ATI RN
ATI Gastrointestinal System Quizlet
1. The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
- A. Increase fluid intake
- B. Reduce the amount of irrigation solution
- C. Perform the irrigation in the evening
- D. Place heat on the abdomen
Correct answer: A
Rationale: Increasing fluid intake helps to enhance the effectiveness of colostomy irrigation by softening the stool and promoting better fecal return.
2. The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
- A. Bloody diarrhea
- B. Hypotension
- C. A hemoglobin of 12 mg/dL
- D. Rebound tenderness
Correct answer: D
Rationale: Rebound tenderness is a sign of peritonitis, a serious complication that needs to be reported to the physician immediately.
3. A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?
- A. Before meals
- B. With meals
- C. At bedtime
- D. When pain occurs
Correct answer: C
Rationale: Ranitidine (Zantac) is best taken at bedtime to reduce stomach acid production overnight.
4. Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?
- A. Administration of antibiotics
- B. Assessment for complications
- C. Preparation for lithotripsy
- D. Preparation for surgery
Correct answer: B
Rationale: Assessment for complications should be the main focus of nursing management for a client hospitalized for cholecystitis.
5. Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
- A. Ulcer
- B. Crohn’s disease
- C. Chronic gastritis
- D. Ulcerative colitis
Correct answer: B
Rationale: The cobblestone appearance of the colon is characteristic of Crohn’s disease.
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