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Ch30 - Practice Questions
Practice Questions
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Applied Pathophysiology (NUR 376)
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Chapter 30, Common Disorders of the Large Intestine
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care for a client in the emergency room with an initial presence of pain in the
abdomen. Assessment elicits the presence of rebound pain at McBurney’s point, an ultrasound is
positive for an inflamed appendix, and white blood cells (WBCs) are moderately elevated. Which
prescription does the nurse anticipate from the health-care provider?
1. Initiate nothing by mouth (NPO) status and start an IV infusion
2. Medicate the client with opioids for pain above a level 5
3. Administer oral antibiotics and explain continued use at home
4. Present information regarding the risk for developing peritonitis
____ 2. The staff nurses are reviewing precautions to be taken while caring for a client with suspected need
of surgery for appendicitis. Which statement made by a nurse indicates understanding?
1. “The client will not require IV fluids.”
2. “The client will not be prescribed ampicillin.”
3. “The client is given a laxative before surgery.”
4. “The client is not given prediagnosis pain medications.”
____ 3. Which part of the gastrointestinal (GI) tract is involved in the production of protective mucus?
1. Goblet cells
2. Submucosal layer
3. Circular muscle layer
4. Columnar epithelial cells
____ 4. Which is the largest serous membrane in the body?
1. Peritoneal serosa
2. Submucosal layer
3. Columnar epithelium
4. Circular muscle layer
____ 5. Which side effect does the nurse expect to observe in a client who is on epinephrine therapy?
1. Gastrocolic reflex
2. Injuries to the gastric epithelium
3. Suppression of the urge to defecate
4. Decreased gastrointestinal secretions
____ 6. The nurse is preparing information for a client newly diagnosed with ulcerative colitis. Which
information is more likely associated with Crohn’s disease than with ulcerative colitis?
1. Only the large intestine is affected.
2. The patient is prone to anal fistula and fissure formation.
3. It predisposes the client to colon cancer.
4. The disease affects only the mucosa and submucosa layers.
____ 7. The nurse reviews the colonoscopy report on a client. The nurse concludes that which disorder is
diagnosed by the presence of a “cobblestoning” appearance?
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1. Volvulus
2. Appendicitis
3. Crohn’s disease
4. Ulcerative colitis
____ 8. The nurse is providing care for an older adult client who presents with abdominal cramping,
abdominal distention, and the inability to have a bowel movement. An abdominal x-ray reveals a
distended colon, with loops of dilated bowel superior to an obstruction. Which treatment does the
nurse expect to be prescribed?
1. Placement of a nasogastric tube
2. Laxatives to stimulate peristalsis
3. Pureed, bland diet as tolerated
4. Enemas until return is clear
____ 9. Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds
accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which
diagnostic test distinguishes Crohn’s disease from ulcerative colitis in the client?
1. Colonoscopy
2. Urinalysis
3. Complete blood count
4. Chest x-ray
____ 10. The nurse is reviewing the treatment plan for Crohn’s disease with staff nurses. Which statement
made by a nurse indicates understanding?
1. “Cholestyramine is prescribed to clients with ileal disease.”
2. “Loperamide is administered in clients to reduce abdominal cramps.”
3. “Propantheline dicyclomine is administered to relieve chronic diarrhea.”
4. “Multivitamin supplements are contraindicated in clients with decreased
absorption.”
____ 11. For a client diagnosed with terminal ileal disease, the health-care provider prescribes sulfasalazine.
Which outcome in the client indicates the effectiveness of the therapy?
1. The client’s gastrointestinal wall is normalized.
2. The client’s hematocrit percentage is normal.
3. The client is able to absorb bile acids.
4. The client’s urinalysis results show normal values.
____ 12. The nurse is providing care for a client with a recent spinal cord injury resulting in paralysis from the
midthoracic region downward. The client is unable to initiate or control bowel function, but states to
the nurse, “I am going to get bowel training later.” Which factor does the nurse consider in response
to the client?
