lOMoARcPSD|3013804
Chapter 48 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 48: Assessment of the Gastrointestinal System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is interviewing a client who reports having abdominal cramping, bloating, and
diarrhea after drinking milk or ingesting other dairy products. What health problem does the
client most likely have?
a.
Steatorrhea
b.
Ulcerative colitis
c.
Crohn disease
d.
Lactose intolerance
ANS: D
The client is demonstrating signs and symptoms of lactose intolerance because they occur
after the client eats or drinks dairy products which contain lactose.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: GI assessment, History
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The primary health care provider documents that a client has a bruit over the abdominal
aorta. What teaching will the nurse provide for assistive personnel (AP) based on this
assessment finding?
a.
“Use warm compresses on the client’s abdomen continuously.”
b.
“Avoid washing the client’s abdomen too aggressively.”
G R A D E S L A B . C OM
c.
“Apply ice to the client’s ab d o m en e v er y 4 h ou r s.”
d.
“Massage the client’s abdomen to help reduce pain.”
ANS: B
A bruit heard over the abdominal aorta possible indicates stenosis or an aneurysm which
should not be palpated or percussed. Therefore, the AP should wash the client’s abdomen very
gently.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: GI assessment, Abdominal assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam
hydrochloride. The client’s respiratory rate is 8 breaths/min. What action by the nurse is
appropriate?
a.
Administer naloxone.
b.
Call the Rapid Response Team.
c.
Provide physical stimulation.
d.
Ventilate with a bag-valve-mask.
ANS: C
Chapter 48 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 48: Assessment of the Gastrointestinal System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is interviewing a client who reports having abdominal cramping, bloating, and
diarrhea after drinking milk or ingesting other dairy products. What health problem does the
client most likely have?
a.
Steatorrhea
b.
Ulcerative colitis
c.
Crohn disease
d.
Lactose intolerance
ANS: D
The client is demonstrating signs and symptoms of lactose intolerance because they occur
after the client eats or drinks dairy products which contain lactose.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: GI assessment, History
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The primary health care provider documents that a client has a bruit over the abdominal
aorta. What teaching will the nurse provide for assistive personnel (AP) based on this
assessment finding?
a.
“Use warm compresses on the client’s abdomen continuously.”
b.
“Avoid washing the client’s abdomen too aggressively.”
G R A D E S L A B . C OM
c.
“Apply ice to the client’s ab d o m en e v er y 4 h ou r s.”
d.
“Massage the client’s abdomen to help reduce pain.”
ANS: B
A bruit heard over the abdominal aorta possible indicates stenosis or an aneurysm which
should not be palpated or percussed. Therefore, the AP should wash the client’s abdomen very
gently.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: GI assessment, Abdominal assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam
hydrochloride. The client’s respiratory rate is 8 breaths/min. What action by the nurse is
appropriate?
a.
Administer naloxone.
b.
Call the Rapid Response Team.
c.
Provide physical stimulation.
d.
Ventilate with a bag-valve-mask.
ANS: C
