a client is to take one daily dose of ranitidine zantac at home to treat her peptic ulcer the nurse knows that the client understands proper drug admi

ATI RN

ATI Gastrointestinal System

1. A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?

A. Before meals
B. With meals
C. At bedtime
D. When pain occurs

Correct answer: C

Rationale: Ranitidine (Zantac) is best taken at bedtime to reduce stomach acid production overnight.

2. You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:

A. Formed
B. Semisolid
C. Semiliquid
D. Watery

Correct answer: A

Rationale: The stool from a sigmoid colostomy is typically formed.

3. Which of the following complications is thought to be the most common cause of appendicitis?

A. A fecalith
B. Bowel kinking
C. Internal bowel occlusion
D. Abdominal bowel swelling

Correct answer: A

Rationale: A fecalith is a hardened stool that can block the appendix, leading to inflammation and infection, which is the most common cause of appendicitis.

4. A client with gastric cancer may exhibit which of the following symptoms?

A. Abdominal cramping
B. Constant hunger
C. Feeling of fullness
D. Weight gain

Correct answer: C

Rationale: Clients with gastric cancer may experience a feeling of fullness due to the presence of the tumor.

5. A nurse is caring for a client who has just returned from the operating room following the creation of a colostomy. The nurse is assessing the drainage in the pouch attached to the site where the colostomy was formed and notes serosanguineous drainage. Which nursing action is most appropriate based on this assessment?

A. Notify the physician
B. Document the amount and characteristics of the drainage
C. Apply ice to the stoma site
D. Apply pressure to the site

Correct answer: B

Rationale: During the first 24 to 72 hours following surgery, mucus and serosanguineous drainage are expected from the stoma. Documenting the amount and characteristics of the drainage is appropriate. The nurse does not need to notify the physician because this is an expected finding. Applying ice or pressure to the site is not necessary.