ATI RN
ATI Gastrointestinal System Quizlet
1. An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?
- A. Prepare 750 ml of irrigating solution warmed to 100*F
- B. Question the physician about the order
- C. Provide privacy and explain the procedure to the client
- D. Assist the client to left lateral Sim’s position
Correct answer: B
Rationale: An enema is contraindicated in clients with suspected appendicitis because it can increase the risk of perforation. It is important to verify the appropriateness of this order with the physician.
2. Which action demonstrates primary prevention?
- A. Administering immunizations
- B. Teaching healthy lifestyle behaviors
- C. Educating about the importance of regular check-ups
- D. Screening for early signs of disease
Correct answer: A
Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.
3. The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?
- A. Fluids in addition to breast milk are not needed.
- B. Water should be given if the infant seems to nurse longer than usual.
- C. Clear juices are better than water to promote adequate fluid intake.
- D. Water once or twice a day will make up for losses resulting from environmental temperature.
Correct answer: A
Rationale: Breast milk provides adequate hydration, even in warm weather, so additional fluids like water are not necessary and can interfere with breastfeeding.
4. A client who is postpartum reports abdominal cramping during breastfeeding. Which of the following actions should the nurse take?
- A. Administer ibuprofen
- B. Administer oxytocin
- C. Place a warm compress on the client's abdomen
- D. Assist the client to change positions
Correct answer: A
Rationale: Abdominal cramping during breastfeeding is common due to the release of oxytocin. Ibuprofen, an analgesic, is suitable for relieving discomfort. Administering oxytocin is unnecessary and may exacerbate the cramping. Placing a warm compress may not address the underlying cause of the cramping. Changing positions may provide temporary relief but does not address the cause of the cramping.
5. A client developed fat embolism syndrome (FES) following a fracture. Which of the following laboratory findings should the nurse expect?
- A. Decreased serum calcium level
- B. Decreased level of serum lipids
- C. Decreased erythrocyte sedimentation rate (ESR)
- D. Increased platelet count
Correct answer: Decreased serum calcium level
Rationale: In fat embolism syndrome (FES), fat globules enter the bloodstream and can lead to various complications, including a decrease in serum calcium levels. This occurs due to the formation of fat emboli in the vessels, which can interfere with calcium metabolism. Therefore, a decreased serum calcium level is an expected laboratory finding in a client with fat embolism syndrome.
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