1. Ability to control the sphincter muscles may return
2. Strong abdominal muscles can replace peristalsis
3. Bowel stimulants will aid in self-management
4. Neural control of the large intestine is likely lost
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3. The nurse performs a blood draw for culture and sensitivity.
4. The nurse performs testing on a stool sample for occult blood.
____ 19. Which is a characteristic feature of ulcerative colitis?
1. Presence of cobblestone appearance
2. Continuous areas of inflammation in the large intestine
3. Healthy tissues interrupted by areas of diseased tissue
4. Presence of anal fissure and anal fistula formations
____ 20. A health-care provider suspects the presence of hemorrhoids in a client. Which diagnostic test does
the health-care provider prescribe to support the suspected diagnosis?
1. Biopsy
2. Chest x-ray
3. Colonoscopy
4. Sigmoidoscopy
____ 21. Which disorder of the large intestine may require laparoscopic surgery to unwind the intestine?
1. Volvulus
2. Appendicitis
3. Hemorrhoids
4. Diverticular disease
____ 22. The nursing instructor is discussing the physical assessment findings for hemorrhoids. Which
statement made by the student nurse indicates effective learning?
1. “Presence of anal fistulas is observed.”
2. “Presence of blood in stools may be observed.”
3. “McBurney’s point indicates tenderness.”
4. “Auscultation indicates high-pitched bowel sounds.”
____ 23. The health-care provider asks a client to lie down facing upwards and flex the right thigh at the hip.
The client says, “I cannot do this. This position is hurting my abdomen.” Which sign of appendicitis
does the nurse recognize in this client?
1. Psoas sign
2. Rovsing sign
3. Obturator sign
4. Rebound tenderness
Other
24. Prioritize the order of performing the physical examination of the abdomen in a client with bowel
disorder. (Enter the number of each step in the proper sequence; do not use commas or spaces.)
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Multiple Response
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Identify one or more choices that best complete the statement or answer the question.
____ 25. Which conditions show an elevated level of white blood cells? Select all that apply.
1. Appendicitis
2. Constipation
3. Diverticular disease
4. Large bowel obstruction
5. Irritable bowel syndrome
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Feedback
1 This is incorrect. IV fluids are given to maintain hydration status and electrolyte
balance.
2 This is incorrect. Ampicillin, which is an antibiotic, is given to clients with
appendicitis as an early treatment.
3 This is incorrect. Clients who may have appendicitis should not be given
laxatives.
4 This is correct. Pain medications should be avoided in the client before the
diagnosis of appendicitis because they can mask signs of the condition.
PTS: 1 CON: Medication
3. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Describe normal anatomy and physiology of the large intestine.
Page: 730
Heading: Basic Concepts Regarding Function of the Large Intestine>Structure of the GI Wall
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension [Understanding]
Concept: Bowel Elimination
Difficulty: Moderate
Feedback
1 This is correct. The goblet cells of the GI tract are involved in the production of
mucus, which protects the GI tract from injuries.
2 This is incorrect. The submucosal layer contains connective tissue, which
secretes digestive enzymes.
3 This is incorrect. The circular muscle layer, along with the longitudinal muscle
layer, produces peristaltic movements in the stomach.
4 This is incorrect. The columnar epithelial cells absorb fluids and electrolytes
from the intestine. They are not responsible for the production of mucus.
PTS: 1 CON: Bowel Elimination
4. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Describe normal anatomy and physiology of the large intestine.
Page: 730
Heading: Basic Concepts Regarding Function of the Large Intestine>Structure of the GI Wall
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge [Remembering]
Concept: Bowel Elimination
Difficulty: Easy
Feedback
1 This is correct. Peritoneum is the loosely attached outermost layer of the
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intestine. It is the largest serous membrane in the body.
2 This is incorrect. The submucosal layer is the middle layer of the intestine where
the digestive enzymes are secreted; it is not the largest serous membrane in the
body.
