Question 1

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

Accepted Answer

The indicators for colorectal cancer are changing bowel habits between diarrhea and constipation, flatulence, cachexia, cramps, rectal bleeding, and anemia.

Question 2

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

Accepted Answer

The patient with a peptic ulcer should eat frequently to keep food in the stomach. Eating 6 small meals daily is helpful. Restriction of fluid is not necessary and irritating foods, alcohol, and caffeine should be discouraged.

Question 3

The nurse takes into consideration that a proton pump inhibitor drug, such as ______________, will completely eradicate gastric acid production.

Accepted Answer

Omeprazole (Prilosec) is a proton pump inhibitor that interferes with the production of gastric acid.

Question 4

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

Accepted Answer

The answer of The nurse explains that ___________, the chief...

Question 5

The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate (Pepto-Bismol) to combat H. pylori. What color will this drug turn the stool?

Accepted Answer

Bismuth products turn the stool gray-black.

Question 6

What is the most lethal complication of a peptic ulcer?

Accepted Answer

Perforation is considered the most lethal complication of peptic ulcer. Bleeding may occur when the ulcer erodes into a blood vessel; however, perforation occurs when the ulcer crater penetrates the entire thickness of the wall of the stomach or duodenum. Gastric outlet obstruction can occur at any time and can be relieved by NG aspiration of stomach contents.

Question 7

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

Accepted Answer

Antibiotic therapy eradicates H. pylori.

Question 8

In designing a teaching plan to present to a group of older adults regarding the prevention of esophageal cancer, the nurse would include information about the significance of (select all that apply):

Accepted Answer

Preventative measures include cessation of smoking and alcohol consumption, good oral care, and medical evaluation of dysphagia. Weight and reduction of citrus fruits are non-contributory to prevention of esophageal cancer.

Question 9

Which activities should the home health nurse suggest to an elderly patient to avoid constipation? (Select all that apply.)

Accepted Answer

Inactivity and changes in diet and fluid intake can contribute to constipation. A nutritional diet high in fiber and bulk-forming foods can promote normal elimination. Increasing fluids to 8 to 10 glasses per day will be beneficial in preventing constipation. A daily bowel routine will also benefit elimination. Use of daily stool softeners is no longer recommended for the older adult. Tap water enemas for persons with altered mobility are is helpful.

Question 10

Flexible sigmoidoscopy should be performed every ________ years.

Accepted Answer

The answer of Flexible sigmoidoscopy should be performed every ________...

Question 11

The nurse caring for a patient with Crohn disease will closely monitor the urinary output to ensure that the patient is excreting at least _______mL/day.

Accepted Answer

The answer of The nurse caring for a patient with...

Question 12

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

Accepted Answer

Application of an ice bag will decrease the flow of blood to the area and impede the inflammatory process.

Question 13

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.)

Accepted Answer

The Rome Criteria include that the patient experience discomfort at least 3 days a month within the last 3 months, pain relieved by defecation, onset associated with change in stool frequency, and onset in association with a change in stool appearance. Although increased flatus is associated with diverticulitis, it is not part of the Rome Criteria.

Question 14

Due to frequent bouts of constipation, the nurse examines the bedfast nursing home resident for ulceration of the anus, called __________________.

Accepted Answer

The answer of Due to frequent bouts of constipation, the...

Question 15

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition. Which of the following would be the best
Nursing response?

Accepted Answer

While it is true that some have found relief there is no evidence that these therapies relieve the symptoms of IBS.

Question 16

Why are peptic ulcers a common problem of aging?

Accepted Answer

Medications such as aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) taken for arthritis or degenerative joint conditions may contribute to ulcer formation.

Question 17

To assist a family with a bowel training program to reduce fecal incontinence, the nurse would suggest the use of a ___________ at an optimal time to stimulate defecation.

Accepted Answer

The use of a glycerin suppository for fecal stimulation is a helpful aid in a bowel-training program. The suppository is administered at what the family and patient have determined is the optimal time for a bowel movement.

Question 18

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

Accepted Answer

The answer of The nurse takes into consideration that long-term...

Question 19

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

Accepted Answer

Because there are visible peristaltic waves, there will be bowel sounds that will be faint and high pitched.

Question 20

How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine) for Crohn disease? (Select all that apply.)

Accepted Answer

Cautionary information about sulfasalazine (Azulfidine) would include having adequate fluid intake to prevent crystallization in the kidneys, avoiding exposure to the sun, and using alternate birth control methods as oral contraception is made unreliable by this drug. The drug should be taken with meals and the patient should be assessing for rash.

Quiz 44: Care of the Patient with a Gastrointestinal Disorder