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chapter 38 - Chapter 38 Digestive Tract Disorders MULTIPLE...

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Chapter 38: Digestive Tract Disorders MULTIPLE CHOICE 1. The nurse is preparing to give a brevity flow tube feeding using a large syringe. Prior to in- fusion, the nurse should: 1. roll the patient flat. 2. check for residual and return to the stomach. 3. place the end of tube in water and check for bubbles. 4. flush tube. ANS: 2 Verifying tube placement and residual is a standard of care for a tube feeding. PTS: 1 DIF: Cognitive Level: Application REF: 740 OBJ: 3 TOP: Tube Feeding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. The nurse explains that the newest endoscopic procedure for examining the small intestine is the: 1. capsule camera. 2. fiberoptic light probe. 3. rigid lighted tubes. 4. flat plate. ANS: 1 The capsule camera is swallowed and transmits information about the small bowel to a re- ceiver on a belt around the patient’s waist. PTS: 1 DIF: Cognitive Level: Comprehension REF: 739 OBJ: 1 TOP: Endoscopy KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 3. After receiving a tube feeding, the patient becomes sweaty and has abdominal distention with diarrhea. The nurse assesses that this is because of: 1. an expected reaction to the tube feeding. 2. dumping syndrome. 3. gastric reflux syndrome. 4. onset of gastroenteritis. ANS: 2 Dumping syndrome is caused by infusing a tube feeding too fast or infusing a tube feeding that is too rich a formula. PTS: 1 DIF: Cognitive Level: Analysis REF: 742 OBJ: 2 TOP: Dumping Syndrome KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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4. The nurse assesses a risk factor that increases the chances of developing oral cancer, which is: 1. alcohol consumption. 2. chewing gum. 3. environmental pollution. 4. consumption of a high-fat diet. ANS: 1 Alcohol is statistically proven to be a factor because of irritation of the oral mucosa. PTS: 1 DIF: Cognitive Level: Knowledge REF: 733 OBJ: 1 TOP: Oral Cancer KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. The nurse caring for a postoperative patient who has had lesions removed from his mouth has just returned to the unit. The initial care will focus on: 1. giving pain medication. 2. regulating fluid intake. 3. monitoring vital signs. 4. suctioning secretions. ANS: 4 Suctioning must be done to ensure a patent airway. All other options should be addressed, but not as an initial implementation. PTS: 1 DIF: Cognitive Level: Analysis REF: 754 OBJ: 5 TOP: Postoperative Care for Oral Cancer KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 6. The home health nurse observes the patient with esophageal cancer tilt his head back while eating, which could result in: 1. narrowing of the esophagus. 2. limit in types of food that can be consumed. 3. increased risk of aspiration.
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