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SBS essentials quiz

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Froggy Jumps emeeeeVersión en línea SBS essentials quiz por MARIANNE 1 Short Bowel Syndrome is primarily characterized by which of the following? a Chronic inflammation of the colon causing frequent bloody stools. b Reduced mucosal surface area due to surgical resection or congenital defects, leading to malabsor c Failure of LES to relax 2 Which part of the small intestine is responsible for the absorption of Vitamin B12 and bile salts? a C. Ileum b A. Duodenum c B. Jejunum 3 A patient with SBS is experiencing frequent, watery diarrhea. Which physiological mechanism is responsible for this? a B. Osmotic shift of water into the intestinal lumen due to undigested nutrients. b A. Hypersecretion of gastrin leading to high stomach acidity. c D. Excessive production of mucus by the goblet cells. 4 For a patient with a very large resection who cannot maintain nutrition through the GI tract, what is the priority medical intervention? a B. Total Parenteral Nutrition (TPN). b C. Daily administration of antacids. c A. High-fiber oral diet. 5 Steatorrhea in SBS is primarily caused by which of the following? a C. Inadequate production of hydrochloric acid. b B. Impaired bile salt reabsorption and decreased lipase activity. c A. Excessive intake of simple carbohydrates. 6 A 22-year-old patient is diagnosed with Crohn’s disease. Which of the following pathological findings should the nurse expect based on this condition? a C. Involvement of only the mucosal and submucosal layers. b A. Continuous ulceration starting from the rectum. c B. A "cobblestone" appearance of the intestinal mucosa. 7 When assessing the stool of a patient with Crohn’s disease, which description is most characteristic? a B. Loose or semi-solid stools with infrequent gross bleeding. b C. Hard, board-like stools. c A. 20–30 bloody stools per day. 8 Which of the following is a primary feature that distinguishes Crohn’s disease from Ulcerative Colitis? a C. Ulcerative Colitis is characterized by "skip lesions". b B. Crohn’s is strictly limited to the colon and rectum. c A. Crohn’s involves transmural inflammation affecting the entire thickness of the intestinal wall. 9 A patient is experiencing an exacerbation of Crohn’s disease. Which diet should the nurse prioritize in the teaching plan? a C. High-carbohydrate, low-protein diet. b B. Low-residue, high-protein diet. c A. High-fiber, high-fat diet. 10 What is the term for the clinical sign where pain is felt in the Right Lower Quadrant (RLQ) when the Left Lower Quadrant is palpated, occasionally seen in inflammatory conditions? a B. Murphy’s Sign. b C. McBurney’s Point tenderness. c A. Rovsing’s Sign. 11 Cystic Fibrosis is a multisystem disorder caused by a mutation in the CFTR gene. What is the primary physiological result of this mutation? a C. Rapid destruction of alveolar basement membranes. b B. Production of thick, viscous secretions that obstruct various ducts. c A. Overproduction of dilute, watery secretions. 12 Which diagnostic test is considered the "gold standard" for confirming a diagnosis of Cystic Fibrosis? a D. Pulmonary Function Test (PFT). b C. Sweat Chloride Test. c A. Sputum Culture and Sensitivity. 13 A nurse is assessing a newborn for early signs of Cystic Fibrosis. Which finding is often the first clinical manifestation of the disease? a D. Salty-tasting skin. b B. Meconium ileus. c A. Chronic productive cough. 14 A patient with Cystic Fibrosis is prescribed pancreatic enzymes. What is the correct way for the nurse to administer this medication? a B. Immediately following every meal and snack. b A. Once daily in the morning on an empty stomach. c C. With every meal and snack to aid in the digestion of fats and proteins. 15 Chest Physiotherapy (CPT) is a cornerstone of CF management. What is the primary goal of this intervention? a D. To reduce the inflammation of the pleural lining. b A. To increase the patient's lung capacity (TLC). c B. To mobilize and clear thick secretions from the airways. 16 A patient presents with hyperpigmentation of the skin, a blood pressure of 88/50 mmHg, and a serum potassium level of 5.8 mEq/L. The nurse suspects which of the following conditions? a Addison's Disease b Cushing’s Syndrome c Pheochromocytoma 17 Which of the following instructions is most critical for a patient diagnosed with Addison's disease who is taking lifelong glucocorticoid replacement? a Increase your medication dose during periods of high stress or illness. b Restrict your salt intake during the summer months. c Take your medication only when you feel dizzy or weak. 18 A nurse is assessing a patient with Cushing’s Syndrome. Which set of clinical manifestations is most consistent with this diagnosis? a Severe headache, palpitations, and diaphoresis b Moon face, buffalo hump, and purple striae on the abdomen. c Weight loss, hypotension, and hypoglycemia. 19 A patient is suspected of having a Pheochromocytoma. Which nursing action is strictly contraindicated during the physical assessment? a Palpating the patient's abdomen b Monitoring the patient's apical pulse. c Assessing the patient's deep tendon reflexes. 20 Following an adrenalectomy for Cushing’s Syndrome, the patient’s cortisol levels drop rapidly. The nurse should monitor most closely for which life-threatening complication? a Hyperglycemic Hyperosmolar State (HHS). b Thyroid Storm. c Acute Adrenal Insufficiency (Addisonian Crisis). 21 The primary physiological cause of GERD is a malfunction of which structure? a Pyloric sphincter b Lower esophageal sphincter (LES) c Upper esophageal sphincter 22 A patient with GERD complains of a "lump in the throat." Which term should the nurse use to document this finding? a Dysphagia b Odynophagia c Globus sensation 23 Which of the following is a common extra-esophageal manifestation of GERD? a Rebound tenderness b Hypertension c Chronic cough or wheezing 24 When educating a patient about GERD management, which instruction about mealtime? a Eat three large meals a day to keep the stomach full. b Avoid lying down for at least 2 to 3 hours after eating. c Drink plenty of water with meals to dilute stomach acid. 25 A patient is prescribed Omeprazole for GERD. What is the primary action of this medication? a It neutralizes existing stomach acid. b It coats the esophagus to prevent irritation. c It reduces production of stomach acid by inhibiting the proton pump.

