ATI RN
ATI Gastrointestinal System
1. 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.
2. The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stools less watery?
- A. Pasta
- B. Boiled rice
- C. Bran
- D. Low-fat cheese
Correct answer: C
Rationale: Bran is high in fiber and should not be consumed to thicken the stool as it will make the stools more watery.
3. Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection?
- A. Monitoring gastric pH to detect complications
- B. Assessing for bowel sounds
- C. Providing nutritional support
- D. Monitoring for symptoms of hemorrhage
Correct answer: D
Rationale: Monitoring for symptoms of hemorrhage is a crucial part of the immediate postoperative management of a client who has undergone gastric resection.
4. The client with a duodenal ulcer may exhibit which of the following findings on assessment?
- A. Hematemesis
- B. Malnourishment
- C. Melena
- D. Pain with eating
Correct answer: C
Rationale: Melena (black, tarry stools) can be an indication of a duodenal ulcer.
5. The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?
- A. Distilled water
- B. Tap water
- C. Sterile water
- D. Lactated Ringer’s
Correct answer: B
Rationale: Tap water at body temperature is generally used for colostomy irrigation unless the local water supply is not safe for drinking, in which case bottled water can be used.
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