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. 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.
3. Which of the following medications is most effective for treating the pain associated with irritable bowel disease?
- A. Acetaminophen
- B. Opiates
- C. Steroids
- D. Stool softeners
Correct answer: A
Rationale: Acetaminophen is often the first line of treatment for pain associated with irritable bowel disease due to its safety profile.
4. A client presents to the emergency room, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts him at risk for which of the following?
- A. Metabolic acidosis with hyperkalemia
- B. Metabolic acidosis with hypokalemia
- C. Metabolic alkalosis with hyperkalemia
- D. Metabolic alkalosis with hypokalemia
Correct answer: D
Rationale: Frequent vomiting can lead to metabolic alkalosis with hypokalemia due to the loss of stomach acid and electrolytes.
5. The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
- A. Increase fluid intake
- B. Reduce the amount of irrigation solution
- C. Perform the irrigation in the evening
- D. Place heat on the abdomen
Correct answer: A
Rationale: Increasing fluid intake helps to enhance the effectiveness of colostomy irrigation by softening the stool and promoting better fecal return.
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