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Unit 44: Gastrointestinal System

Total questions: 56

Worksheet time: 43mins

Name
Class
Date
1.

A herniorrhaphy is the surgery performed when there for bowel malignancy

a)

True

b)

False

2.

The drainage from a new cholecystectomy incision is normally yellowish-green.

a)

True

b)

False

3.

The patient is positioned on the left side, if possible, for enema administration.

a)

True

b)

False

4.

When a prepackaged enema is administered, approximately 4 ounces are given.

a)

True

b)

False

5.

Be sure the bathroom is free before giving an enema.

a)

True

b)

False

6.

A flatus tube is used to reduce abdominal distention from gas.

a)

True

b)

False

7.

An enema may be given only upon direction from the nurse.

a)

True

b)

False

8.

When giving a soap-solution enema, approximately 2,000 mL are used. (1k)

a)

True

b)

False

9.

Gastric ulcers are located in the esophagus.

a)

True

b)

False

10.

A stool with occult blood will appear bloody.

a)

True

b)

False

11.

The Hemoccult test is used to determine the presence of bile in the feces.

a)

True

b)

False

12.

The proper amount of time to observe a Hemoccult packet after placing a fecal smear and adding the developer is 5 minutes.

a)

True

b)

False

13.

Odor control can be a problem when a patient has an ostomy.

a)

True

b)

False

14.

Drainage from a colostomy is always watery.

a)

True

b)

False

15.

Apply the principles of standard precautions when caring for an ostomy.

a)

True

b)

False

16.

Waste products from ostomy care are discarded in the biohazardous trash.

a)

True

b)

False

17.

A sign of possible gastrointestinal malignancy is

a)

weight gain.

b)

change in stool color.

c)

good appetite.

d)

nausea.

18.

Your patient has just returned from surgery for gallstones. She will be most comfortable in the

a)

left Sims' position.

b)

semi-Fowler's position.

c)

dorsal recumbent position.

d)

lithotomy position.

19.

Enemas are given

a)

at bedtime

b)

after surgery.

c)

after the patient showers.

d)

before diagnostic testing.

20.

The oil-retention enema is usually

a)

retained for 1 hour.

b)

softens the feces so they are easier to expel.

c)

preceded by a soap-solution enema.

d)

given in the semi-Fowler's position.

21.

Urgency is a term that means

a)

need to eliminate.

b)

inability to have a BM.

c)

need to vomit.

d)

pain from flatus.

22.

Persons who are elderly often put extra sugar on their food because:

a)

Taste buds have been lost.

b)

They need to prevent weight loss.

c)

A craving for sweets is normal.

d)

They need extra calories.

23.

Jaundice is:

a)

Yellow skin and whites of the eyes.

b)

Abnormal appearance of stools.

c)

Strangulation of the intestine.

d)

A malignancy of the lower bowel.

24.

Removal of the gallbladder and stones is:

a)

Cholecystitis

b)

Cholecystectomy.

c)

Cholelithiasis.

d)

Gastrectomy.

25.

Inform the nurse if the patient does not have a bowel movement:

a)

Daily

b)

In 3 days.

c)

In 5 days.

d)

In 2 days

26.

difficile spores can exist on hard surfaces for:

a)

5 months

b)

24 hours.

c)

30 days

d)

one year

27.

Insert the rectal suppository:

a)

6 inches above the rectal sphincter.

b)

2 to 3 inches above the rectal sphincter.

c)

1 to 2 inches above the rectal sphincter.

d)

3 to 5 inches above the rectal sphincter.

28.

The fluids used for enemas include all of the following except:

a)

Milk of Magnesia.

b)

Milk of Magnesia.

c)

Tap water

d)

Phosphosoda

29.

An artificial opening in the colon is known as a/an

a)

tracheostomy

b)

proctostomy

c)

colostomy

d)

ileostomy

30.

The reaction time for a Hemoccult test is

a)

2 to 3 minutes.

b)

90 to 120 seconds.

c)

90 to 120 seconds.

d)

30 to 60 seconds.

31.

