ATI RN
ATI Gastrointestinal System Quizlet
1. 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.
2. The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
- A. Notify the physician
- B. Increase the height of the irrigation
- C. Stop the irrigation temporarily.
- D. Medicate with dilaudid and resume the irrigation
Correct answer: C
Rationale: If a client experiences abdominal cramps during a colostomy irrigation, it is appropriate to stop the irrigation temporarily to allow the cramps to subside.
3. Which of the following tests should be administered to a client suspected of having diverticulosis?
- A. Abdominal ultrasound
- B. Barium enema
- C. Barium swallow
- D. Gastroscopy
Correct answer: B
Rationale: A barium enema is a diagnostic test used to visualize the colon and can help diagnose diverticulosis.
4. The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?
- A. Intestinal obstruction
- B. Fluid and electrolyte imbalance
- C. Malabsorption of fat
- D. Folate deficiency
Correct answer: B
Rationale: Fluid and electrolyte imbalance is a common complication following ileostomy surgery due to the loss of large volumes of fluid and electrolytes through the stoma. Monitoring and replacing fluids and electrolytes is essential.
5. Which of the following symptoms indicates diverticulosis?
- A. No symptoms exist
- B. Change in bowel habits
- C. Anorexia with low-grade fever
- D. Episodic, dull, or steady midabdominal pain
Correct answer: A
Rationale: Diverticulosis often has no symptoms and is usually found incidentally during tests for other conditions.
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