sharon has cirrhosis of the liver and develops ascites what intervention is necessary to decrease the excessive accumulation of serous fluid in her pe

ATI RN

ATI Gastrointestinal System Test

1. Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?

A. Restrict fluids
B. Encourage ambulation
C. Increase sodium in the diet
D. Give antacids as prescribed

Correct answer: A

Rationale: Restricting fluids is necessary to decrease the excessive accumulation of serous fluid in the peritoneal cavity for a patient with ascites due to cirrhosis.

2. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?

A. Reducing the size of the tumor
B. Eliminating the malignant cells
C. Curing the cancer
D. Helping the bowel heal after surgery

Correct answer: A

Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.

3. Fistulas are most common with which of the following bowel disorders?

A. Crohn’s disease
B. Diverticulitis
C. Diverticulosis
D. Ulcerative colitis

Correct answer: A

Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.

4. The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:

A. Severe and unrelenting, located in the epigastric area and radiating to the back.
B. Severe and unrelenting, located in the left lower quadrant and radiating to the groin.
C. Burning and aching, located in the epigastric area and radiating to the umbilicus.
D. Burning and aching, located in the left lower quadrant and radiating to the hip.

Correct answer: A

Rationale: Acute pancreatitis typically presents with severe, unrelenting pain in the epigastric area that radiates to the back. This pain is due to inflammation and autodigestion of the pancreas.