SOLVED

Chapter 20 Question 1 A patient is diagnosed with esophageal reflux. The nurse explains to the patient that there is an impairment in which structure? 1. Fundus 2. Duct of Wirsung 3. Cardiac sphincter 4. Antrum Question 2 A patient is diagnosed with a gastric ulcer located on the antrum. The nurse is aware that the ulcer may also affect the function of which adjacent structure? 1. Sphincter of Oddi 2. Acinus 3. Pyloric sphincter 4. Lower esophageal sphincter Question 3 A patient has been diagnosed with deficiency of the hormone cholecystokinin (CCK). The nurse would expect this patient to have difficulty digesting which nutrients? 1. Fats 2. Proteins 3. Carbohydrates 4. Vitamins 5. Minerals Question 4 A patient is demonstrating hepatic encephalopathy due to buildup of ammonia. The nurse anticipates intervention to support which function of the liver? 1. Protein metabolism 2. Vitamin synthesis 3. Fat metabolism 4. Carbohydrate metabolism Question 5 A patient is diagnosed with duodenal ulcers caused by a highly acidic gastrointestinal environment. The nurse explains that this condition may be related to deficiency in which hormone? 1. Secretin 2. Lipase 3. Elastase 4. Amylase Question 6 A patient is diagnosed with a splenic artery aneurysm. The nurse would assess for dysfunction in which organs? 1. Gallbladder 2. Stomach 3. Pancreas 4. Transverse colon 5. Spleen Question 7 The nurse is caring for a patient with an injury to cranial nerve X. Which assessment finding would the nurse attribute to that injury? 1. Rectal bleeding 2. Dry mouth 3. A metallic taste in the mouth 4. Decreased bowel sounds Question 8 A patient tells the nurse that after eating some food that tasted “off” he experienced a severe stomachache. However, after a few hours the discomfort was gone and he felt fine. Which information should the nurse consider when formulating a response to this report? 1. Decreased production of mucous in the duodenum likely propelled the organism through the system in a few hours. 2. The duodenal pH of 4.0 killed the offending organism. 3. The acidic stomach environment likely killed any offending organisms in the ingested food. 4. Chyme blocked the offending organism from attaching to the walls of the GI tract. Question 9 A patient with a history of tonsillectomy and appendectomy is admitted with a possible infection. Which etiological factor would the nurse select for the nursing diagnosis Infection, Risk for? 1. Decreased prostaglandin production 2. Impairment of gut-associated lymphoid tissue 3. Decrease in mucosa-associated lymphoid tissue 4. Degradation of superficial epithelial cells Question 10 The nurse is planning care for a patient at risk for developing an infection because of an interruption in the intestinal mucosa. Which patient history would the nurse evaluate as most likely to exacerbate this risk? 1. The patient has a history of type 2 diabetes mellitus. 2. The patient was hospitalized 2 months ago for congestive heart failure. 3. The patient was hospitalized for treatment of severe trauma sustained in a motor vehicle accident. 4. The patient has been treated for hypertension for the last 10 years.