3 This is incorrect. Columnar epithelium cells are present in the inner layer of the
intestine, which absorbs fluids and electrolytes from the body.
4 This is incorrect. The circular muscle layer is present beneath the submucosal
layer, which is responsible for the peristaltic movements in the intestine.
PTS: 1 CON: Bowel Elimination
5. ANS: 3
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize inflammatory, obstructive, and motility disorders that affect the large intestine.
Page: 731
Heading: Basic Concepts Regarding Function of the Large Intestine>Colonic Motility
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Medication
Difficulty: Moderate
Feedback
1 This is incorrect. Gastrocolic reflex is inhibited in a client who is on epinephrine
therapy. Therefore, it is not observed in clients who are on this medication.
2 This is incorrect. Injuries to the gastric epithelium occur due to decreased mucus
secretion. Epinephrine will not result in inhibition of gastric mucus secretion.
3 This is correct. Epinephrine suppresses the gastrocolic reflex, which is
responsible for the propulsion of bowels and initiation of the urge to defecate.
Therefore, the client who is on epinephrine therapy will have suppression of the
urge to defecate.
4 This is incorrect. The gastrointestinal secretions, like the digestive enzymes, are
secreted by the cells present in the submucosal layer. Epinephrine will not
inhibit the gastric secretions.
PTS: 1 CON: Medication
6. ANS: 2
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Identify signs, symptoms, and clinical manifestations of disorders of the large intestine.
Page: 738
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Inflammatory Bowel
Disease>TABLE 30-3. Differences Between Ulcerative Colitis and Crohn’s Disease
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Assessment
Difficulty: Difficult
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Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Assessment
Difficulty: Difficult
Feedback
1 This is correct. For intestinal decompression, a nasogastric tube is inserted into
the stomach to relieve pressure from the obstruction. The dilated loops of bowel
superior to the obstruction need to be decompressed.
2 This is incorrect. Laxative or motility agents are contraindicated in complete
bowel obstruction. These agents can worsen symptoms, as they stimulate the
bowel to propel contents forward against an obstruction in the bowel.
3 This is incorrect. The client is likely to be nothing by mouth (NPO) until the
degree of obstruction or the cause is identified.
4 This is incorrect. The presented diagnostic test supports the likelihood that feces
will not be present in the colon inferior to the obstruction. Enemas may increase
pain or amplify the symptoms.
PTS: 1 CON: Assessment
9. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 737
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Inflammatory Bowel
Disease>Crohn’s Disease>Diagnosis
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Inflammation
Difficulty: Moderate
Feedback
1 This is correct. Colonoscopy is the diagnostic test used to distinguish between
Crohn’s disease and ulcerative colitis. It determines the underlying pathology in
the colon, which is involved in the disorder. Therefore, colonoscopy will help
the nurse to distinguish Crohn’s disease from ulcerative colitis in the client.
2 This is incorrect. Crohn’s disease and ulcerative colitis do not cause alterations
in the urine. Therefore, urinalysis will not help the nurse confirm Crohn’s
disease in the client.
3 This is incorrect. The blood count is altered in the presence of inflammation or
infection. However, information related to complete blood count will not
distinguish Crohn’s disease from ulcerative colitis in the client.
4 This is incorrect. Chest x-ray will reveal the presence of free air under the
diaphragm. However, it does not distinguish Crohn’s disease from ulcerative
colitis.
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PTS: 1 CON: Inflammation
10. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Discuss pharmacological and nonpharmacological treatment modalities used for disorders
of the large intestine.
Page: 737
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Inflammatory Bowel
Disease>Crohn’s Disease>Treatment
Integrated Processes: Nursing Process
Client Need: Physiologic Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Evaluation [Evaluating]
Concept: Medication
Difficulty: Difficult
Feedback
1 This is correct. Cholestyramine is a bile acid–sequestering agent, which is
prescribed for clients with terminal ileal disease, which exists in clients with
Crohn’s disease. This helps the client to absorb bile salts normally. This
statement by the nurse is true and indicates understanding.