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por MARIANNE

Short Bowel Syndrome is primarily characterized by which of the following?

Which part of the small intestine is responsible for the absorption of Vitamin B12 and bile salts?

A patient with SBS is experiencing frequent, watery diarrhea. Which physiological mechanism is responsible for this?

For a patient with a very large resection who cannot maintain nutrition through the GI tract, what is the priority medical intervention?

Steatorrhea in SBS is primarily caused by which of the following?

A 22-year-old patient is diagnosed with Crohn’s disease. Which of the following pathological findings should the nurse expect based on this condition?

When assessing the stool of a patient with Crohn’s disease, which description is most characteristic?

Which of the following is a primary feature that distinguishes Crohn’s disease from Ulcerative Colitis?

A patient is experiencing an exacerbation of Crohn’s disease. Which diet should the nurse prioritize in the teaching plan?

What is the term for the clinical sign where pain is felt in the Right Lower Quadrant (RLQ) when the Left Lower Quadrant is palpated, occasionally seen in inflammatory conditions?

Cystic Fibrosis is a multisystem disorder caused by a mutation in the CFTR gene. What is the primary physiological result of this mutation?

Which diagnostic test is considered the "gold standard" for confirming a diagnosis of Cystic Fibrosis?

A nurse is assessing a newborn for early signs of Cystic Fibrosis. Which finding is often the first clinical manifestation of the disease?

A patient with Cystic Fibrosis is prescribed pancreatic enzymes. What is the correct way for the nurse to administer this medication?

Chest Physiotherapy (CPT) is a cornerstone of CF management. What is the primary goal of this intervention?

A patient presents with hyperpigmentation of the skin, a blood pressure of 88/50 mmHg, and a serum potassium level of 5.8 mEq/L. The nurse suspects which of the following conditions?

Which of the following instructions is most critical for a patient diagnosed with Addison's disease who is taking lifelong glucocorticoid replacement?

A nurse is assessing a patient with Cushing’s Syndrome. Which set of clinical manifestations is most consistent with this diagnosis?

A patient is suspected of having a Pheochromocytoma. Which nursing action is strictly contraindicated during the physical assessment?

Following an adrenalectomy for Cushing’s Syndrome, the patient’s cortisol levels drop rapidly. The nurse should monitor most closely for which life-threatening complication?

The primary physiological cause of GERD is a malfunction of which structure?

A patient with GERD complains of a "lump in the throat." Which term should the nurse use to document this finding?

Which of the following is a common extra-esophageal manifestation of GERD?

When educating a patient about GERD management, which instruction about mealtime?

A patient is prescribed Omeprazole for GERD. What is the primary action of this medication?