ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 5
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 5
The client with a new colostomy is concerned about the odor from the stool in the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor?
Correct Answer: A
Rationale: In the context of a client with a new colostomy concerned about odor, the correct answer is A) Yogurt. Yogurt contains probiotics that help promote healthy gut flora and may reduce odor in ostomy output. Probiotics can balance the bacterial environment in the intestines, potentially decreasing the odor of stool. Option B) Broccoli is high in fiber and can actually increase gas production and odor in ostomy output. Option C) Cucumbers are generally well-tolerated but do not specifically target odor reduction. Option D) Eggs do not have a direct effect on reducing odor in ostomy output. Educationally, this question highlights the importance of dietary considerations in managing ostomies. It emphasizes the role of probiotics in promoting digestive health and reducing odor, providing practical knowledge that can benefit patients with ostomies. Understanding the impact of different foods on ostomy output can empower nurses to provide tailored dietary advice to improve patient comfort and quality of life.
Question 3 of 5
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stools less watery?
Correct Answer: C
Rationale: In the context of a client with an ileostomy, it is essential to provide education on dietary choices that can help regulate stool consistency. The correct answer, option C (Bran), is incorrect because bran is a high-fiber food that can actually exacerbate diarrhea and lead to watery stools in individuals with an ileostomy. Option A (Pasta) and option B (Boiled rice) are both low-fiber foods that can help thicken stool and reduce water content, making them appropriate choices for individuals with an ileostomy. These foods are less likely to contribute to diarrhea or increased stool output. Option D (Low-fat cheese) does not have a significant impact on stool consistency and is not specifically known to thicken or make stool less watery. Educationally, it is important for nurses to understand the rationale behind dietary recommendations for clients with an ileostomy to ensure optimal patient outcomes. Providing accurate information on appropriate food choices can help prevent complications such as diarrhea or dehydration in this population.
Question 4 of 5
The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?
Correct Answer: B
Rationale: In the immediate post-op period following ileostomy surgery, the nurse must prioritize assessment for fluid and electrolyte imbalance as the most frequent complication. This is because an ileostomy bypasses a significant portion of the small intestine where most fluid and electrolyte absorption occurs. As a result, there is a risk of dehydration, electrolyte imbalances (such as sodium and potassium), and acid-base disturbances. These complications can lead to serious consequences like cardiac arrhythmias, muscle weakness, and neurological issues. Option A, intestinal obstruction, is less likely in the immediate post-op period as the stoma is newly created. Malabsorption of fat (Option C) and folate deficiency (Option D) are long-term complications that may occur with an ileostomy but are not immediate concerns post-surgery. Educationally, understanding the priority of assessing for fluid and electrolyte imbalance post-ileostomy surgery is crucial for nursing students to provide safe and effective care to patients undergoing gastrointestinal surgeries. Emphasizing this knowledge helps students develop critical thinking skills in prioritizing assessments and interventions based on the patient's condition.
Question 5 of 5
The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
Correct Answer: A
Rationale: In this scenario, option A is the correct response. The statement "I will need to drain the pouch regularly with a catheter" demonstrates a clear understanding of the Kock pouch procedure. In a Kock pouch surgery, a continent ileostomy is created, and the client needs to self-catheterize to empty the pouch regularly. This statement shows the client understands the need for ongoing care and maintenance of the pouch. Option B is incorrect because wearing a drainage bag for life is not characteristic of a Kock pouch. Option C is incorrect because a Kock pouch is continent and does not continuously drain; the drainage is periodic via catheterization. Option D is incorrect because a Kock pouch diverts the stool away from the rectum, so the client will not pass stool through the rectum post-surgery. Educationally, this question emphasizes the importance of pre-operative teaching in ensuring patient understanding and cooperation. Nurses play a crucial role in preparing patients for surgery by providing accurate information and addressing any concerns or misconceptions. Understanding the specifics of different ostomy procedures is essential for both nurses and patients to ensure successful post-operative outcomes.