Question 1

Which structures are considered accessory organs of digestion? Select all that apply.

Accepted Answer

The liver, gallbladder, and pancreas are accessory organs of digestion because they produce and secrete substances that aid in the digestion of food.

Question 2

For which client would a nurse who is an enterostomal therapist be consulted?

Accepted Answer

An enterostomal therapist is a nurse specialized in the care of patients with stomas, such as ileostomies, colostomies, and urostomies. A client with an ileostomy would require the specialized care and education that an enterostomal therapist can provide.

Question 3

The nurse is scheduling blood tests for a client suspected of having pancreatitis. Which test detects inflammation or disease of the pancreas, or obstruction of surrounding ducts?

Accepted Answer

Serum amylase is a diagnostic enzyme that increases in the blood with pancreatitis and other diseases that affect the pancreas. It helps in detecting inflammation or disease of the pancreas or obstruction of surrounding ducts.

Question 4

The nurse is preparing a client who is experiencing rectal bleeding for an occult blood test. Which test is the most inexpensive and simplest test used to detect occult blood in the stool?

Accepted Answer

The Hematest is the most inexpensive and simplest test used to detect occult blood in the stool. It is a widely used screening tool for detecting lower gastrointestinal (GI) tract bleeding, even when it's not visible to the eye.

Question 5

A client presents at the ER with signs and symptoms of gallstones. What test would be the preferred diagnostic tool to confirm this condition?

Accepted Answer

Ultrasound is the preferred diagnostic tool for detecting gallstones because it is non-invasive, does not involve radiation, and is highly sensitive and specific for identifying gallstones.

Question 6

A client has been prescribed polyethylene glycol 3350 and electrolytes oral solution before a barium study. What instruction should the nurse provide to this client regarding its method of use?

Accepted Answer

The nurse should instruct the client to mix the polyethylene glycol 3350 and electrolytes oral solution thoroughly before drinking to ensure the correct concentration and effectiveness of the bowel preparation.

Question 7

A client is scheduled for a cholecystogram to confirm the presence of gallstones. Which would the nurse instruct the client to do to prepare for this procedure?

Accepted Answer

Eating nothing for 12 hours after taking radiopaque dye is crucial for a cholecystogram. This fasting ensures that the gallbladder is not stimulated to contract, which could affect the accuracy of the imaging by emptying the gallbladder of the dye that is needed for the x-ray to visualize the gallstones.

Question 8

A nurse is preparing a client with severe gastrointestinal reflux disease (GERD) for a test to determine the extent of damage caused by the disorder. Which test should be ordered for this client?

Accepted Answer

Esophagogastroduodenoscopy (EGD) is the most appropriate test for evaluating the extent of damage caused by GERD, as it allows direct visualization of the esophagus, stomach, and duodenum, where damage from acid reflux is most likely to occur.

Question 9

A client is to undergo endoscopic retrograde cholangiopancreatography. Before the procedure, what client education should the nurse provide?

Accepted Answer

Endoscopic retrograde cholangiopancreatography (ERCP) involves the insertion of an endoscope through the mouth, down the esophagus, and into the stomach and duodenum to reach the bile and pancreatic ducts. Patients may feel fullness and pressure due to the insertion of the endoscope and the injection of air to inflate the stomach and duodenum for better visualization.

Question 10

The physician has ordered an endoscopic procedure for a client to directly visualize the stomach and duodenum for tumors. The nurse knows that which test should most likely be scheduled?

Accepted Answer

Gastroscopy is the endoscopic procedure used to directly visualize the stomach and duodenum, making it the appropriate test for looking for tumors in these areas.

Question 11

The nurse is preparing a client who is undergoing endoscopic retrograde cholangiopancreatography (ERCP) to facilitate the passage of stones in the common bile duct. Which teaching point should the nurse provide this client?

Accepted Answer

Patients are advised to avoid aspirin, ibuprofen, or anticoagulants before an ERCP to reduce the risk of bleeding during the procedure.

Question 12

The nurse is caring for a client following a liver biopsy. Which postoperative intervention is recommended?

Accepted Answer

Applying pressure to the biopsied side helps prevent bleeding, which is a common complication after a liver biopsy.

Question 13

The nurse is caring for a client with a Levin GI suction tube. Which nursing care guideline is recommended for this type of tube?

Accepted Answer

The Levin GI suction tube is a single-lumen tube, and frequent irrigation with small amounts of saline or air is recommended to maintain patency and prevent clogging.

Question 14

The nurse is removing a nasogastric tube at the bedside of a client. Which steps are recommended for this procedure? Select all that apply.

Accepted Answer

The answer of The nurse is removing a nasogastric tube...

Question 15

The nurse is providing nutrition for a postoperative client who has a normally functioning GI tract. Which would be the best form of nutrition for this client?

Accepted Answer

Enteral nutrition is the best form of nutrition for a postoperative client with a normally functioning GI tract because it utilizes the natural digestive process, which is more physiologically appropriate and helps maintain gut integrity. Total parenteral nutrition, hyperalimentation, and parenteral nutrition are used when the GI tract is not functioning properly or cannot be used.

Question 16

A client is undergoing bariatric surgery in the morning. The nurse reinforces the explanation that the procedure will design a smaller stomach to form a gastric pouch, and the pouch will then be connected directly to the jejunum (bypassing the rest of the stomach and the duodenum). The nurse is preparing the client for what type of bariatric surgery?

Accepted Answer

The description given matches the Roux-en-Y gastric bypass surgery, where a small pouch is created from the stomach and connected directly to the jejunum, bypassing a large portion of the stomach and the duodenum.

Question 17

The nurse is caring for a client diagnosed with Crohn disease who had surgery to create a continent bowel diversion. Which describes this type of surgery?

Accepted Answer

A continent bowel diversion involves creating an internal reservoir from the client's own tissues, allowing for control over bowel movements without the need for an external appliance.

Question 18

A client has undergone a colostomy and is wearing an ostomy pouch at the beltline. What information should the nurse include in the client education?

Accepted Answer

Clients who have undergone a colostomy should avoid lifting heavy weights for about 2 months to allow proper healing and prevent complications such as hernias.

Question 19

Which client would the nurse monitor for stomatitis?

Accepted Answer

Clients undergoing bone marrow transplants often receive high doses of chemotherapy and/or radiation therapy, which can damage the cells in the mouth leading to stomatitis.

Question 20

What nursing care measure should the nurse provide for a client who has developed oral canker sores?

Accepted Answer

Silver nitrate sticks can be used to chemically cauterize and help heal canker sores by reducing pain and promoting healing. Other options listed do not directly address the treatment or relief of canker sores.

Quiz 88: Urinary Disorders