ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following medications is most effective for treating the pain associated with irritable bowel disease?
- A. Acetaminophen
- B. Opiates
- C. Steroids
- D. Stool softeners
Correct answer: A
Rationale: Acetaminophen is often the first line of treatment for pain associated with irritable bowel disease due to its safety profile.
2. A client diagnosed with OCD spends hours bathing and grooming. During a one-on-one interaction, the client discusses the rituals in detail but avoids any feelings that the rituals generate. Which defense mechanism should the nurse identify?
- A. Dissociation
- B. Rationalization
- C. Sublimation
- D. Intellectualization
Correct answer: D: Intellectualization
Rationale: Intellectualization is a defense mechanism where an individual focuses on rational, logical explanations to distance themselves from uncomfortable emotions. In this scenario, the client discusses the OCD rituals in a detailed and analytical manner, avoiding the emotional aspects associated with them. This behavior reflects intellectualization rather than dissociation, rationalization, or sublimation. Dissociation involves a disconnection from reality, rationalization is the attempt to justify behaviors, and sublimation is redirecting unacceptable impulses into socially acceptable activities.
3. Which of the following is a common side effect of the drug metformin?
- A. Weight loss
- B. Weight gain
- C. Drowsiness
- D. Hypertension
Correct answer: A
Rationale: The correct answer is A, weight loss. Metformin is commonly associated with weight loss rather than weight gain. Metformin works by decreasing glucose production in the liver and improving insulin sensitivity, which can lead to weight loss in some individuals. Choices B, C, and D are incorrect. Weight gain is not a typical side effect of metformin. Drowsiness and hypertension are also not commonly associated with metformin use.
4. A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene?
- A. Holding the newborn in an en face position
- B. Asking the father to change the newborn's diaper
- C. Requesting the nurse to take the newborn to the nursery so she can rest
- D. Viewing the newborn's actions as uncooperative
Correct answer: D
Rationale: The correct answer is D because viewing the newborn's actions as uncooperative indicates a lack of bonding, which requires intervention. Choices A, B, and C all involve appropriate and caring actions by the client towards the newborn. Holding the newborn in an en face position promotes bonding, involving the father in caring for the newborn is beneficial for family involvement, and requesting rest by asking the nurse to take the newborn to the nursery is a responsible action to ensure both the client and the newborn get adequate rest.
5. During the period of the embryo, the __________ becomes the __________.
- A. mesoderm; nervous system, lungs, internal organs, and skin
- B. chorion; endocrine system, muscles, placenta, and skeleton
- C. ectoderm; circulatory system, skin, skeleton, and internal organs
- D. endoderm; digestive system, lungs, urinary tract, and glands Answer: D Page Ref: 78 Skill Level: Remember Topic: Prenatal Development Difficulty Level: Moderate
Correct answer: D
Rationale: During the period of the embryo, the endoderm becomes the digestive system, lungs, urinary tract, and glands. The endoderm is one of the primary germ layers that give rise to various internal organs in the developing embryo. It plays a crucial role in the formation of organs such as the digestive system, respiratory system, and glandular structures.
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