The port of a closed urinary drainage system should be cleaned before urine withdrawal with

a)

a paper towel.

b)

alcohol

c)

soap and water.

d)

a sterile 4 X 4 gauze pad.

32.

During routine care, the area around a colostomy should

a)

be washed with soap and water.

b)

be covered with petroleum jelly.

c)

be cleaned with an alcohol sponge.

d)

be cleaned with an antiseptic.

33.

As compared to a colostomy, an ileostomy:

a)

has more formed stool.

b)

has a larger stoma.

c)

has drainage containing blood clots.

d)

tends to be more irritating.

34.

You are giving routine stoma care to a patient with a colostomy and find the area surrounding the stoma red and irritated. You should

a)

complete the procedure.

b)

clean the area with alcohol.

c)

cover the area and notify the nurse.

d)

apply powder and attach the ostomy bag.

35.

If the skin around an ileostomy stoma is broken, you should

a)

inform the nurse.

b)

seal it with appliance adhesive.

c)

wash it with soap and water.

d)

wipe it with alcohol.

36.

(Choices: Bile, Bolus, Hydrochloric Acid)

substance produced by the liver that prepares fats for digestion

(a)  

37.

(choices: Cholecystectomy, Cholelithiasis, Colostomy)


surgical removal of a diseased gallbladder and stones.

(a)  

38.

(choices: Cholecystectomy, Cholelithiasis, Colostomy)


artificial opening in the abdomen for the purpose of evacuation of feces.

(a)  

39.

(choices: gastric ulcer, enema, ulcer)

erosion of the lining of the stomach.

(a)  

40.

enema

a)

injection of water and/or medications into the rectum and colon; used to help the bowels eliminate feces

b)

formation of stones in the gallbladder.

c)

protrusion or projection of a stomach organ through the wall or cavity

41.

the most serious form of constipation, in which stool is retained in the rectum

a)

Fecal impaction

b)

Colon

c)

Constipation

42.

a condition in which the patient has multiple, watery stools.

a)

flatus

b)

diarrhea

c)

constipation

43.

another name for large intestine

(a)  

44.

difficulty in defecating

a)

diarrhea

b)

constipation

c)

stool

45.

soft rubber or plastic tube that is inserted through a nostril into the stomach

a)

Hydrochloric acid (HCl)

b)

Nasogastric tube (NG tube)

c)

Peristalsis

46.

Hydrochloric Acid (HCl) is produced by

(a)  

47.

Hernia

a)

protrusion or projection of a stomach organ through the wall or cavity

b)

formation of stones in the gallbladder

48.

Cholelithiasis

a)

surgical removal of a diseased gallbladder and stones

b)

formation of stones in the gallbladder

c)

air or gas expelled by way of any body opening

49.

soft mass of food that is ready to be swallowed; also, a dose of medication that is given all at once.

a)

bile

b)

suppository

c)

bolus

50.

Peristalsis

a)

wavelike movement by involuntary muscles in hollow tubes of the body

b)

open sore caused by inadequate blood supply and broken skin

c)

gas or air in the stomach or intestines

51.

small quantity of blood that can be detected only by microscope or chemical means

a)

Occult blood

b)

Ulcer

c)

Suppository

52.

open sore caused by inadequate blood supply and broken skin

a)

gastric ulcer

b)

ulcer

53.

Suppository (2 answers)

a)

medication used to help the bowels eliminate feces

b)

is inserted into the rectum, vagina, or urethra.

c)

retained in the rectum

d)

inadequate blood supply and broken skin

54.

review (click all)

a)

small intestine: consists duodenum, jejunum and ileum

b)

appendix: attached to the cecum with an unknown function

c)

gallbladder: stores and release bile to digest fat

d)

liver: helps control the amount of protein and sugar in the blood

55.

review (click all)

a)

pancreas: produces insulin and glucagon

b)

large intestines: absorption of some vitamins and water occurs

c)

stomach: hollow muscular j shaped organ

56.

semiliquid form that leaves from the stomach is called

a)

chyme

b)

bile

c)

Sigmoid

d)

bolus