Ch 27, 28, 29 Quiz (Unit IV)

Which of the following clients is likely at the greatest risk of developing a urinary tract infection?

A 79-year-old client with an indwelling catheter for urinary incontinence

In men experiencing nonrelaxing external sphincter with associated urine retention, the health care worker should assess for which of the following possible causes?

Chronic prostatitis

Which of the following signs and symptoms most clearly suggests the need for endoscopy to rule out esophageal cancer?

Dysphagia in an individual with no history of neurologic disease

T or F: Appendicitis, a condition in which the appendix becomes inflamed, swollen, and gangrenous, is normally self-limiting.

False

T or F: C. difficile and E. coli are two types of viral infections that affect the gastrointestinal system.

False

A teenager has been diagnosed with failure to thrive. The health care providers suspect a malabsorption syndrome. In addition to having diarrhea and bloating, the client more than likely has what hallmark manifestation of malabsorption?

Fatty, yellow-gray, foul-smelling stools

While planning care for a client with irritable bowel syndrome, knowing the client has an increased amount of secretions with impaired GI absorption, the priority nursing diagnosis would be:

Fluid volume deficit

An ultrasound has confirmed appendicitis as the cause of a 20-year-old man's sudden abdominal pain. Which of the following etiologic processes is implicated in the development of appendicitis?

Obstruction of the intestinal lumen

A client has been told he has abdominal adhesions due to an old appendix infection. Knowing the structures of the abdominal cavity, the nurse will explain which of the following structures can form bands of fibrous scar tissue to wall off the infection, preventing it from spreading to other parts of the body?

Omentum

T or F: Absorption is the process of moving nutrients and other materials from the external environment of the gastrointestinal tract into the internal environment.

True

T or F: Most uncomplicated urinary tract infections (UTIs) are caused by Escherichia coli.

True

T or F: Stress incontinence is the involuntary loss of urine during coughing, laughing, sneezing, or lifting that increases intra-abdominal pressure.

True

T or F: The gastrointestinal tract is innervated by both the sympathetic and parasympathetic nervous systems.

True

Many factors contribute to the incontinence that is common among the elderly. A major factor is increased:

Use of multiple medications

A client's complex and worsening pressure ulcer has necessitated the use of numerous antibiotics over the last several months. Which of the following consequences may result from this client's medication regimen?

Vitamin K deficiency