ATI RN
ATI Gastrointestinal System Quizlet
1. A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
- A. Milk and dairy products
- B. Protein-containing foods
- C. Cereal grains (except rice and corn)
- D. Carbohydrates
Correct answer: C
Rationale: Gluten-induced enteropathy, or celiac disease, requires the elimination of gluten-containing grains like wheat, barley, and rye. Dairy, proteins, and carbohydrates are not excluded unless the client has specific intolerances.
2. Which of the following nursing interventions should be implemented to manage a client with appendicitis?
- A. Assessing for pain
- B. Encouraging oral intake of clear fluids
- C. Providing discharge teaching
- D. Assessing for symptoms of peritonitis
Correct answer: D
Rationale: The correct answer is D: Assessing for symptoms of peritonitis. This intervention is crucial in managing a client with appendicitis because it indicates a possible rupture of the inflamed appendix. Symptoms of peritonitis include severe abdominal pain, fever, nausea, vomiting, and abdominal rigidity. Prompt recognition of these symptoms is essential for timely intervention and surgical management. Choices A, B, and C are incorrect because while assessing for pain is important, assessing for symptoms of peritonitis takes precedence due to the critical nature of appendicitis. Encouraging oral intake of clear fluids and providing discharge teaching are not immediate priorities in the management of a client with acute appendicitis.
3. Which of the following associated disorders may a client with ulcerative colitis exhibit?
- A. Gallstones
- B. Hydronephrosis
- C. Nephrolithiasis
- D. Toxic megacolon
Correct answer: D
Rationale: Toxic megacolon is a severe complication that may be exhibited by a client with ulcerative colitis.
4. Which of the following associated disorders may the client with Crohn’s disease exhibit?
- A. Ankylosing spondylitis
- B. Colon cancer
- C. Malabsorption
- D. Lactase deficiency
Correct answer: A
Rationale: Clients with Crohn's disease may exhibit associated disorders such as ankylosing spondylitis, which is an inflammatory condition affecting the spine.
5. Which of the following symptoms is a client with colon cancer most likely to exhibit?
- A. A change in appetite
- B. A change in bowel habits
- C. An increase in body weight
- D. An increase in body temperature
Correct answer: B
Rationale: A change in bowel habits is the most common symptom of colon cancer.
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