Deck 14: Brief Review of the Gastrointestinal System

Question 1

A client has a newly placed percutaneous endoscopic gastrostomy tube. What would be the expected ph of its contents?

A) 5.0-7.30.
B) 3.5-5.0.
C) 1.5-3.5.
D) 7.35-7.45.

Answer 1

1.5-3.5.

Question 2

The nurse is explaining the role of hydrochloric acid in the digestive process to the family member of a client who has just had gastric bypass surgery. The nurse explains that the parietal cells in the stomach secrete____ to _____ litres of hydrochloric acid each day.

Answer 2

1-3

Question 3

The nurse is caring for a group of clients on a psychiatric-mental health. Which of the following clients may exhibit symptoms affecting both appetite and digestive processes?

A) The client with depression.
B) The client with schizophrenia.
C) The client with bipolar disorder.
D) The client with generalized anxiety disorder.
E) The client experiencing posttraumatic stress disorder.

Answer 3

The client with depression.
The client with bipolar disorder.
The client with generalized anxiety disorder.
The client experiencing posttraumatic stress disorder.

Question 4

Which drug class will the health care provider most likely order for a client with GERD?

A) Proton pump inhibitors
B) H2-receptor antagonists
C) Antacids
D) Diuretics
E) Antianginals

Question 5

The nurse is reviewing the medication administration record for a client who is receiving an initial regimen for the eradication of H. pylori. The nurse anticipates the inclusion of which medications for this client?

A) Omeprazole
B) Metronidazole
C) Bismuth subsalicylate
D) Amoxicillin
E) Clarithromycin

Question 6

The nurse is caring for a client who recently started taking Ranitidine (Zantac) for GERD. How does the nurse explain to the client this drug exerts its effect?

A) Ranitidine is a histamine antagonist that works by reducing the volume of gastric acid in the stomach.
B) This drug acts by blocking the enzymes responsible for the production of hydrochloric acid.
C) Ranitidine is a drug that neutralizes hydrochloric acid in the stomach
D) This drug combines a local analgesic with an antacid to decrease the pain experienced with GERD.

Question 7

A 70 year old client is in hospital following surgery to remove his gallbladder. He complains to the nurse on post op day 2 that he hasn't had a bowel movement since before surgery. The nurse explains possible reasons for his constipation. What statement by the client indicates the need for further teaching?

A) As you age, the motility of the bowel slows.
B) This happens frequently after gall bladder surgery.
C) You are not as active physically as you were pre-hospital.
D) Medications for pain are known to cause constipation.

Question 8

The school nurse has prepared a learning activity for a high school health promotion course. To assess the class understanding, the nurse instructs the students to select the correct statements that apply to the brain's role in regulating appetite. Which statements should the students choose as correct?

A) The degree of satiety is directly recognized by a region of the brainstem known as the satiety centre.
B) Hunger occurs when the cerebellum recognizes the level of glucose or hormone in the blood.
C) Receptors for leptin are located in the thalamus.
D) Neuropeptide Y (NPY) in the hypothalamus is associated with increase in appetite.
E) Leptin receptors of clients who are obese are thought to develop a resistance to the satiety effects.

Question 9

The nurse correctly states to a client that obesity is defined as a BMI of ______ kg/m2 or greater.

Question 10

Student nurses are studying for their final exam on the gastrointestinal system. Which of the following do they identify as correct statements regarding pharmacology of weight loss?

A) Several effective weight loss pills are readily available through telemarketers.
B) Ephedra is a healthy method for weight reduction and does not require a prescription.
C) Fenfluramine, one part of the Fen-Phen combination, causes heart disease.
D) Leptin as a weight-loss medication has not shown to be effective.
E) Stimulants such as Dexedrine are highly addictive and are no longer prescribed.

Question 11

The nurse is discussing orlistat (Xenical) with a group of women at a community centre when one of the participants asks, "What side effects are associated with this drug?" The nurse responds by stating:

A) "Tinnitus and hearing loss are side effects associated with orlistat (Xenical)."
B) "Headache with photophobia are side effects associated with orlistat (Xenical)."
C) "Flatus with oily stool discharge is a side effect often associated with orlistat (Xenical)."
D) "Urinary frequency with urgency is a side effect associated with orlistat (Xenical)."

Question 12

The nurse is providing instruction on the proper use of orlistat (Alli) to a client who has just begun a weight-loss program. The nurse evaluates that the client has understood the instructions when the client states, "Any side effects involving my stomach and intestines usually subside within ____ weeks of therapy."