GI EAQ Quiz Questions With All Correct Answers
The nurse assesses a client for the development of pernicious anemia after
reviewing the client's history. Which condition did the nurse most likely find
in the history? correct answer -Partial gastrectomy
Removal of the fundus of the stomach (gastrectomy) destroys the parietal
cells that secrete intrinsic factor (needed to combine with vitamin B12
preliminary to its absorption in the ileum). Hemorrhaging may cause anemia;
however, pernicious anemia occurs when the intrinsic factor is not produced.
The beta cells of the pancreas are not involved in secretion of intrinsic factor.
Dietary intake does not affect the production of intrinsic factor.
A nurse is providing dietary teaching for a client with celiac disease. Which
foods should the nurse teach the client to avoid when following a gluten-free
diet? Select all that apply. correct answer -Rye
Oats
Wheat
Rye, oats, and wheat should be avoided because they are irritating to the
gastrointestinal mucosa. Gluten is not found in rice or corn; therefore, these
items do not have to be avoided.
A client is experiencing persistent vomiting, and serum electrolytes have been
prescribed. The nurse should monitor which laboratory results? correct
answer -Sodium and chloride levels
Sodium, which helps regulate the extracellular fluid volume, is lost with
vomiting. Chloride, which balances cations in the extracellular compartment,
also is lost with vomiting. Because sodium and chloride are parallel
electrolytes, hyponatremia will accompany hypochloremia. Bicarbonate and
sulfate levels, magnesium and protein levels, and calcium and phosphate
levels do not provide significant information in relation to the effects of
vomiting.
, A client is diagnosed with cancer of the rectum and has surgery for an
abdominoperineal resection and colostomy. Which nursing care should be
implemented during the postoperative period? correct answer -Keeping
the client's skin around the stoma clean
If the area is not kept both clean and dry, drainage from the colostomy can
quickly cause a breakdown of the skin around the stoma. This, in combination
with a warm, moist surface, predisposes the individual to infection. Although
oral fluids are withheld until peristalsis returns, it is essential that parenteral
fluids be administered to replace the losses incurred by surgery. The client is
often unable to accept the altered body image and must be given time to
adjust before participating actively in self-care.
STUDY TIP: Answer every question. A question without an answer is the same
as a wrong answer. Go ahead and guess. You have studied for the test and you
know the material well. You are not making a random guess based on no
information. You are guessing based on what you have learned and your best
assessment of the question.
A nurse is caring for a client who had major abdominal surgery one day ago.
What factor increases the risk of this client developing a wound dehiscence?
correct answer -Client being overweight
Being grossly overweight is a predisposing factor to wound dehiscence
because of decreased vascularity and fragility of adipose tissue and the added
tension on the suture line. Placement of a T-tube does not contribute to
dehiscence; a T-tube helps remove bile from the common bile duct. The
presence of excessive flatus causes discomfort, not dehiscence. If the client is
receiving the antibiotics because of the presence of a wound infection, then
the infection is the risk factor for wound dehiscence. Receiving steroids, not
prophylactic antibiotics, increases the risk of dehiscence because steroids
slow collagen synthesis necessary for wound healing.
An older client with diarrhea is admitted to the hospital from a nursing home.
A stool specimen confirms a diagnosis of a methicillin-resistant
Staphylococcus aureus (MRSA) infection. The daughter of the client asks why
her mother has been placed in a room with another client who is on isolation.
The nurse assesses a client for the development of pernicious anemia after
reviewing the client's history. Which condition did the nurse most likely find
in the history? correct answer -Partial gastrectomy
Removal of the fundus of the stomach (gastrectomy) destroys the parietal
cells that secrete intrinsic factor (needed to combine with vitamin B12
preliminary to its absorption in the ileum). Hemorrhaging may cause anemia;
however, pernicious anemia occurs when the intrinsic factor is not produced.
The beta cells of the pancreas are not involved in secretion of intrinsic factor.
Dietary intake does not affect the production of intrinsic factor.
A nurse is providing dietary teaching for a client with celiac disease. Which
foods should the nurse teach the client to avoid when following a gluten-free
diet? Select all that apply. correct answer -Rye
Oats
Wheat
Rye, oats, and wheat should be avoided because they are irritating to the
gastrointestinal mucosa. Gluten is not found in rice or corn; therefore, these
items do not have to be avoided.
A client is experiencing persistent vomiting, and serum electrolytes have been
prescribed. The nurse should monitor which laboratory results? correct
answer -Sodium and chloride levels
Sodium, which helps regulate the extracellular fluid volume, is lost with
vomiting. Chloride, which balances cations in the extracellular compartment,
also is lost with vomiting. Because sodium and chloride are parallel
electrolytes, hyponatremia will accompany hypochloremia. Bicarbonate and
sulfate levels, magnesium and protein levels, and calcium and phosphate
levels do not provide significant information in relation to the effects of
vomiting.
, A client is diagnosed with cancer of the rectum and has surgery for an
abdominoperineal resection and colostomy. Which nursing care should be
implemented during the postoperative period? correct answer -Keeping
the client's skin around the stoma clean
If the area is not kept both clean and dry, drainage from the colostomy can
quickly cause a breakdown of the skin around the stoma. This, in combination
with a warm, moist surface, predisposes the individual to infection. Although
oral fluids are withheld until peristalsis returns, it is essential that parenteral
fluids be administered to replace the losses incurred by surgery. The client is
often unable to accept the altered body image and must be given time to
adjust before participating actively in self-care.
STUDY TIP: Answer every question. A question without an answer is the same
as a wrong answer. Go ahead and guess. You have studied for the test and you
know the material well. You are not making a random guess based on no
information. You are guessing based on what you have learned and your best
assessment of the question.
A nurse is caring for a client who had major abdominal surgery one day ago.
What factor increases the risk of this client developing a wound dehiscence?
correct answer -Client being overweight
Being grossly overweight is a predisposing factor to wound dehiscence
because of decreased vascularity and fragility of adipose tissue and the added
tension on the suture line. Placement of a T-tube does not contribute to
dehiscence; a T-tube helps remove bile from the common bile duct. The
presence of excessive flatus causes discomfort, not dehiscence. If the client is
receiving the antibiotics because of the presence of a wound infection, then
the infection is the risk factor for wound dehiscence. Receiving steroids, not
prophylactic antibiotics, increases the risk of dehiscence because steroids
slow collagen synthesis necessary for wound healing.
An older client with diarrhea is admitted to the hospital from a nursing home.
A stool specimen confirms a diagnosis of a methicillin-resistant
Staphylococcus aureus (MRSA) infection. The daughter of the client asks why
her mother has been placed in a room with another client who is on isolation.
