ATI RN
ATI Gastrointestinal System Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: In the context of medical surgical nursing, it is crucial for nurses to educate clients on the proper administration of medications to ensure optimal therapeutic outcomes. In the case of ranitidine, which is a histamine-2 receptor antagonist used to treat peptic ulcers by reducing stomach acid production, taking it at bedtime is the most appropriate time. The correct answer, option C, is right because ranitidine is most effective when taken at bedtime due to its mechanism of action in inhibiting nocturnal acid secretion when the stomach is most active. This timing helps in providing sustained acid suppression throughout the night, which is beneficial for ulcer healing and symptom relief. Option A (before meals) and option B (with meals) are incorrect because ranitidine does not need to be timed with meals for effectiveness. Taking it before or with meals may not align with the physiological basis of the drug's action in reducing nocturnal acid production. Option D (when pain occurs) is also incorrect as ranitidine is not a rescue medication for immediate pain relief. It is intended for prevention and maintenance therapy in the treatment of peptic ulcers. In an educational context, understanding the rationale behind the timing of medication administration is essential for nurses to teach clients to optimize treatment outcomes. By explaining the pharmacological principles underlying the timing of ranitidine administration, nurses can empower clients to adhere to the prescribed regimen effectively.
Question 2 of 5
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?
Correct Answer: D
Rationale: In the context of medical surgical nursing, understanding the correct administration of medications is crucial for client care. The correct answer, option D, "It is best for me to take my antacid 1 to 3 hours after meals," is the most appropriate because antacids work by neutralizing gastric acid, thereby providing relief from symptoms of peptic ulcers. Taking antacids after meals ensures that there is food in the stomach to buffer the acid, maximizing the effectiveness of the medication. Option A is incorrect because antacids should not be taken simultaneously with other medications to avoid potential drug interactions. Option B is incorrect as adequate fluid intake is necessary to help the antacid dissolve and be effective. Option C is incorrect as antacids are preventive rather than reactive medications; they should be taken as a regular part of the treatment regimen, not just when symptoms occur. Educationally, this question highlights the importance of proper medication administration in the management of gastrointestinal disorders. Nurses must educate clients on the correct timing and administration of antacids to optimize their therapeutic effects and promote positive outcomes in the management of peptic ulcers.
Question 3 of 5
The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?
Correct Answer: B
Rationale: In caring for a client with chronic gastritis, it is crucial to understand the potential complications and deficiencies that may arise. The correct answer is B) Vitamin B12. Clients with chronic gastritis are at risk for decreased intrinsic factor production, which impairs the absorption of Vitamin B12 in the stomach. This can lead to Vitamin B12 deficiency, causing symptoms like anemia and neurological issues. Option A) Vitamin A deficiency is not typically associated with chronic gastritis but is more commonly linked to malabsorption disorders or inadequate dietary intake. Option C) Vitamin C deficiency is usually related to inadequate dietary intake or conditions like scurvy, not specifically chronic gastritis. Option D) Vitamin E deficiency is more commonly seen in conditions that cause fat malabsorption, like cystic fibrosis or cholestatic liver disease, rather than chronic gastritis. Understanding these specific risks in clients with chronic gastritis is vital for nurses to provide appropriate care, monitor for potential deficiencies, and intervene promptly to prevent further complications. This knowledge enhances the nurse's ability to promote optimal outcomes for their patients with gastrointestinal issues.
Question 4 of 5
The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client's record, would the nurse question?
Correct Answer: B
Rationale: In the context of a client with acute gastritis, the nurse would question the presence of Indomethacin (Indocin) on the medication record. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can exacerbate gastritis by irritating the gastric mucosa and increasing the risk of gastrointestinal bleeding and ulcers. The other options are less likely to be questioned in this scenario: A) Digoxin (Lanoxin) is a cardiac medication commonly used to treat heart conditions, not directly related to gastritis. C) Furosemide (Lasix) is a diuretic used to treat fluid retention and hypertension, not typically contraindicated in gastritis. D) Propranolol hydrochloride (Inderal) is a beta-blocker used to manage hypertension and cardiac conditions, which does not directly impact gastritis. Understanding the contraindications and potential adverse effects of medications in relation to specific health conditions like gastritis is crucial in nursing practice to ensure safe and effective care for clients. This question highlights the importance of medication knowledge and its application in the context of gastrointestinal health.
Question 5 of 5
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 750ml of green-brown drainage. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: In this scenario, the most appropriate nursing intervention is to select option B: Document the findings. This is the correct choice because documenting the drainage amount, color, and characteristics is crucial for the ongoing assessment of the client's post-operative condition. Notifying the physician (option A) may be necessary if there are significant changes in the client's condition or if the drainage is excessive, but it is not the most immediate action to take in this situation. Irrigating the T-tube (option C) or clamping the T-tube (option D) without a physician's order can be harmful and should only be done under specific circumstances and with proper authorization. Educationally, understanding the rationale behind documenting findings post-operatively is essential for nursing students. It emphasizes the importance of accurate and timely documentation in providing continuity of care, ensuring appropriate interventions, and facilitating communication among healthcare team members. It also highlights the significance of following proper protocols and seeking guidance from healthcare providers before implementing any interventions.