ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 9
The client who has undergone creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
Correct Answer: D
Rationale: The correct answer is D: Practices cutting the ostomy appliance. This choice indicates that the client is actively involved in self-care and adapting to the colostomy. By practicing cutting the ostomy appliance, the client is demonstrating independence and self-management skills, showing significant progress towards overcoming the disturbed body image. Choices A, B, and C do not involve active participation in self-care tasks related to the colostomy, which are essential for the client's adaptation and acceptance.
Question 2 of 9
Which of the following laboratory results would be expected in a client with peritonitis?
Correct Answer: D
Rationale: A white blood cell count above 15,000 is indicative of an infection, such as peritonitis.
Question 3 of 9
Fistulas are most common with which of the following bowel disorders?
Correct Answer: A
Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.
Question 4 of 9
A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
Correct Answer: B
Rationale: The symptoms suggest possible perforation or peritonitis, which are serious complications requiring immediate medical attention. The nurse should promptly notify the physician.
Question 5 of 9
During the first few days of recovery from ostomy surgery for ulcerative colitis, which of the following aspects should be the first priority of client care?
Correct Answer: D
Rationale: During the initial recovery period from ostomy surgery, skin care is the first priority to prevent irritation and infection around the stoma site.
Question 6 of 9
The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?
Correct Answer: B
Rationale: Tap water at body temperature is generally used for colostomy irrigation unless the local water supply is not safe for drinking, in which case bottled water can be used.
Question 7 of 9
Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis?
Correct Answer: D
Rationale: The correct answer is D. Undigested food blocking the diverticulum can lead to bacterial invasion, causing inflammation and turning diverticulosis into diverticulitis. Choices A, B, and C do not directly facilitate the development of diverticulitis. Choice A involves a different mechanism related to laxative use, choice B describes a complication of chronic constipation but does not necessarily lead to diverticulitis, and choice C refers to a different condition involving herniation of the intestinal mucosa.
Question 8 of 9
A client with which of the following conditions may be likely to develop rectal cancer?
Correct Answer: A
Rationale: Adenomatous polyps are a known risk factor for the development of rectal cancer.
Question 9 of 9
The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
Correct Answer: A
Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.