened wall of sigmoid C) Pouch fills with fecal matter D) Pouch protrudes through smooth muscle E) Narrowing of bowel lumen F) Inflammation of diverticula

The nurse points out which of the following as an example of a nonmechanical bowel obstruction?

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

Which of the following would be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?

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

In caring for a patient with gastric bleeding who has a nasogastric tube in place, the nurse should include in the plan of care to ensure that the NG tube is:

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

The nurse takes into consideration that long-term use of antibiotics can cause an antibiotic-associated pseudomembranous colitis from the organism________.