ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following laboratory results would be expected in a client with peritonitis?
- A. Partial thromboplastin time above 100 seconds
- B. Hemoglobin level below 10 mg/dL
- C. Potassium level above 5.5 mEq/L
- D. White blood cell count above 15,000
Correct answer: D
Rationale: A white blood cell count above 15,000 is indicative of an infection, such as peritonitis.
2. Which of the following associated disorders may the client with Crohn’s disease exhibit?
- A. Ankylosing spondylitis
- B. Colon cancer
- C. Malabsorption
- D. Lactase deficiency
Correct answer: A
Rationale: Clients with Crohn's disease may exhibit associated disorders such as ankylosing spondylitis, which is an inflammatory condition affecting the spine.
3. Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
- A. Restrict intake of high-carbohydrate foods.
- B. Increase fluid intake with meals.
- C. Increase fat intake.
- D. Eat three regular meals a day.
Correct answer: D
Rationale: For a patient with a hiatal hernia, it is important to eat three regular meals a day to prevent symptoms.
4. After a subtotal gastrectomy, care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?
- A. Irrigate the tube with 30 ml of sterile water every hour, if needed.
- B. Reposition the tube if it is not draining well
- C. Monitor the client for N/V, and abdominal distention
- D. Turn the machine to high suction of the drainage is sluggish on low suction.
Correct answer: C
Rationale: Monitoring the client for nausea, vomiting, and abdominal distention is crucial for ensuring proper functioning of the nasogastric tube and drainage system.
5. Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
- A. He has fresh, active upper GI bleeding.
- B. He needs immediate saline gastric lavage.
- C. His gastric bleeding occurred 2 hours earlier.
- D. He needs a transfusion of packed RBCs.
Correct answer: C
Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.
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