ATI RN
Chapter 15 The Gastrointestinal System Review Questions Questions
Question 1 of 5
In preparing a client for a colonoscopy procedure, which task is most suitable to delegate to the nursing assistant?
Correct Answer: B
Rationale: Step 1: Delegation Principle - The task should be within the nursing assistant's scope of practice. Step 2: NPO reinforcement is a basic instruction that does not require clinical judgment. Step 3: Nursing assistant can remind the client about NPO status without interpreting medical information. Step 4: Administering laxatives (C) and enema (D) require clinical judgment and should be done by licensed staff. Step 5: Explaining the need for clear liquids (A) involves providing medical information, not just a reminder.
Question 2 of 5
When monitoring the food intake of a client with Crohn's disease, the nurse observes that the client does not eat most of the food serve The nurse learns that the client finds the food unappetizing. Which of the following steps should the nurse take to address this issue?
Correct Answer: B
Rationale: The correct answer is B. Request the dietitian to suggest more acceptable food. This step is appropriate because it involves seeking help from a professional who can provide tailored dietary recommendations based on the client's preferences and restrictions. The dietitian can work with the client to identify foods that are both appetizing and suitable for managing Crohn's disease. Explanation for why the other choices are incorrect: A: Explaining the benefits of eating the prescribed food may not address the client's issue of finding the food unappetizing. C: Providing total parenteral nutrition and lipid infusions is an extreme measure and should only be considered when all other options have been exhausted. D: Providing elemental diet formula and 5-ASA medications may not address the client's immediate concern of finding the food unappetizing.
Question 3 of 5
A client with an ileostomy wants to know why to avoid fibrous vegetables. What should be the nurse's response?
Correct Answer: B
Rationale: The correct answer is B because fibrous vegetables can potentially cause stomal obstruction in clients with an ileostomy due to their indigestible nature, leading to blockages in the stoma. This can result in severe complications and require medical intervention. Gas formation (choice A) is a common issue with high-fiber foods but is not specific to fibrous vegetables. Fibrous vegetables are not necessarily difficult to digest (choice C) for most individuals, although they may be harder for those with reduced gut function. While fibrous vegetables may contribute to loose stools, they do not directly increase the risk of diarrhea (choice D) in the same way they can cause stomal obstruction.
Question 4 of 5
Using MyPlate as a guide, what changes could the nurse suggest to bring the man's diet more in line with nutrition recommendations?
Correct Answer: A
Rationale: The correct answer is A: Increase fruits and vegetables. MyPlate recommends filling half of your plate with fruits and vegetables. By suggesting this change, the nurse can help the man consume more essential nutrients, fiber, and antioxidants. This will improve his overall diet quality. Decreasing protein intake (B) may lead to inadequate protein consumption, which is essential for muscle health. Increasing fat intake (C) may lead to excess calorie intake and weight gain. Increasing calorie intake (D) may not be necessary and could lead to weight gain if not balanced with physical activity.
Question 5 of 5
A patient asks the nurse about taking phentermine and topiramate (Qsymia) for weight loss. To avoid side effects
Correct Answer: A
Rationale: The correct answer is A because it is essential to determine if the patient has a history of certain conditions before prescribing Qsymia. This medication can worsen glaucoma (not just a history of it) making option B incorrect. Option C is incorrect because Qsymia can actually help manage hypertension. Option D is incorrect because while valvular heart disease can be a concern, it is not the primary factor to consider before prescribing this medication.