UP CHO - 10 September 2021
Medical & Surgical Nursing
Easy

______ is a condition in which food is not digested properly, and the stomach feels full.

Appeared in: UP CHO - 10 September 2021

Explanation

  • Indigestion, medically termed dyspepsia, perfectly matches the question's description of improper digestion and a feeling of fullness.
  • It is a common symptom of gastrointestinal dysfunction, characterized by upper abdominal discomfort that is associated with eating.
  • Symptoms include a feeling of fullness, bloating, belching, and sometimes nausea or heartburn.
  • Fatty, spicy, or coarse foods can often trigger indigestion because they are more difficult to digest.

Why Other Options Were Wrong

  • Option A: Vomiting is the forceful physical act of expelling stomach contents. While it can be a result of severe indigestion, it is not the condition of feeling full and having poor digestion itself.
  • Option C: Constipation is a disorder of the lower gastrointestinal tract. Its primary symptoms are infrequent bowel movements and the passage of hard, dry stools, not upper abdominal fullness after eating.
  • Option D: Diarrhoea is also a disorder of the lower gastrointestinal tract. It is characterized by frequent, loose, and watery stools, which is unrelated to the sensation of fullness and improper digestion in the stomach.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and differentiation of common gastrointestinal symptoms as background academic context rather than a clinical decision trigger.
  • Nurses frequently encounter patients with indigestion. It's important to assess the frequency, triggers (e.g., fatty foods, stress), and severity of the symptoms.
  • Patient education is key. Advise patients to eat smaller, more frequent meals, avoid lying down immediately after eating, and manage stress to alleviate symptoms.
  • What if? If a patient reports indigestion along with unintentional weight loss, difficulty swallowing (dysphagia), or black, tarry stools (melena), it is no longer a simple case. These are 'red flag' symptoms that require immediate escalation for further investigation to rule out more serious conditions like peptic ulcers or gastric cancer.
How to Approach the Question
  • First, analyze the keywords in the question: 'food is not digested properly' and 'stomach feels full'.
  • These keywords point to a problem in the upper part of the digestive system, specifically the stomach, occurring around mealtimes.
  • Next, evaluate each option based on this understanding.
  • Vomiting is an action, not a persistent feeling of fullness.
  • Constipation and diarrhoea are problems related to bowel movements and the lower intestine.
  • Indigestion (dyspepsia) is the clinical term that specifically describes the symptoms of upper abdominal fullness and discomfort related to eating. Therefore, it is the best fit.
Concept Tested & Keywords
  • Concept Tested: Definition and differentiation of common gastrointestinal symptoms.
  • Stem keywords: food not digested properly, stomach feels full
  • Lead-in keywords: is a condition
  • Negative lead-in flag: false

Question ID

QmM3a53zO1dJ9dz40nqzxh

Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 p. 74-76

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