Assessment of the Gastrointestinal System (Concepts for Interprofessional Collaborative Care College Test

Assessment of the Gastrointestinal System (Concepts for Interprofessional Collaborative Care College Test
1. The student nurse studying the gastrointestinal system understands that chyme refers to what?
a. Hormones that reduce gastric acidity
b. Liquefied food ready for digestion
c. Nutrients after being absorbed
d. Secretions that help digest food
ANS: B
Before being digested, food must be broken down into a liquid form. This liquid is called chyme. Secretin is
the hormone that inhibits acid production and decreases gastric motility. Absorption is carried out as the
nutrients produced by digestion move from the lumen of the GI tract into the bodys circulatory system for
uptake by individual cells. The secretions that help digest food include hydrochloric acid, bile, and digestive
enzymes.
2. A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication.
What action by the nurse is best?
a. Ask the client about shellfish allergies.
b. Document this information on the chart.
c. Ensure that the client has a ride home.
d. Instruct the client on bowel preparation.
ANS: A
PTC uses iodinated dye, so the client should be asked about seafood allergies, specifically to shellfish.
Documentation should occur, but this is not the priority. The client will need a ride home afterward if the
procedure is done on an outpatient basis. There is no bowel preparation for PTC.
3. A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam hydrochloride
(Versed). The clients respiratory rate is 8 breaths/min. What action by the nurse is best?
a. Administer naloxone (Narcan).
b. Call the Rapid Response Team.
c. Provide physical stimulation.
d. Ventilate with a bag-valve-mask.
ANS: C
For an EGD, clients are given mild sedation but should still be able to follow commands. For shallow or slow
respirations after the sedation is given, the nurses first action is to provide a physical stimulation such as a
sternal rub and directions to breathe deeply. Naloxone is not the antidote for Versed. The Rapid Response
Team is not needed at this point. The client does not need manual ventilation.
4. A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing
regimen. What statement by the client indicates a need for further teaching?
a. Its a good thing I love orange and cherry gelatin.

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