the nurse is providing discharge instructions to a client following gastrectomy which measure will the nurse instruct the client to follow to assist i
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Nursing Elites

ATI RN

ATI Gastrointestinal System

1. 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?

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.

2. A client has been diagnosed with gastroesophageal reflux disease. The nurse interprets that the client has dysfunction of which of the following parts of the digestive system?

Correct answer: C

Rationale: The lower esophageal sphincter is a functional sphincter that normally remains closed except when food or fluids are swallowed. If relaxation of this sphincter occurs, the client could experience symptoms of gastroesophageal reflux disease.

3. Which of the following expected outcomes would be most appropriate for a client with peptic ulcer disease? The client will:

Correct answer: A

Rationale: A realistic goal for this client would be to gain relief from epigastric pain. There is no need for vitamin B12 injections because this client has not had any gastric surgery that would lead to vitamin B12 deficiency. Exercise should be modified, not increased, because it can stimulate further production of gastric acid. It is not possible to eliminate stress from a client's life. Instead, the client should be assisted to develop effective coping and problem-solving strategies as necessary.

4. The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge?

Correct answer: C

Rationale: Emotional support from the family is the main need. A special diet doesn't focus on emotional needs. Role expectations don't address the main issue, but emotional support while the client is fulfilling these roles is important. The family's ability to understand the ups and downs of the illness will help them but not the client.

5. Which of the following definitions best describes diverticulosis?

Correct answer: B

Rationale: The correct answer is B: 'A noninflamed outpouching of the intestine.' Diverticulosis refers to the presence of small, bulging pouches (diverticula) that can form in the lining of the digestive system, especially the colon. These pouches are typically noninflamed. Choice A is incorrect because it describes diverticulitis, which is the inflammation of these pouches. Choice C is incorrect as it defines bowel obstruction, not diverticulosis. Choice D is incorrect as it refers to a hernia, not diverticulosis.

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