ATI RN
Gastrointestinal System ATI
1. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
- A. If there is any drainage, notify the surgeon immediately.
- B. The drainage will decrease daily until the bile duct heals.
- C. First, the drainage is dark green; then it becomes dark yellow.
- D. If the drainage stops, milk the tube toward the puncture wound.
Correct answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
2. You’re caring for a 28 y.o. woman with hepatitis B. She’s concerned about the duration of her recovery. Which response isn’t appropriate?
- A. Encourage her to not worry about the future.
- B. Encourage her to express her feelings about the illness.
- C. Discuss the effects of hepatitis B on future health problems.
- D. Provide avenues for financial counseling if she expresses the need.
Correct answer: A
Rationale: Encouraging the patient to not worry about the future is not appropriate. Instead, address her concerns and provide information.
3. Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:
- A. Periodic rectal hemorrhage.
- B. Hypertension and tachycardia.
- C. Vomiting and elevated temperature.
- D. Crampy and lower left quadrant pain and low-grade fever.
Correct answer: D
Rationale: Diverticulitis is characterized by crampy lower left quadrant pain and a low-grade fever.
4. A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?
- A. I should take my antacid before I take my other medications.
- B. I need to decrease my intake of fluids so that I don’t dilute the effects of my antacid.
- C. My antacid will be most effective if I take it whenever I experience stomach pains.
- D. It is best for me to take my antacid 1 to 3 hours after meals.
Correct answer: D
Rationale: It is best for the client to take the antacid 1 to 3 hours after meals to ensure effectiveness.
5. You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guideline do you include in this plan?
- A. There is no need to change eating habits.
- B. Eat six small meals a day.
- C. Eat the largest meal in the evening.
- D. Restrict fluid intake.
Correct answer: B
Rationale: After ileostomy closure surgery, it is recommended to eat six small meals a day to aid digestion and absorption.
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