ATI RN
ATI Gastrointestinal System
1. A client being treated for chronic cholecystitis should be given which of the following instructions?
- A. Increase rest
- B. Avoid antacids
- C. Increase protein in diet
- D. Use anticholinergics as prescribed
Correct answer: D
Rationale: Using anticholinergics as prescribed can help manage the symptoms of chronic cholecystitis.
2. A client who received Prochlorperazine 4 hours ago reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?
- A. Fomepizole
- B. Naloxone
- C. Phytonadione
- D. Diphenhydramine
Correct answer: D
Rationale: The client's symptoms of face spasms after receiving Prochlorperazine indicate acute dystonia, a known side effect. Diphenhydramine is commonly administered to manage extrapyramidal symptoms, such as muscle spasms, caused by medications like Prochlorperazine. Therefore, the nurse should anticipate a prescription for Diphenhydramine to alleviate the client's symptoms. Choices A, B, and C are incorrect because Fomepizole is used in methanol or ethylene glycol poisoning, Naloxone is an opioid antagonist used in opioid overdose, and Phytonadione is vitamin K, used to reverse the effects of certain blood thinners.
3. What health teaching would not help an older adult avoid a musculoskeletal injury?
- A. Avoid home modification
- B. Wear a helmet when riding a bicycle
- C. Osteoporosis screening
- D. Fall prevention
Correct answer: A
Rationale: Avoiding home modifications can increase the risk of falls and injuries in older adults.
4. A nurse in a prenatal clinic is educating a client about expected changes during pregnancy. The nurse should instruct the client about which change during pregnancy is related to the slowing of the gastrointestinal tract?
- A. Diarrhea
- B. Constipation
- C. Decreased absorption of iron
- D. Decreased absorption of calcium
Correct answer: B
Rationale: During pregnancy, the hormonal changes can lead to the slowing down of the gastrointestinal tract, causing constipation. This occurs due to increased progesterone levels, which relax smooth muscles, including those in the intestines, leading to slower bowel movements. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. While there may be changes in the absorption of nutrients like iron and calcium, they are not directly related to the slowing of the gastrointestinal tract.
5. What is the function of the gallbladder?
- A. Filters all of the blood in the body and breaks down poisonous substances, such as alcohol and drugs
- B. Make enzymes
- C. Store and concentrate bile, a fluid produced by the liver that helps with fat digestion
- D. Helps to further digest food
Correct answer: Store and concentrate bile, a fluid produced by the liver that helps with fat digestion
Rationale: The correct answer is C: Store and concentrate bile, a fluid produced by the liver that helps with fat digestion. The gallbladder stores bile produced by the liver and releases it to aid in the digestion of fats. Choice A is incorrect as the liver, not the gallbladder, filters blood and detoxifies harmful substances. Choice B is incorrect because the production of enzymes primarily occurs in the pancreas, not the gallbladder. Choice D is incorrect as the gallbladder's main role is not to further digest food but to store and release bile.
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