Quiz GIT Answer ALL questions. 1. What is the cause of peptic ulcer? A. Acid/pepsin imbalance. B.

Erosive gastritis that starts to bleed. C. Impaired mucosal defenses. D. High secretion of hydrochloric acid (HCL). 2. Stress ulcers are the result of A. Acid/pepsin imbalance. B. Erosive gastritis that starts to bleed. C. Exposure to irritants and impaired mucosal defenses. D. High secretion of HCL. 3. Client who has a history of esophageal varices should avoid A. antibiotics. B. antihistamines. C. NSAIDs (nonsteroidal anti-inflammatory drugs). D. laxatives. 4. Paralytic ileus can develop as the result of A. adhesions that obstruct the bowel lumen. B. interrupted blood flow to a portion of the bowel, which then becomes necrotic. C. interrupted nerve transmission to the bowel with a portion becoming paralyzed. D. a tumor obstructing the bowels lumen. 5. A client tells the nurse about experiencing chronic constipation. The nurse should suggest increasing intake of A. baked potatoes and rice. B. milk and cheese. C. spinach and tomato juice. D. fish and red meat. 6. A nurse should care a client who has hepatitis B infection with A. enteric precautions. B. standard precautions. C. reverse isolation. D. respiratory precautions. 7. Administration of HBIG (hepatitis B immunoglobulin) is recommended for which of these groups? A. Health care workers. B. Homosexuals. C. Anyone exposed by needle puncture or sexual contact. D. The general public. A. B. C. D. 8. The enzyme produce by pancreas that breaks down starch is amylase. pepsin. renin. angiotensin.

A. B. C. D. A. B. C. D.

9. Effect of aging to digestive systems is the following EXCEPT decrease peristalsis. decrease saliva. increase oral changes. increase enzyme. 10. Which of this nursing care NOT for client with esophageal varices. Monitor vital signs. Monitor for bleeding. Alleviate clients anxiety. Provide soft diet. PART B: DEFINE THE FOLLOWING TERMS (10 marks)

1. Gastritis 2. Gastrectomy 3. Cholecystitis 4. Cholecystectomy 5. Cholelithotomy 6. Cholelithiasis 7. Dysphagia 8. Laparotomy 9. GERD 10. IBS

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PART C: ANSWER TRUE / FALSE (10 marks)

1. F___
2. T___ 3. T___ 4. T___ 5. T___ 6. F___

Anti emetic drug would stop diarrhea. Introduction of a fiber optic instrument through the abdominal wall for diagnostic purposes is called laparoscopy. Cirrhosis is a condition involving degeneration of the liver. If I have GERD, I have severe "heartburn. A client with peptic ulcer disease need diet modifications after surgery. Nursing care for cirrhosis clients includes measuring abdominal girth weekly.

7. F___ 8. F___ 9. F___

One example of H2 receptor antagonist drugs is tablet omeperazole. Intestinal obstruction occurs when the food contents cannot pass through the stomach. A nurse should encourage the client with ulcer to take bedtime snacking.

10. T___

Treatment for peritonitis includes irrigation of the abdominal cavity with and antibiotic solutions.

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