CARE OFCLIENTS WITH PROBLEM IN

NUTRITION, AND GASTRO-INTERNAL,

METABOLISM AND ENDOCRINE,
PERCEPTION AND COORDINATION, (ACUTE
AND
CHRONIC) STUDENT’S ACTIVITY SHEET BS NURSING / THIRD YEAR
Session # 1 (2 hours and 30 minutes)

Materials:
LESSON TITLE: REVIEW OF DIGESTIVE SYSTEM;
Book, pen and notebook, projector
DIAGNOSTIC EVALUATION; RELATED PHARMACOLOGY;
PAROTITIS; SIALADENITIS; SALIVARY CALCULUS
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student can:
References:
1. Review the anatomy and physiology of the gastrointestinal Smeltzer, S., Bare, B., Hinkle, J., & Cheever, K.
system (2008). Brunner &Suddarth’s Textbook of
Medical-Surgical Nursing 11th Edition.
2. Identify the related pharmacology and diagnostic tests. Lippincott Williams &Wilkins

3. Identify the medical management of the disorder/s.

RATIONALIZATION ACTIVITY (DURING THE FACE TO FACE INTERACTION WITH THE STUDENTS)
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates for 20 minutes.

1. You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
A. Observation, percussion, palpation, auscultation
B. Observation, auscultation, percussion, palpation
C. Percussion, palpation, auscultation, observation
D. Palpation, percussion, observation, auscultation
ANSWER: B. Observation, auscultation, percussion, palpation
RATIO: A proper fit protects the skin but doesn’t impair circulation

2. While palpating a female client’s right upper quadrant (RUQ), the nurse would expect to find which of the following
structures?
A.Sigmoid colon
B.Appendix
C. Spleen
D. Liver
ANSWER:
D. Liver

RATIO: The RUQ contains the liver, gallbladder, duodenum, head of the pancreas, hepatic flexure of the colon, portions of
the ascending and transverse colon, and a portion of the right kidney.

3. A female client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse
writes down which instruction for the client to follow before the test?

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 A. Fast for 8 hours before the test
B. Eat a regular supper and breakfast
C. Continue to take all oral medications as scheduled D. Monitor own bowel movement pattern for constipation
ANSWER: A Fast for 8 hours before the test
RATIO: A barium swallow is an x-ray study that uses a substance called barium for contrast to highlight abnormalities in
the gastrointestinal tract. The client should fast for 8 to 12 hours before the test, depending on physician instructions.

4. Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
A. Endoscopy
B. Upper GI series
C. Hemoglobin (Hb) levels and hematocrit (HCT
D. D. Arteriography
ANSWER: A. Endoscopy
RATIO: An endoscopy procedure may help your doctor see if and where you have GI bleeding and the bleeding's cause.
Doctors most often use upper GI endoscopy and colonoscopy to test for acute GI bleeding in the upper and lower GI tracts.

5. A patient complains about an inflamed salivary gland below his right ear. The nurse documents probable inflammation of
which gland/s?
A. Buccal
B. Parotid
C. Sublingual
D. Submandibular
ANSWER: A. Parotid
RATIO: An inflamed salivary gland below his right ear

6. Parotitis caused by bacteria is treated with which of the following drug classifications?
A. Analgesics
B. Corticosteroids
C. Antipyretics
D. Antibiotics
ANSWER: D. Antibiotics
RATIO: Antibiotics should be administered intravenously in acute bacterial parotitis after obtaining blood cultures.

7. Which of the following are the possible causes of sialadenitis? Select all that apply.
A. Dehydration
B. Stress
C. Dental extraction
D. Improper oral hygiene
E. Frequent ingestion of cold beverages
ANSWER: A, B, C, D
RATIO: The following are the possible causes of sialadenitis

8. A patient asks, “Is surgery always the treatment of choice for inflamed salivary glands?” Your best response would be:
A. Yes, surgery is always the answer.
B. Surgery is only recommended for children.
C. Elderly is not a candidate for parotidectomy.
D. The procedure is advised for chronic sialadenitis and uncontrolled pain.
ANSWER: D. The procedure is advised for chronic sialadenitis and uncontrolled pain
RATIO:The procedure is advised for chronic sialadenitis and uncontrolled pain

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 9. Which of the following conditions described as presence of calculi in the salivary glands?
A. Parotitis
B. Sialolithiasis
C. Sialadenitis
D. D. Mumps
ANSWER: B. Sialolithiasis
RATIO: Sialolithiasis is a rare condition characterized by the presence of stones within the salivary gland or duct.

10. Which of the following medical management is recommended for salivary calculus?
A. Lithotripsy
B. Antibiotic therapy
C. Nephrectomy
D. D. Endoscopy
ANSWER: B. Antibiotic therapy
RATIO: Antibiotic therapy is recommended for salivary calculus

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