chapter 43 exam 4 testbank

the nurse determines one or two bowel sounds in 2 minutes should be documented as a. hypoactive b. absent c. normal d. hyperactive

a. hypoactive

an enzyme that begins the digestion of starches is a. ptyalin b. trypsin c. bile d. pepsin

a. ptyalin

the major carbohydrate that tissue cells use as fuel is a. proteins b. glucose c. fats d. chyme

b. glucose

a client asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). the nurse answers a. it detects a protein normally found in the blood b. it indicates if a cancer is present c. it tells the physician what type of cancer is present d. it determines functionality of the liver

b. it indicates if a cancer is present

a client tells the nurse that the stool was colored yellow. the nurse assesses the client for a. ingestion of bismuth b. pilonidal cyst c. recent food ingested d. occult blood

c. recent food ingested

blood flow to the GI tract is approx. what percentage of the total cardiac output? a. 40% b. 10% c. 30% d. 20%

d. 20%

when gastric analysis testing reveals excess secretion of gastric acid, the nurse recognizes which medical diagnoses is supported? a. duodenal ulcer b. gastric cancer c. pernicious anemia d. chronic atrophic gastritis

a. duodenal ulcer

the nurse prepares to administer the lavage solution to a client having a colostomy completed. the nurse stops and notifies the physician when noting that the client has which condition? a. inflammatory bowel disease b. pulmonary hypertension c. chronic obstructive pulmonary disorder d. congestive heart failure

a. inflammatory bowel disease

the nurse performs an abdominal assessment. the nurse should perform the assessment in which order? a. inspection, auscultation, percussion, palpation b. inspection, palpation, percussion, auscultation c. auscultation, inspection, percussion, palpation d. auscultation, percussion, inspection, palpation

a. inspection, auscultation, percussion, palpation

the nurse determines a client scheduled to undergo an abdominal ultrasonography should receive which instruction? a. restrict eating of solid food for 6-8 hours before the test b. avoid exposure to sunlight for at least 6-8 hours before the test c. do not undertake any strenuous exercise for 24 hours before the test d. do not consume anything sweet for 24 hours before the test

a. restrict eating of solid food for 6-8 hours before the test

the nurse cares for a client after an endoscopic examination and prepares the client for discharge. the nurse include which instruction? a. resume regular diet b. continue clear liquid diet c. increase fluid intake d. avoid driving for 24 hours

a. resume regular diet

the nurse determines which is a true statement regarding older clients, considering the age-related effects on their GI system? a. they tend usually to have less control of their rectal sphincter b. they tend to have increased muscle tone and mass c. they tend to have higher physiologic reserves to compensate for fluid loss d. they have no awareness of the filling reflex

a. they tend usually to have less control of their rectal sphincter

the nurse prepares a client for a barium enema. the nurse should place the client on which diet prior to the procedure? a. high-fiber diet 1-2 days prior b. clear liquids day before c. soft diet 1 day prior d. nothing by mouth (NPO) 2 days prior

b. clear liquids day before

a client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. the nurse determines which nursing intervention is advised for this client? a. monitor for cramping or abdominal distension b. do not give any food and fluids until the gag reflex returns c. monitor for any breathing related disorder or discomforts d. measure fluid output for at least 24 hours after the procedure

b. do not give any food and fluids until the gag reflex returns

the client describes a test previously completed to detect a small bowel obstruction prior to admission to the hospital. the client states that the test involved insertion of a tube through the nose and lasted over 6 hours. the nurse determines which test name should be documented? a. positron emission tomography b. upper GI enteroclysis c. magnetic resonance imaging d. abdominal ultrasound

b. upper GI enteroclysis

the nurse recognizes which change of the GI system is an age related change? a. increased motility b. weakened gag reflex c. hypertrophy of the small intestine d. increased mucous secretion

b. weakened gag reflex

the nurse provides client education to a client about to undergo hydrogen breath testing. the nurse evaluates that the client understands the test when the client makes which statement? a. the test will detect the presence of oral cancer b. the test will detect the presence of staph c. i should avoid antibiotics for 1 month before the test d. first, i will drink a cherry flavored liquid

c. i should avoid antibiotics for 1 month before the test

the nurse inspects a clients tongue. which finding would the nurse evaluate as an indication of potential oral cancer? a. large, vallate papillae on dorsum of tongue b. thin, white coating on dorsum of tongue c. red plaque on undersurface of tongue d. V formation on dorsum of tongue

c. red plaque on undersurface of tongue

which enzyme aids in the digestion of protein? a. ptyalin b. pepsin c. trypsin d. lipase

c. trypsin

which neuro regulator increases gastric acid secretion? a. norepinephrine b. secretin c. gastrin d. acetylcholine

d. acetylcholine

the nurse cares for a client after a gastroscopy for which the client received sedation. the nurse should report which finding to the physician? a. minor throat pain b. loss of gag reflex c. drowsiness d. difficulty swallowing

d. difficulty swallowing

the nurse teaches a client scheduled for a colonoscopy. which instruction should be included as a part of the perp for the procedure? a. do not void for at least 30 min before the test b. consume at least 3 quarts of water 30 min before the test c. spray or gargle with a local anesthetic d. follow the dietary and fluid restrictions and bowel prep procedures

d. follow the dietary and fluid restrictions and bowel prep procedures

which response is a parasympathetic response in the GI tract? a. blood vessel constriction b. decreased gastric secretion c. decreased motility d. increased peristalsis

d. increased peristalsis

which term describes a gastric secretion that combines with vitamin b12 so that it can be absorbed? a. pepsin b. trypsin c. amylase d. intrinsic factor

d. intrinsic factor

when bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are a. sluggish b. absent c. hypoactive d. normal

d. normal

the nurse recognizes that blood shed in sufficient quantities into the upper GI tract produces which color of stool? a. bright red b. green c. milky white d. tarry black

d. tarry black