PrepU Ch 43: Assessment of Digestive and GI Function

Cystic fibrosis, a genetic disorder characterized by pulmonary and pancreatic dysfunction, usually appears in young children but can also affect adults. If the pancreas was functioning correctly, where would the bile and pancreatic enzymes enter the GI system? a. duodenum b. Jejunum c. ileum d. stomach

a

Following ingestion of carrots or beets, the nurse would expect which alteration in stool color? a. Red b. black c. brown d. green

a

The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland? a. Pancreas b. Stomach c. Gallbladder d. Liver

a

A nurse is aware that both the sympathetic and parasympathetic portions of the autonomic nervous system affect GI motility. What are the actions of the sympathetic nervous system? Select all that apply. a. Creates an inhibitory effect on the GI tract b. Decreases gastric motility c. Increases secretary activities d. Relaxes the sphincters e. Causes blood vessel constriction

a, c, d

A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. Which nursing intervention is advised for this patient? a. The client should be monitored for any breathing-related disorder or discomforts. b. The client should not be given any food and fluids until the gag reflex returns.

b

When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important? a. Examining the sclera if it is yellow b. Checking if the mucous membranes are dry c. Checking if the skin is discolored d. Observing for distended abdominal veins

b

A nurse is preparing a client with Crohn's disease for a barium enema. What should the nurse do the day before the test? a. NPO 24 hours b. Order a high-fiber diet. c. Encourage plenty of fluids. d. Empty the stomach

c

Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed in sufficient quantities into the upper gastrointestinal (GI) tract, it produces which change in the stool appearance? a. Brown b. Bright red c. Tarry-black d. dark red

c