Digestive & Gastrointestinal System Disorders | NCLEX Quiz 61

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1. After an abdominal resection for colon cancer. Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:

Irrigate the incision with a saline solution.

Prevent bacterial infection of the incision.

Measure the amount of fluid lost after surgery.

Prevent accumulation of drainage in the wound.

A Jackson-Pratt drain promotes wound healing by allowing fluid to escape from the wound.

Explanation

A Jackson-Pratt drain promotes wound healing by allowing fluid to escape from the wound.

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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 61 - Quiz

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2. Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:

Periodic rectal hemorrhage.

Hypertension and tachycardia.

Vomiting and elevated temperature.

Crampy and lower left quadrant pain and low-grade fever.

One sign of acute diverticulitis is crampy lower left quadrant pain. A low-grade fever is another common sign.

Explanation

One sign of acute diverticulitis is crampy lower left quadrant pain. A low-grade fever is another common sign.

3. Glenda has cholelithiasis (gallstones). You expect her to complain of:

Pain in the right upper quadrant. radiating to the shoulder.

Pain in the right lower quadrant. with rebound tenderness.

Pain in the left upper quadrant. with shortness of breath.

Pain in the left lower quadrant. with mild cramping.

The gallbladder is located in the RUQ and a frequent sign of gallstones is pain radiating to the shoulder.

Explanation

The gallbladder is located in the RUQ and a frequent sign of gallstones is pain radiating to the shoulder.

4. Anthony. a 60 y.o. patient. has just undergone a bowel resection with a colostomy. During the first 24 hours. which of the following observations about the stoma should you report to the doctor?

Pink color.

Light edema.

Small amount of oozing.

Trickles of bright red blood.

After creation of a colostomy. expect to see a stoma that is pink. slightly edematous. with some oozing. Bright red blood. regardless of amount. indicates bleeding and should be reported to the doctor.

Explanation

5. Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:

Watery and frothy.

Bloody and mucous.

Firm and well-formed.

Alternating constipation and diarrhea.

Stools from ulcerative colitis are often bloody and contain mucus.

Explanation

Stools from ulcerative colitis are often bloody and contain mucus.

6. Jerod is experiencing an acute episode of ulcerative colitis. Which is priority for this patient?

Replace lost fluid and sodium.

Monitor for increased serum glucose level from steroid therapy.

Restrict the dietary intake of foods high in potassium.

Note any change in the color and consistency of stools.

Diarrhea d/t an acute episode of ulcerative colitis leads to fluid & electrolyte losses so fluid replacement takes priority.

Explanation

Diarrhea d/t an acute episode of ulcerative colitis leads to fluid & electrolyte losses so fluid replacement takes priority.

7. Brenda. a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:

Continuous peritoneal lavage.

Regular diet with increased fat.

Nutritional support with TPN.

Insertion of a T tube to drain the pancreas.

With acute pancreatitis. you need to rest the GI tract by TPN as nutritional support.

Explanation

With acute pancreatitis. you need to rest the GI tract by TPN as nutritional support.

8. Eleanor. a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?

Low-fiber diet and fluid restrictions.

Total parenteral nutrition and bed rest.

High-fiber diet and administration of psyllium.

Administration of analgesics and antacids.

She needs a high-fiber diet and a psyllium (bulk laxative) to promote normal soft stools.

Explanation

She needs a high-fiber diet and a psyllium (bulk laxative) to promote normal soft stools.

9. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?

Barium Swallow.

Stool examination.

Gastric analysis.

Sigmoidoscopy.

Sigmoidoscopy allows direct observation of the colon mucosa for changes. and if needed. biopsy.

Explanation

Sigmoidoscopy allows direct observation of the colon mucosa for changes. and if needed. biopsy.

10. Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?

1/16”

1/4?

1/2”

1”

Only a small amount of skin should be exposed and more than 1/16” of skin allows the excrement to irritate the skin.

Explanation

Only a small amount of skin should be exposed and more than 1/16” of skin allows the excrement to irritate the skin.

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Aug 18, 2023

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Sep 30, 2017

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