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 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.
3. A client is suspected of having hepatitis. Which diagnostic test results will assist in confirming this diagnosis?
- A. Decreased erythrocyte sedimentation rate
- B. Elevated serum bilirubin
- C. Elevated hemoglobin
- D. Elevated blood urea nitrogen
Correct answer: B
Rationale: Laboratory indicators of hepatitis include elevated liver enzyme levels, elevated serum bilirubin levels, elevated erythrocyte sedimentation rates, and leucopenia. An elevated blood urea nitrogen may indicate renal dysfunction. A hemoglobin level is unrelated to this diagnosis.
4. When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms would the nurse expect to see? Select ONE that does not apply.
- A. Epigastric pain at night
- B. Relief of epigastric pain after eating
- C. Vomiting
- D. Weight loss
Correct answer: B
Rationale: Signs and symptoms of a gastric ulcer include epigastric pain at night, vomiting, and weight loss. Relief of epigastric pain after eating is not typically associated with gastric ulcers.
5. 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.
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