INSTRUCTIONS: Answer the following questions by providing the lettered response that best answers the question, by completing the incomplete statement, or by indicating the answer in the space provided at the end of the question.
After you have completed all of these exercises, scroll down the page and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.
1. The mechanical portion of digestion includes chewing, ____________________, __________________, and ___________________.
2. ______________________ is the major carbohydrate used for fuel.
3. The first accessory organ that enters the digestive process is the
_____________________ .
4. The wavelike action produced by contraction of the muscular wall of the alimentary canal is called ___________________.
5. The 3 parts of the small intestine are the ________________________________, ______________________________, and ______________________________.
6. Most of the absorption of food takes place in the __________________________.
7. Bile is secreted by the __________________________ and stored in the ________________________.
8. Water and electrolytes are absorbed in the ______________________________.
9. Physical examination of the abdomen involves ______________________________, and ______________________________.
10. The sigmoid colon is located in which abdominal quadrant? __________________________________________.
11. The hepatic flexure of the colon is located in the _________________________ quadrant.
12. When examining the abdomen, which should be done first palpation or auscultation? ______________________ .
13. Inability to relax the abdominal muscles is called _________________________.
14. A side effect of the use of contrast medium is ____________________________.
15. _________________________ is a potential complication of endoscopic procedures.
16. Gavage, lavage, and relief of distention are all reasons for___________________________________.
17. A 10-foot long, double lumen, single balloon, gastrointestinal tube used for small bowel suction is the _______________________________________________.
18. The tube used in the treatment of esophageal varices is the__________________________________________.
19. When inserting a nasogastric tube, the patient should first tilt his head __________________, then move it __________________ as the tube curves into the pharynx.
20. When inserting a nasogastric tube, if the patient coughs or chokes, you should _________________________.
21. Changing the patient’s position and repositioning the nasogastric tube are nursing measures used to __________________________________________________.
22. Before irrigating a nasogastric tube, you must______________________________________________________________________________________________
23. To clear a feeding tube after administering a gavage feed, you should________________________________________.
25. In a patient with a transverse colostomy you would expect the usual feces to be:
a. Solid.
b. Mushy.
c. Fluid.
26. Unless contraindicated, colostomy irrigation should be done:
a. In the morning.
b. After dinner.
c. At the same time of day the patient used to move his bowels.
27. Most ileostomies are performed because of ____________________________
28. You should never apply heat to the abdomen of a patient with appendicitis because _________________________________________________________.
24. When a physician orders “lavage until clear,” he means ___________________
29. When measuring the abdominal girth of a patient, you should do what to maintain consistency and accuracy?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
30. Inflammation of the liver with destruction of the liver cells is called _____________________________.
SOLUTIONS TO QUESTIONS, LESSON 1
1. Swallowing, peristalsis, defecation. (para 1-1b)
2. Glucose. (para 1-1c(1))
3. Salivary glands. (para 1-4b)
4. Peristalsis. (para’s 1-6, 1-8b)
5. Duodenum, jejunum, ileum. (para 1-8a)
6. Small intestine. (para 1-8b)
7. Liver, gallbladder. (para 1-8c(2))
8. Large intestine. (para 1-9c)
9. Inspection, auscultation, palpation. (para 1-16a)
10. LLQ. (figure 1-3)
11. RUQ. (figure 1-3)
12. Auscultation. (para’s 1-18, 1-19)
13. Rigidity or guarding. (para 1-19a)
14. Constipation. (para 1-20c(1))
15. Accidental perforation of tissue. (para 1-23c(1))
16. Gastrointestinal intubation. (para 1-25a)
17. Miller-Abbot tube. (para 1-26d)
18. Sengstaken-Blakemore tube. (para 1-26f)
19. Back, forward. (para 1-28g(1), (2))
20. Remove the tube. (para 1-28g)
21. Clear an obstruction in an N-G tube. (para 1-31g)
22. Check tube placement to be sure it is in the stomach. (para 1-35c)
23. Instill 30-50 ml of plain water. (para 1-37b(7))
24. Lavage until stomach contents returns clear. (para 1-38c(1))
25. b (figure 1-5)
26. c (para 1-45a)
27. Inflammatory bowel disease. (para 1-46a)
28. It may cause the appendix to rupture. (para 1-51c(4))
29. Use same tape measure, same patient position, same body location, and do it at same time each day. (para 1-53e(1))
30. Hepatitis. (para 1-55)
End of Lesson 1