ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
Cholestyramine resin (Questran Light) is prescribed for the client with an elevated serum cholesterol level. The nurse would instruct the client to take the medication
Correct Answer: B
Rationale: The correct answer is B: Mixed with fruit juice. Cholestyramine resin should be taken mixed with a liquid, such as fruit juice, to prevent esophageal irritation and improve absorption. Taking it with a meal can interfere with nutrient absorption. Taking it via rectal suppository is incorrect as it is an oral medication. Taking it at least 3 hours before meals is not necessary and may lead to decreased effectiveness. Mixing it with fruit juice helps improve tolerability and effectiveness.
Question 2 of 5
The nurse is caring for a client following a Billroth II procedure. On review of the postoperative orders, which of the following if prescribed, should the nurse question and verify?
Correct Answer: A
Rationale: The correct answer is A: Irrigating the nasogastric tube. After a Billroth II procedure, the client's stomach has been partially removed, making them prone to dumping syndrome. Irrigating the nasogastric tube can disrupt the natural digestive process and may exacerbate dumping syndrome. Instead, the focus should be on promoting slow, gradual feeding to prevent complications. Summary: B: Coughing and deep breathing exercises - Important for preventing respiratory complications postoperatively. C: Leg exercises - Essential for preventing blood clots and promoting circulation. D: Early ambulation - Encourages mobility and prevents complications such as pneumonia and blood clots.
Question 3 of 5
The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:
Correct Answer: D
Rationale: The correct answer is D: drink liquids only between meals. This is because restricting fluids during meals can worsen dumping syndrome by rapidly emptying the stomach contents into the intestines, causing symptoms like cramping and diarrhea. By advising the client to drink liquids only between meals, it allows for better digestion and absorption of nutrients, reducing the risk of dumping syndrome. Choice A is incorrect because restricting fluid intake can lead to dehydration and other complications. Choice B is incorrect as drinking liquids with meals can exacerbate dumping syndrome symptoms. Choice C is incorrect as not drinking liquids before meals may not effectively manage dumping syndrome and can lead to dehydration.
Question 4 of 5
The nurse is irrigating a client's colostomy when she complains of abdominal cramping after receiving about 100 mL of the irrigating solution. What should the nurse's first response be in this situation?
Correct Answer: A
Rationale: The correct response is A: Stop the flow of solution temporarily. This is the appropriate action to take first in this situation to prevent further complications. By stopping the flow of the solution, the nurse can assess the client's condition and determine the cause of the abdominal cramping. Repositioning the client (B) or massaging the abdomen (D) may exacerbate the cramping if there is an underlying issue. Removing the irrigation tube (C) without proper assessment could lead to complications. It is essential to prioritize the client's safety and well-being by halting the irrigation process to address any immediate concerns.
Question 5 of 5
A nurse teaches a preoperative client about the nasogastric tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed in the postoperative period when the client states
Correct Answer: C
Rationale: The correct answer is C. The rationale is as follows: The return of bowel function, evidenced by passing gas, is an important indicator of gastrointestinal motility and recovery postoperatively. It indicates that the gastrointestinal system is beginning to function normally, which is a key factor in determining when the nasogastric tube can be safely removed. Choices A and B are too general and do not provide a specific physiological indicator for tube removal. Choice D defers the decision solely to the doctor without considering the client's physiological progress. Therefore, the most appropriate and accurate indicator for tube removal is the return of bowel function and passage of gas, as stated in option C.