Answers – GI Function, Enemas, Ostomy Care
& Postoperative Nursing, exam review guide
The small intestine
Most nutrients and electrolytes are absorbed in:
A. The colon
B. The stomach
C. The esophagus
D. The small intestine
Lactose intorlerance
During the nursing assessment the client revels that he has diarrhea and cramping every time
he eats ice cream. He attributes this to the cold termperature of the food. However, the nurse
begins to suspect the these symptoms might be associated with.
A. Food allergy
B. Irritable bowel
C. Lactose intolerance
D. Increased peristalsis
As part of a routine screening for colon cancer
In assessing a 55 year-old client who is in the clinic for a routine physical, the nurse instructs the
client about the need to proved a stool specimen for guaiac fecal occult blood testing:
A. If the client notices rectal bleeding
B. If there is a family history of intestinal polyps
C. As part of a routine screening for colon cancer
D. If a palpable mass is detected on digital exam
Seepage of stool around the impaction
Diarrhea that occurs with a fecal impaction is the result of:
A. A clear liquid diet
, B. Irritation of the intestinal mucosa
C. Inability of the client to form a stool
D. Seepage of stool around the impaction
750 to 1000 mL
A cleansing enema is ordered for a 55 year-old client before intestinal surgery. The maximum
amount of fluid used is:
A. 150 to 200 mL
B. 200 to 400 mL
C. 400 to 750 mL
D. 750 to 1000 mL
Stop the instillation and meausre vital signs
During the enema the client begins to complain of pain. THe nurse notes blood in the return
fluid and rectal bleeding. The nurs's next action is to:
A. Stop the instillation.
B. Slow down the rate of instillation
C. Stop the instillation and meausre vital signs
D. Tell the client to breathe
A wound-ostomy-continence nurse
A nurse traned to care for ostomy clients is:
A. A gastrointestinal therapist
B. A nurse practitioner
C. An ostomy practitioner
D. A wound-ostomy-continence nurse
Early ambulation
Soon after the client's abdominal surgery the nurse includes in the plan of care which of the
follwing interventions, which is essential for promoting peristalsis?
A. Consumption of a high-fiber diet
B. Early ambulation
C. Restriction of fluid intake
D. Administration of large doses of opioids