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. You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guideline do you include in this plan?
- A. There is no need to change eating habits.
- B. Eat six small meals a day.
- C. Eat the largest meal in the evening.
- D. Restrict fluid intake.
Correct answer: B
Rationale: After ileostomy closure surgery, it is recommended to eat six small meals a day to aid digestion and absorption.
3. Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He’s jaundiced and reports weakness. Which intervention will you include in his care?
- A. Regular exercise.
- B. A low-protein diet.
- C. Allow patient to select his meals.
- D. Rest period after small, frequent meals.
Correct answer: D
Rationale: For a patient with hepatitis B who is jaundiced and reports weakness, providing rest periods after small, frequent meals is important.
4. Jerod is experiencing an acute episode of ulcerative colitis. What is the priority for this patient?
- A. Replace lost fluid and sodium.
- B. Monitor for increased serum glucose levels from steroid therapy.
- C. Restrict dietary intake of foods high in potassium.
- D. Note any change in the color and consistency of stools.
Correct answer: A
Rationale: The correct answer is to replace lost fluid and sodium. During an acute episode of ulcerative colitis, the priority is to manage the patient's fluid and electrolyte balance. This is crucial due to the potential for dehydration and electrolyte imbalances resulting from diarrhea and inflammation in the colon. Monitoring serum glucose levels (Choice B) may be important for patients on steroid therapy, but in this scenario, fluid and electrolyte balance take precedence. Restricting dietary intake of foods high in potassium (Choice C) is not a priority in the acute phase of ulcerative colitis. While noting changes in stool color and consistency (Choice D) is important for assessing the patient's gastrointestinal status, it is not the priority when managing acute ulcerative colitis.
5. You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A. Formed
- B. Semisolid
- C. Semiliquid
- D. Watery
Correct answer: A
Rationale: The stool from a sigmoid colostomy is typically formed.
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