2 This is incorrect. Loperamide is used to reduce chronic diarrhea in clients. This
statement by the nurse is incorrect and indicates ineffective understanding.
3 This is incorrect. Propantheline dicyclomine is used to relieve abdominal
cramps in clients with Crohn’s disease. This statement by the nurse is incorrect
and indicates ineffective understanding.
4 This is incorrect. Clients with Crohn’s disease experience chronic diarrhea,
which results in malnutrition. Therefore, multivitamin supplements should be
prescribed to the clients with Crohn’s disease.
PTS: 1 CON: Medication
11. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Discuss pharmacological and nonpharmacological treatment modalities used for disorders
of the large intestine.
Page: 737
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Inflammatory Bowel Disease
Integrated Processes: Nursing Process
Client Need: Physiologic Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Evaluation [Evaluating]
Concept: Medication
Difficulty: Difficult
Feedback
1 This is correct. Sulfasalazine is a salicylic acid derivative, which is used to
reduce gastrointestinal inflammation caused by the immune response. Therefore,
a normalized gastrointestinal wall represents the effectiveness of sulfasalazine
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Difficulty: Difficult
Feedback
1 This is correct. In a client with large bowel syndrome, the serum amylase levels
are elevated when the client has perforations in the bowel or the organ. In this
case, the chest x-ray showed the presence of free air under the diaphragm, which
indicates the presence of perforations. Therefore, the presence of normal serum
amylase levels indicates effectiveness of therapy.
2 This is incorrect. The red blood cell count is not elevated in clients with large
bowel obstruction disorder. Therefore, normal levels of red blood cells will not
indicate the effectiveness of antibiotic and fluid replacement therapy in clients
with large bowel disease.
3 This is incorrect. Abdominal cramps are not observed in clients with large
bowel obstruction disorder. Therefore, if the client no longer experiences
abdominal cramps, it does not indicate the effectiveness of the therapy.
4 This is incorrect. Chronic diarrhea is not a symptom observed in clients with
large bowel obstruction disorder. Therefore, if the client does not experience
chronic diarrhea, it does not indicate the effectiveness of the therapy.
PTS: 1 CON: Medication
14. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Discuss pharmacological and nonpharmacological treatment modalities used for disorders
of the large intestine.
Page: 742
Heading: Basic Concepts Regarding Function of the Large Intestine>Large Bowel
Obstruction>Treatment
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Evaluation [Evaluating]
Concept: Bowel Elimination
Difficulty: Difficult
Feedback
1 This is correct. A nasogastric tube helps in the aspiration of stomach contents,
thereby relieving pressure caused by bowel obstruction. This statement by an
attending nurse is true and indicates effective learning.
2 This is incorrect. A nasogastric tube is used for nutritional support and
sometimes to administer medications. It is not primarily used for administering
medications. This statement by an attending nurse is incorrect and indicates
ineffective learning.
3 This is incorrect. A nasogastric tube is inserted in the client’s stomach. It will
not help to release free air present under the client’s diaphragm.
4 This is incorrect. The mechanical obstruction in the client’s intestine cannot be
removed by using a nasogastric tube. It helps to release pressure exerted by the
mechanical obstruction.
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PTS: 1 CON: Bowel Elimination
15. ANS: 2
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 743
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Appendicitis>Diagnosis
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Assessment
Difficulty: Difficult
Feedback
1 This is incorrect. The presence of calcium stones within the appendix is
determined by performing an abdominal x-ray. Urinalysis will not determine the
presence of calcium stones in the appendix.
2 This is correct. Urinalysis will determine the level of urea in urine, which
provides information about kidney stones or pyelonephritis. Therefore, the
health-care provider can rule out the possibility of kidney stones or
pyelonephritis in the client.
3 This is incorrect. The possibility of ectopic pregnancy is ruled out by
performing a pelvic examination and beta human chorionic gonadotropin
(beta-HCG) blood test. Urinalysis will not give clear information about an
ectopic pregnancy.
