a client with which of the following conditions may be likely to develop rectal cancer
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Nursing Elites

ATI RN

ATI Gastrointestinal System Quizlet

1. A client with which of the following conditions may be likely to develop rectal cancer?

Correct answer: A

Rationale: Adenomatous polyps are a known risk factor for the development of rectal cancer.

2. Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is priority for her?

Correct answer: B

Rationale: For a patient with a possible bowel obstruction, measuring abdominal girth is a priority to monitor for signs of worsening obstruction or distention.

3. Which of the following laboratory results would be expected in a client with peritonitis?

Correct answer: D

Rationale: A white blood cell count above 15,000 is indicative of an infection, such as peritonitis.

4. 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?

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.

5. The client with a colostomy has an order for irrigation of the colostomy. The nurse uses which solution for the irrigation?

Correct answer: B

Rationale: The correct solution to use for the irrigation of a colostomy is warm tap water or saline solution. If tap water is not suitable for drinking, bottled water can be used. Distilled water, sterile water, and Lactated Ringer’s are not appropriate solutions for colostomy irrigation. Distilled water lacks essential minerals, sterile water may not provide adequate cleaning, and Lactated Ringer’s is not indicated for this procedure.

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