Pennsylvania State University - NURS 112 Review Questions on GI Answers_Download To Score An A.

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NURS 112 Review Questions for GI with Answers 1. Ms. Coleman has experienced watery diarrhea for 2 days now. This puts her at risk for: a. Metabolic alkalosis b. Perforation c. Fluid volume defici... t d. Peritonitis 2. Shortly after admission, Ms. Coleman develops a fever and symptoms of a UTI. The nurse recognizes that this complication may occur as a result of: a. Urethral contamination from the diarrhea b. Perianal irritation from massive diarrhea c. Extraintestinal manifestations of the bowel disease d. Impaired immunologic response to infectious organisms 3. The nurse recognizes that an important factor in determining site placement for an ostomy is: a. Patient gender b. Presence of skin folds c. Surgeon preference d. Stage of disease process 4. Mr. Silver is concerned about his sexual functioning following the ostomy placement. The nurse tells him that a. Male impotence is not common b. Sexual function is reduced c. His surgeon can discuss effects of the procedure d. Libido will not be affected 5. Mr. Silver also asks about irritation related to stool contact with peristomal skin. The nurse explains that: a. Peristomal skin will adapt to stool contact and no adjustments are needed b. Worrying increases ostomy drainage and should be avoided if the skin is to heal c. Proper sizing of the ostomy wafer is important to prevent stool contact with the skin d. Peristomal irritation is unusual and would require stoma revision 6. Ms. Fallon had an ileostomy placed 2 days ago. The nursing assistant reports Ms. Fallon’s output over 24 hours to be 2000cc and informs the nurse that the patient is experiencing nausea and vomiting. The nurse know that this: a. Is rare after surgery but can be treated with antiemtics b. Can place Ms. Fallon at risk for dehydration c. Is a sign of ileostomy rejection d. Can increase the likelihood that Ms. Fallon will develop constipation 7. When administering medications to Ms. Fallon, the nurse knows that: a. No modifications are required because the distal colon remains intact b. Oral medications are safe as long as they are enteric-coated c. Medications must be administered on an empty stomach to maximize absorption d. Liquid or chewable forms are preferred 8. The nurse who teaches Mr. Fallon about ileostomy drainage will ensure that the patient understands: a. Ileostomy drainage has a strong, foul-smelling odor b. The drainage will eventually attain the consistency of soft stool c. Drainage will remain somewhat liquefied d. The drainage has no odor if the bag is emptied frequently 9. Ms. Fallon asks if she will need to modify her diet due to the ileostomy. The nurse tells her that she should: a. Eat slowly and chew food thoroughly b. Include high fiber early to promote bowel activity c. Require no restrictions once her surgical site is healed d. Restrict fluids to reduce watery output 10. The nurse teaches Ms. Fallon to care for her ileostomy by: a. Irrigating the stoma daily until continence is established b. Changing the pouch daily c. Using skin barrier only when irritation develops d. Changing ostomy pouch when the stoma is inactive 11. While assessing a patient with a suspected bowel obstruction, you note on inspection that the abdomen is distended. During percussion, you expect to find: a. Tympany b. Hyperresonance c. Dullness d. flatness [Show More]

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