ATI RN
ATI Gastrointestinal System Quizlet
1. Crohn’s disease can be described as a chronic relapsing disease. Which of the following areas in the GI system may be involved with this disease?
- A. The entire length of the large colon
- B. Only the sigmoid area
- C. The entire large colon through the layers of mucosa and submucosa
- D. The small intestine and colon; affecting the entire thickness of the bowel
Correct answer: D
Rationale: Crohn's disease can affect any part of the gastrointestinal tract from the mouth to the anus, but it commonly affects the small intestine and colon, involving the entire thickness of the bowel wall.
2. The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
- A. Increase fluid intake
- B. Reduce the amount of irrigation solution
- C. Perform the irrigation in the evening
- D. Place heat on the abdomen
Correct answer: A
Rationale: Increasing fluid intake helps to enhance the effectiveness of colostomy irrigation by softening the stool and promoting better fecal return.
3. Which of the following symptoms would a client in the early stages of peritonitis exhibit?
- A. Abdominal distention
- B. Abdominal pain and rigidity
- C. Hyperactive bowel sounds
- D. Right upper quadrant pain
Correct answer: B
Rationale: In the early stages of peritonitis, the client would exhibit abdominal pain and rigidity due to inflammation.
4. The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart?
- A. NPO status
- B. Insert a nasogastric tube
- C. An anticholinergic medication
- D. Morphine for pain
Correct answer: D
Rationale: Morphine for pain should be questioned as it can cause spasms of the sphincter of Oddi, worsening pancreatitis.
5. Which of the following medications is most effective for treating the pain associated with irritable bowel disease?
- A. Acetaminophen
- B. Opiates
- C. Steroids
- D. Stool softeners
Correct answer: A
Rationale: Acetaminophen is often the first line of treatment for pain associated with irritable bowel disease due to its safety profile.
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