ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 5
The client with Crohn's disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
Correct Answer: A
Rationale: Lying supine with the legs straight can increase abdominal tension and exacerbate pain. The client should be advised to lie with the legs bent to reduce muscle tension and discomfort.
Question 2 of 5
If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn's disease or ulcerative colitis?
Correct Answer: D
Rationale: A colonoscopy with biopsy is the most definitive diagnostic test to differentiate between Crohn's disease and ulcerative colitis.
Question 3 of 5
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 4 of 5
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
Correct Answer: D
Rationale: Rebound tenderness is a sign of peritonitis, a serious complication that needs to be reported to the physician immediately.
Question 5 of 5
Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
Correct Answer: A
Rationale: The priority focus of nursing management for a client with peritonitis is fluid and electrolyte balance to prevent shock.
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