4 This is incorrect. The presence of gynecological disorders is determined by
performing a pelvic examination and beta-HCG blood test. Urinalysis will not
give concrete information about gynecological disorders.
PTS: 1 CON: Assessment
16. ANS: 4
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 743
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Appendicitis>Diagnosis
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Inflammation
Difficulty: Moderate
Feedback
1 This is incorrect. Urinalysis is performed to rule out the possibility of a kidney
stone or pyelonephritis in a client with appendicitis. It will not give the most
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Cognitive Level: Evaluation [Evaluating]
Concept: Bowel Elimination
Difficulty: Difficult
Feedback
1 This is incorrect. A complete blood analysis will help the nurse to determine
anemia, infection, or inflammation. This intervention by the nurse will not help
to determine lactose intolerance and indicates ineffective learning.
2 This is correct. The hydrogen breath test is used to determine lactose intolerance
in a client by determining the amount of hydrogen exhaled. This intervention by
the nurse is correct and indicates effective learning.
3 This is incorrect. A blood draw for culture and sensitivity will help identify the
presence of pathogens and the appropriate antibiotic therapy. It will not help to
determine lactose intolerance.
4 This is incorrect. Testing a stool sample for occult blood will help determine the
presence of inflammation or infection. It is not helpful in determining lactose
intolerance.
PTS: 1 CON: Bowel Elimination
19. ANS: 2
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize inflammatory, obstructive, and motility disorders that affect the large intestine.
Page: 739
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Inflammatory Bowel
Disease>Ulcerative Colitis
Integrated Processes: Nursing Process
Client Need: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Bowel Elimination
Difficulty: Moderate
Feedback
1 This is incorrect. The presence of a cobblestone appearance is a characteristic of
Crohn’s disease.
2 This is correct. Continuous areas of inflammation in the large intestine are a
characteristic feature of ulcerative colitis.
3 This is incorrect. Presence of healthy tissues interrupted by areas of diseased
tissues is characteristic of Crohn’s disease.
4 This is incorrect. The presence of anal fistula and anal fissure formation is a
characteristic of Crohn’s disease.
PTS: 1 CON: Bowel Elimination
20. ANS: 4
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 747
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Heading: Pathophysiology of Specific Disorders of the Large Intestine>Hemorrhoids
Integrated Processes: Nursing Process
Client Need: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Bowel Elimination
Difficulty: Moderate
Feedback
1 This is incorrect. Biopsy is a diagnostic test where a tissue from the body is
removed and assessed.
2 This is incorrect. A chest x-ray may be conducted to check for the presence of
free air under the diaphragm when there is perforation of the bowel or
abdominal organ.
3 This is incorrect. Colonoscopy is conducted to visualize the large bowel up to
the cecum.
4 This is correct. Sigmoidoscopy is the insertion of a flexible tube to examine the
sigmoid colon. Therefore, the health-care provider will order a sigmoidoscopy
to visualize the lower bowel and check for the presence of hemorrhoids.
PTS: 1 CON: Bowel Elimination
21. ANS: 1
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Discuss pharmacological and nonpharmacological treatment modalities used for disorders
of the large intestine.
Page: 747
Heading: Pathophysiology of Specific Disorders of the Large Intestine>Volvulus
Integrated Processes: Nursing Process
Client Need: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Bowel Elimination
Difficulty: Moderate
Feedback
1 This is correct. Volvulus is the twisting of the large intestine around the point of
attachment in the abdomen. Therefore, this disorder of the large intestine
requires laparoscopic surgery to unwind the intestine.
2 This is incorrect. Appendicitis is treated with the use of antibiotics or surgery to
remove the appendix.
3 This is incorrect. Hemorrhoids are treated with topical corticosteroid cream or
minimal invasive procedures.
4 This is incorrect. Diverticular disease is treated with the help of surgery after the
acute episode has passed.
