ATI RN
ATI Gastrointestinal System Quizlet
1. In a client with Crohn’s disease, which of the following symptoms should not be a direct result from antibiotic therapy?
- A. Decrease in bleeding
- B. Decrease in temperature
- C. Decrease in body weight
- D. Decrease in the number of stools
Correct answer: C
Rationale: Decrease in body weight is not a direct result of antibiotic therapy but may occur due to the underlying disease process.
2. Five days after undergoing surgery, a client develops a small-bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
- A. Imbalanced nutrition: Less than body requirements
- B. Acute pain
- C. Deficient fluid volume
- D. Excess fluid volume
Correct answer: C
Rationale: For a client with a small-bowel obstruction and a Miller-Abbott tube, deficient fluid volume is the priority nursing diagnosis.
3. Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
- A. Restrict intake of high-carbohydrate foods.
- B. Increase fluid intake with meals.
- C. Increase fat intake.
- D. Eat three regular meals a day.
Correct answer: D
Rationale: For a patient with a hiatal hernia, it is important to eat three regular meals a day to prevent symptoms.
4. The nurse is providing discharge instructions to a client following gastrectomy. Which measure will the nurse instruct the client to follow to assist in preventing dumping syndrome?
- A. Eat high-carbohydrate foods
- B. Limit the fluids taken with meals
- C. Ambulate following a meal
- D. Sit in a high-Fowlers position during meals
Correct answer: B
Rationale: To prevent dumping syndrome after a gastrectomy, it is recommended to limit fluids taken with meals to slow down gastric emptying and reduce the symptoms.
5. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A. Barium Swallow.
- B. Stool examination.
- C. Gastric analysis.
- D. Sigmoidoscopy.
Correct answer: D
Rationale: Sigmoidoscopy is the diagnostic test that confirms the diagnosis of an acute episode of ulcerative colitis.
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