Deck 21: The Gastrointestinal System and Related Care

Question 1

The left Sims' position

A)is recommended for treatment of backache.
B)facilitates giving an enema.
C)makes it easier for the client to breathe.
D)is used for prevention of intestinal cramps.

Answer 1

B

Question 2

As a person ages,which change occurs in the gastrointestinal system?

A)the flow of saliva increases
B)the number of taste buds increases
C)reduced secretion of digestive juices
D)a stronger gag reflex

Answer 2

C

Question 3

A client with a nasogastric tube begins to gag.You should:

A)remove the tube and begin suctioning.
B)begin suctioning.
C)call for your immediate supervisor.
D)remove the tube.

Answer 3

C

Question 4

When assisting a client to empty his/her stoma pouch,you should

A)make them do it all by themselves.
B)wear gloves.
C)do it for them.
D)all of the above

Question 5

The normal colour of a stoma is

A)red.
B)black.
C)pink.
D)bluish.

Question 6

Which of the following are ways to avoid/prevent constipation?

A)Drink fluids to stay hydrated.
B)Eat bulk-forming foods such as fruit and grains.
C)Be physically active.
D)all of the above

Question 7

A client about to receive an enema complains and appears to be very upset.You should:

A)tell the client you will return in one hour
B)report this to your immediate supervisor
C)wait and report this to the doctor
D)go ahead with the enema

Question 8

One of the major differences between the oil retention enema and the ready-to-use cleansing enema is that the

A)a cleansing enema is given in three stages.
B)clients should hold the cleansing enema solution for 10 to 20-minutes.
C)an oil retention enema is given in three stages.
D)clients should hold the oil retention enema solution for 10 to 20-minutes.

Question 9

A client complains that he/she is having cramp-like pains after the start of an enema.You should:

A)rapidly increase the flow.
B)tell him/her this is normal and continue.
C)stop the flow until the pain goes away.
D)get your immediate supervisor.

Question 10

Which statement is true regarding the client's gastrointestinal system?

A)the rate of peristalsis increases
B)feces move through the large intestine faster
C)decreased water reabsorption in the large intestine
D)the longer feces remain in the large intestine,the drier they become

Question 11

For receiving an enema,the adult client should be placed in the ________ position.

A)Harris
B)Fowler's
C)Trendelenberg
D)Sims'

Question 12

The jejunum is the:

A)second section of the small intestine measuring approximately 2.5 metres (8 feet)in length
B)third section of the small intestine measuring approximately 3.5 metres (11 feet)in length
C)lowest portion of the large intestine
D)ring-shaped muscle that surrounds and controls a natural opening in the body

Question 13

When checking for fecal impactions,the personal care provider should:

A)insert a gloved,lubricated finger into the anus
B)remove the fecal material
C)administer pain medication first
D)position the client on their right side

Question 14

When giving a client a Harris flush (return flow enema)

A)completely empty the bag and allow to return.
B)completely empty the enema bag and allow to drain.
C)release 100 mL of fluid and allow to return.
D)release 200 ML of fluid and allow to return.

Question 15

Example(s)of enemas other than a soapsuds enema are:

A)Harris flush.
B)tap water.
C)oil retention.
D)all of the above

Question 16

When a client has a nasogastric tube in place,you should

A)keep the place of insertion clean and free from mucous deposits.
B)when changing the client's gown,unfasten the connecting tubing from the gown,to prevent pulling on the tube.
C)never pull on the tube when moving the client or when changing the client's position.
D)all of the above

Question 17

Which statement about ostomies is NOT true?

A)An ostomy changes a person's body.
B)Clients often go through the grieving process after receiving any type of ostomy.
C)No one can provide emotional support to a client after an ostomy.
D)Anxiety and fear are common responses to ostomies.

Question 18

Which of the following may irritate the skin around the stoma?

A)soap
B)urine
C)stool
D)all of the above

Question 19

Peristalsis is known as:

A)a soupy mixture of food particles that exits the stomach
B)the rhythmic wave of contractions and relaxations
C)the movement of tiny food particles through the wall of the digestive tract
D)thousands of tiny,finger-like projections

Question 20

During a cleansing enema,the client is covered by a

A)blanket and bath sheet.
B)top sheet and bath blanket.
C)top sheet only.
D)bath blanket only.

Question 21

The ascending colon,the transverse colon,the descending colon,the rectum,and the anus make up the small intestine.

Question 22

When administering a cleansing enema,the personal care provider should fill the graduated pitcher with 1000 millilitres (34 fluid ounces)of water at 40.5°C (105°F).

Question 23

If a client is receiving enteric feedings,the personal care provider must remember that for adults,the tube must be flushed with 40 millilitres (1.35 fluid ounces)of water before and after the feeding or every 8 hours

Question 24

As clients age,feces move through the large intestine more slowly,allowing increased water reabsorption

Question 25

Because metabolism rates decrease with age,older adults require more calories

Question 26

Regarding inflammatory bowel disease:

A)it may be cured by medication administration
B)inflammation associated with ulcerative colitis occurs in the ileum only
C)for Crohn's disease,the most commonly affected location is the jejunum
D)Ulcerative colitis only affects the inner layer of the intestinal wall

Question 27

Risk factors for developing gastroesophageal reflux disease include being overweight,smoking,and alcohol consumption

Question 28

The personal care provider needs to report the color,size,and amount of drainage from a stoma and pouch.

Question 29

Many health-care facilities have a policy of warming the prepackaged,ready-to-use enema.

Question 30

The liver has only one important responsibility,which is manufacturing bile.

Question 31

A nasogastric tube (NG tube)is inserted through an opening made through the abdomen to the stomach.

Question 32

The inflammation that is characteristic of inflammatory bowel disease is also present with irritable bowel syndrome

Question 33

Stomas are a permanent surgical procedure.

Question 34

The pyloric sphincter:

A)is located between the esophagus and the stomach.
B)is a two-way entrance
C)prevents the movement of food from the esophagus to the stomach
D)is located between the pharynx and the stomach

Question 35

Stomas are a treatment for Crohn's disease.