ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 5
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: In the care of an ileostomy, option A, which instructs the client to cleanse the peristomal skin meticulously, is the correct choice. Proper cleansing of the stoma and surrounding skin is essential to prevent skin breakdown, irritation, and infection. By keeping the area clean, the client can maintain skin integrity and prevent complications. Option B, recommending high-fiber foods like nuts, is incorrect for an ileostomy client. High-fiber foods can increase stool output and may cause blockages or issues for the client with an ileostomy, as their digestive system may not be able to process these foods effectively. Option C, massaging the area below the stoma, is also incorrect. Massaging the stoma or surrounding area can cause trauma or injury to the delicate tissues, leading to complications and discomfort for the client. Option D, limiting fluid intake to prevent diarrhea, is not an appropriate recommendation for an ileostomy client. Adequate hydration is crucial for ileostomy clients to prevent dehydration and maintain fluid balance, especially considering their increased risk of electrolyte imbalances due to higher fluid losses through their stoma. In an educational context, it is vital for nurses to understand the specific care needs of clients with ostomies, such as ileostomies. Providing accurate and evidence-based education to clients on stoma care helps promote their physical and emotional well-being, as well as prevent complications. Nurses play a key role in empowering clients to manage their ostomies effectively and improve their quality of life.
Question 2 of 5
The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Protruding stoma. When a stoma prolapse occurs in a client with a colostomy, the stoma will protrude further out from the abdominal wall than usual. This happens due to the weakening of the surrounding muscles and support structures, causing the stoma to extend beyond its normal position. Option A) Sunken and hidden stoma is incorrect because a sunken stoma would signify a retracted or inwardly positioned stoma, which is not indicative of prolapse. Option B) Dark- and bluish-colored stoma is incorrect as discoloration would suggest ischemia or inadequate blood supply to the stoma, not prolapse. Option C) Narrowed and flattened stoma is incorrect as these characteristics do not align with the physical presentation of a prolapsed stoma. Educationally, understanding the signs and symptoms of stoma complications like prolapse is crucial for nurses caring for patients with ostomies. Recognizing these changes early can help prevent further complications and promote timely intervention and management. Nurses should also educate patients on stoma care, signs of complications, and when to seek medical assistance to promote optimal outcomes and quality of life for individuals with ostomies.
Question 3 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 4 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 5 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.