ATI RN
ATI Gastrointestinal System Quizlet
1. A client with rectal cancer may exhibit which of the following symptoms?
- A. Abdominal fullness
- B. Gastric fullness
- C. Rectal bleeding
- D. Right upper quadrant pain
Correct answer: C
Rationale: Rectal bleeding is a common symptom in clients with rectal cancer.
2. Fistulas are most common with which of the following bowel disorders?
- A. Crohn’s disease
- B. Diverticulitis
- C. Diverticulosis
- D. Ulcerative colitis
Correct answer: A
Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.
3. The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
- A. Sunken and hidden stoma
- B. Dark- and bluish-colored stoma
- C. Narrowed and flattened stoma
- D. Protruding stoma
Correct answer: D
Rationale: A protruding stoma is indicative of stoma prolapse, which occurs when the bowel protrudes excessively through the stoma.
4. A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
- A. Discharge planning
- B. Correction of nutritional deficits
- C. Prevention of DVT
- D. Instruction regarding radiation treatment
Correct answer: B
Rationale: The priority for preoperative management of a client with gastric cancer is the correction of nutritional deficits.
5. Which of the following interventions should be included in the medical management of Crohn’s disease?
- A. Increasing oral intake of fiber
- B. Administering laxatives
- C. Using long-term steroid therapy
- D. Increasing physical activity
Correct answer: C
Rationale: Long-term steroid therapy is often used in the management of Crohn's disease to reduce inflammation and suppress the immune response.
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