Gastrointestinal System Writing Paper Essay

Gastrointestinal System Writing Paper

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A patient is admitted to the hospital with a diagnosis of diarrhea
with dehydration. The nurse recognizes that increased peristalsis
resulting in diarrhea can be related to
a. sympathetic inhibition.
b. mixing and propulsion.
c. sympathetic stimulation.
d. parasympathetic stimulation.
2. A patient has an elevated blood level of indirect (unconjugated)
bilirubin. One cause of this finding is that
a. the gallbladder is unable to contract to release stored bile.
b. bilirubin is not being conjugated and excreted into the bile
by the liver.
c. the Kupffer cells in the liver are unable to remove bilirubin from
the blood.
d. there is an obstruction in the biliary tract preventing flow of bile
into the small intestine.

3. As gastric contents move into the small intestine, the bowel is normally protected from the acidity of gastric contents by the
a. inhibition of secretin release.
b. release of bicarbonate by the pancreas.
c. release of pancreatic digestive enzymes.
d. release of gastrin by the duodenal mucosa.
4. A patient is jaundiced and her stools are clay colored (gray). This
is most likely related to
a. decreased bile flow into the intestine.
b. increased production of urobilinogen.
c. increased production of cholecystokinin.
d. increased bile and bilirubin in the blood.
5. An 80-year-old man states that, although he adds a lot of salt to his
food, it still does not have much taste. The nurse’s response is based
on the knowledge that the older adult
a. should not experience changes in taste.
b. has a loss of taste buds, especially for sweet and salt.
c. has some loss of taste but no difficulty chewing food.
d. loses the sense of taste because the ability to smell is decreased.

6. When the nurse is assessing the health perception–health maintenance pattern as related to GI function, an appropriate question to
ask is
a. “What is your usual bowel elimination pattern?”
b. “What percentage of your income is spent on food?”
c. “Have you traveled to a foreign country in the last year?”
d. “Do you have diarrhea when you are under a lot of stress?”
7. During an examination of the abdomen the nurse should
a. position the patient in the supine position with the bed flat and
knees straight.
b. listen in the epigastrium and all four quadrants for 2 minutes for
bowel sounds.
c. use the following order of techniques: inspection, palpation,
percussion, auscultation.
d. describe bowel sounds as absent if no sound is heard in the lower
right quadrant after 2 minutes.

8. A normal physical assessment finding of the GI system is/are (select
all that apply)
a. nonpalpable liver and spleen.
b. borborygmi in upper right quadrant.
c. tympany on percussion of the abdomen.
d. liver edge 2 to 4 cm below the costal margin.
e. finding of a firm, nodular edge on the rectal examination.
9. In preparing a patient for a colonoscopy, the nurse explains that
a. a signed permit is not necessary.
b. sedation may be used during the procedure.
c. only one cleansing enema is necessary for preparation.
d. a light meal should be eaten the day before the procedure.

Gastrointestinal System Writing Paper Essay

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