ATI RN
ATI Gastrointestinal System Quizlet
1. Surgical management of ulcerative colitis may be performed to treat which of the following complications?
- A. Gastritis
- B. Bowel herniation
- C. Bowel outpouching
- D. Bowel perforation
Correct answer: D
Rationale: Surgical management of ulcerative colitis may be necessary to treat complications such as bowel perforation.
2. Hepatic encephalopathy develops when the blood level of which substance increases?
- A. Ammonia
- B. Amylase
- C. Calcium
- D. Potassium
Correct answer: A
Rationale: Hepatic encephalopathy develops when the blood level of ammonia increases.
3. You’re patient is complaining of abdominal pain during assessment. What is your priority?
- A. Auscultate to determine changes in bowel sounds.
- B. Observe the contour of the abdomen.
- C. Palpate the abdomen for a mass.
- D. Percuss the abdomen to determine if fluid is present.
Correct answer: A
Rationale: When a patient is complaining of abdominal pain, the priority is to auscultate to determine changes in bowel sounds.
4. The nurse develops a plan of care for a client with a T tube. Which one of the following nursing interventions should be included?
- A. Inspect skin around the T tube daily for irritation.
- B. Irrigate the T tube every 4 hours to maintain patency.
- C. Maintain the client in a supine position while the T tube is in place.
- D. Keep the T tube clamped except during mealtimes.
Correct answer: A
Rationale: The correct nursing intervention to include in the plan of care for a client with a T tube is to inspect the skin around the T tube daily for irritation. Bile is erosive and can cause skin irritation, so it is crucial to keep the skin clean and dry. T tubes are not routinely irrigated; irrigation is done only with a physician's order. It is unnecessary to maintain the client in a supine position; instead, assist the client into a position of comfort. T tubes are not typically clamped unless ordered by a physician, and if clamped, it is usually done 1 to 2 hours before and after meals.
5. A client has just had surgery for colon cancer. Which of the following disorders might the client develop?
- A. Peritonitis
- B. Diverticulosis
- C. Partial bowel obstruction
- D. Complete bowel obstruction
Correct answer: C
Rationale: After surgery for colon cancer, the client may develop a partial bowel obstruction.
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