ATI RN
ATI Gastrointestinal System Quizlet
1. The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
- A. Cleanse the peristomal skin meticulously
- B. Take in high-fiber foods such as nuts
- C. Massage the area below the stoma
- D. Limit fluid intake to prevent diarrhea.
Correct answer: A
Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.
2. A client is suspected of having hepatitis. Which diagnostic test results will assist in confirming this diagnosis?
- A. Decreased erythrocyte sedimentation rate
- B. Elevated serum bilirubin
- C. Elevated hemoglobin
- D. Elevated blood urea nitrogen
Correct answer: B
Rationale: Laboratory indicators of hepatitis include elevated liver enzyme levels, elevated serum bilirubin levels, elevated erythrocyte sedimentation rates, and leucopenia. An elevated blood urea nitrogen may indicate renal dysfunction. A hemoglobin level is unrelated to this diagnosis.
3. The client with GERD complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions?
- A. Development of laryngeal cancer
- B. Irritation of the esophagus
- C. Esophageal scar tissue formation
- D. Aspiration of gastric contents
Correct answer: D
Rationale: Aspiration of gastric contents can lead to a chronic cough in clients with GERD.
4. The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
- A. Sunken and hidden stoma
- B. Dark- and bluish-colored stoma
- C. Narrowed and flattened stoma
- D. Protruding stoma
Correct answer: D
Rationale: A protruding stoma is indicative of stoma prolapse, which occurs when the bowel protrudes excessively through the stoma.
5. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?
- A. Calcium
- B. Glucose
- C. Magnesium
- D. Potassium
Correct answer: B
Rationale: In a patient with acute pancreatitis and a history of alcohol abuse, glucose levels are most likely to be elevated.
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