PTS: 1 CON: Bowel Elimination
22. ANS: 2
Chapter: Chapter 30, Common Disorders of the Large Intestine
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24. ANS:
1432
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 734
Heading: Physical Examination
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Assessment
Difficulty: Moderate
Feedback: While performing the physical examination of the abdomen, the nurse should first
visually inspect the abdomen. If the abdomen is filled with gas, it appears distended. Next, the nurse
should auscultate the client’s abdomen. Bowel sounds will be normal in the early course of bowel
disorder, but they may become quiet or rushing as the disorder progresses. Percussion of the
abdomen reveals tympany when the bowel is filled with gas. Palpation should be the next step,
revealing tenderness, rigidity, and involuntary guarding.
PTS: 1 CON: Assessment
MULTIPLE RESPONSE
25. ANS: 1, 3, 4
Chapter: Chapter 30, Common Disorders of the Large Intestine
Objective: Recognize assessment techniques, laboratory tests, and imaging studies used in the
diagnosis of disorders of the large intestine.
Page: 735
Heading: Common Disorders of the Large Intestine
Integrated Processes: Nursing Process
Client Need: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Bowel Elimination
Difficulty: Difficult
Feedback
1. This is correct. An elevated level of white blood cells is seen in appendicitis due to
inflammation.
2. This is incorrect. In constipation, there is no increase in the level of white blood
cells.
3. This is correct. An elevated level of white blood cells is seen in diverticular disease
due to inflammation.
4. This is correct. An elevated level of white blood cells is seen in large bowel
obstruction due to inflammation and perforation.
5. This is incorrect. Irritable bowel syndrome is the alteration of the GI motility. The
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blood count shows no elevated levels of white blood cells.
PTS: 1 CON: Bowel Elimination
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Ch30 - Practice Questions
Course: Applied Pathophysiology (NUR 376)
85 Documents
Students shared 85 documents in this course
University: Concordia University Saint Paul
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N U R S I N G T B . C O M
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Chapter 30, Common Disorders of the Large Intestine
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care for a client in the emergency room with an initial presence of pain in the
abdomen. Assessment elicits the presence of rebound pain at McBurney’s point, an ultrasound is
positive for an inflamed appendix, and white blood cells (WBCs) are moderately elevated. Which
prescription does the nurse anticipate from the health-care provider?
1.
Initiate nothing by mouth (NPO) status and start an IV infusion
2.
Medicate the client with opioids for pain above a level 5
3.
Administer oral antibiotics and explain continued use at home
4.
Present information regarding the risk for developing peritonitis
____ 2. The staff nurses are reviewing precautions to be taken while caring for a client with suspected need
of surgery for appendicitis. Which statement made by a nurse indicates understanding?
1.
“The client will not require IV fluids.”
2.
“The client will not be prescribed ampicillin.”
3.
“The client is given a laxative before surgery.”
4.
“The client is not given prediagnosis pain medications.”
____ 3. Which part of the gastrointestinal (GI) tract is involved in the production of protective mucus?
1.
Goblet cells
2.
Submucosal layer
3.
Circular muscle layer
4.
Columnar epithelial cells
____ 4. Which is the largest serous membrane in the body?
1.
Peritoneal serosa
2.
Submucosal layer
3.
Columnar epithelium
4.
Circular muscle layer
____ 5. Which side effect does the nurse expect to observe in a client who is on epinephrine therapy?
1.
Gastrocolic reflex
2.
Injuries to the gastric epithelium
3.
Suppression of the urge to defecate
4.
Decreased gastrointestinal secretions
____ 6. The nurse is preparing information for a client newly diagnosed with ulcerative colitis. Which
information is more likely associated with Crohn’s disease than with ulcerative colitis?
1.
Only the large intestine is affected.
2.
The patient is prone to anal fistula and fissure formation.
3.
It predisposes the client to colon cancer.
4.
The disease affects only the mucosa and submucosa layers.
____ 7. The nurse reviews the colonoscopy report on a client. The nurse concludes that which disorder is
diagnosed by the presence of a “cobblestoning” appearance?
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