ATI RN
ATI Gastrointestinal System Questions
Question 1 of 5
The nurse is reviewing the record of a client with Crohn's disease. Which of the following stool characteristics would the nurse expect to note documented in the client's record?
Correct Answer: B
Rationale: Crohn's disease is characterized by nonbloody diarrhea of usually not more than four to five stools daily. Over time, the diarrhea episodes increase in frequency, duration, and severity. Chronic constipation (
Choice
A), constipation alternating with diarrhea (
Choice
C), and stool constantly oozing from the rectum (
Choice
D) are not characteristics typically associated with Crohn's disease.
Question 2 of 5
If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?
Correct Answer: B
Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.
Question 3 of 5
The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right:
Correct Answer: B
Rationale: Pain from cholecystitis is typically located in the right upper quadrant and may radiate to the right scapula and shoulder.
Question 4 of 5
When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms would the nurse expect to see? Select ONE that does not apply.
Correct Answer: B
Rationale: Signs and symptoms of a gastric ulcer include epigastric pain at night, vomiting, and weight loss. Relief of epigastric pain after eating is not typically associated with gastric ulcers.
Question 5 of 5
The nurse develops a plan of care for a client with a T tube. Which one of the following nursing interventions should be included?
Correct Answer: A
Rationale: The correct nursing intervention to include in the plan of care for a client with a T tube is to inspect the skin around the T tube daily for irritation. Bile is erosive and can cause skin irritation, so it is crucial to keep the skin clean and dry. T tubes are not routinely irrigated; irrigation is done only with a physician's order. It is unnecessary to maintain the client in a supine position; instead, assist the client into a position of comfort. T tubes are not typically clamped unless ordered by a physician, and if clamped, it is usually done 1 to 2 hours before and after meals.
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