Assessment of Gastrointestinal System (Chapter 38) Medical-Surgical Nursing, 10th Edition by Lewis

MULTIPLE CHOICE 1. Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse? a. b. ANS:B Decreased appetite Unintended weight loss c. d. Difficulty chewing food Complaints of indigestion Unintentional weight loss is not a normal finding and may indicate a problem such as cancer or depression. Poor appetite, difficulty in chewing, and complaints of indigestion are common in older patients. These will need to be addressed but are not of as much concern as the weight loss. DIF: Cognitive Level: Analyze (analysis) REF: 839 OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. An older patient reports chronic constipation. To promote bowel evacuation, the nurse will suggest that the patient attempt defecation a. b. c. d. ANS:B in the mid-afternoon. after eating breakfast. right after getting up in the morning. immediately before the first daily meal. The gastrocolic reflex is most active after the first daily meal. Arising in the morning, the anticipation of eating, and physical exercise do not stimulate these reflexes. DIF: Cognitive Level: Apply (application) REF: 836