a client with a peptic ulcer is scheduled for a vagotomy the client asks the nurse about the purpose of this procedure the nurse tells the client that
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Nursing Elites

ATI RN

ATI Gastrointestinal System

1. A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:

Correct answer: D

Rationale: A vagotomy reduces the stimulus to acid secretions by cutting the vagus nerve, which innervates the stomach.

2. After a subtotal gastrectomy, care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?

Correct answer: C

Rationale: Monitoring the client for nausea, vomiting, and abdominal distention is crucial for ensuring proper functioning of the nasogastric tube and drainage system.

3. A home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need

Correct answer: A

Rationale: A lack of the intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia. Vitamin B12 is needed for the maturation of red blood cells. Vitamin B6 is not necessarily needed for pernicious anemia and can be taken orally. An antibiotic and antacids may be prescribed for certain types of gastric ulcers.

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

Correct answer: C

Rationale: Rectal bleeding is a common symptom in clients with rectal cancer.

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

Correct answer: A

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

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