Study Books   

Nursing In a Flash 
   Med Surg Nursing Review Questions

            
   
   



iTunes App Store
Android Market
Blackberry App World
Amazon Market

Question Answer
The duodenum processes ____ from the stomach. The jejunum absorbs ____ and the ileum absorbs ____.
Show Answer
duodenum= chyme; jejunum= carbs and protein; ileum= certain vitamins, iron, and bile salts.
Impairment of the small intestine alters the digestive process resulting in ____ and ____ deficiencies.
Show Answer
electrolyte and nutrient deficiencies
If peristalsis is too fast, ____ stool is formed. If peristalsis is to slow, ____ stool is formed.
Show Answer
Too fast= watery; too slow= hard (constipation)
Who should not be encouraged to use the Valsalva maneuver?
Show Answer
Clients with cardiovascular disease, glaucoma, increased intracranial pressure, a new surgical wound **can cause dysrhythmias and increased BP**
True or False: In a supine position it is impossible to contract the muscles used for defecation.
Show Answer
True. **this is why we should raise the head of the bed of a bed-ridden patient**
What causes paralytic ileus and how long does it last?
Show Answer
Any surgery that involves direct manipulation of the bowel. It lasts 24-48 hours typically.
Which anesthetic agents (general) causes an increased risk of constipation?
Show Answer
General or inhaled. **not local or regional**
Chronic used of laxatives or cathartics can lead to what problems?
Show Answer
Decreased muscle tone and stimulus response of large intestine, serious diarrhea leading to dehydrations and electrolyte depletion, mineral oil decreases fat soluble vitamin absorption, decreased efficacy of other meds
Which clients are most at risk for fecal impactions?
Show Answer
Those that debilitated, confused or unconscious
True or False: Food intolerance is the same thing as an allergy.
Show Answer
False.
Alterations in elimination are often an early sign/symptom of problems in the ____ system.
Show Answer
Gastrointestinal
How many stool specimens are required for a (+) C-diff diagnosis?
Show Answer
2-3 **tested with ELISA**
An ileostomy results in stools that are ____.
Show Answer
Liquid and frequent.
A colostomy of the ascending colon results in ____ stools.
Show Answer
Liquid and frequent.
A colostomy of the transverse colon results in ____ stools.
Show Answer
more solid, formed stool
A colostomy of the sigmoid colon results in ____ stool.
Show Answer
almost normal
A ____ colostomy is usually performed in an emergency and is usually located in the ____ colon.
Show Answer
Loop; transverse. **has 2 openings through one stoma**
The ____ colostomy consists of one stoma formed from the proximal end of the bowel with the distal portion of the GI tract or sewn closed.
Show Answer
End colostomy. **Hartmann's pouch**
A ____ colostomy is usually the end result of treating colorectal cancer or diverticulitis.
Show Answer
End colostomy.
In a ____ colostomy, the bowel is surgically severed and the two ends are brought out onto the abdomen. Has two stomas, the proximal one is functioning.
Show Answer
Double Barrel
____ is a surgical procedure that is used in clients who need to have a colectomy for treatment of ulcerative colitis or familial polyps. The colon is removed.
Show Answer
Ileoanal pouch anastomosis **ileum is connected to anus so client is still continent**
____ ileostomy created using the small intestine, detubularizing it's cylindrical shape and creating a spherical reservoir. Has a continent stoma?
Show Answer
Kock Continent Ileostomy **treats colitis**
Macedo-Malone Antegrade Continence Enemas (MACE) are used in people with ____.
Show Answer
Neuropathic or structural abnormalities of the sphincter.
Observable peristaltic waves are a sign of ____.
Show Answer
an obstruction.
Normal bowel sounds occur every ____ and last a second to several seconds.
Show Answer
5 to 15 seconds.
You would expect to hear bowel sounds that are ____ in pitch or tinkling if a distention is present.
Show Answer
High
____ bowel sounds occur with small intestine obstruction or inflammation.
Show Answer
Hyperactive (35 or more a minute)
Tests for measuring fecal fat require a ____ collection of stool.
Show Answer
3-5 day
FOBT is useful for screening for ____.
Show Answer
colon cancer
How many FOBT test must be performed for a confirmed (+) result?
Show Answer
3


Skip Navigation Links
Portions of this page are reproduced from work created and shared by Google and used according to terms described in the Creative Commons 3.0 Attribution License.