ATI RN
ATI Gastrointestinal System Questions
Question 1 of 5
The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?
Correct Answer: B
Rationale: In caring for a client with chronic gastritis, it is crucial to understand the potential complications and deficiencies that may arise. The correct answer is B) Vitamin B12. Clients with chronic gastritis are at risk for decreased intrinsic factor production, which impairs the absorption of Vitamin B12 in the stomach. This can lead to Vitamin B12 deficiency, causing symptoms like anemia and neurological issues. Option A) Vitamin A deficiency is not typically associated with chronic gastritis but is more commonly linked to malabsorption disorders or inadequate dietary intake. Option C) Vitamin C deficiency is usually related to inadequate dietary intake or conditions like scurvy, not specifically chronic gastritis. Option D) Vitamin E deficiency is more commonly seen in conditions that cause fat malabsorption, like cystic fibrosis or cholestatic liver disease, rather than chronic gastritis. Understanding these specific risks in clients with chronic gastritis is vital for nurses to provide appropriate care, monitor for potential deficiencies, and intervene promptly to prevent further complications. This knowledge enhances the nurse's ability to promote optimal outcomes for their patients with gastrointestinal issues.
Question 2 of 5
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 750ml of green-brown drainage. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: In this scenario, the most appropriate nursing intervention is to select option B: Document the findings. This is the correct choice because documenting the drainage amount, color, and characteristics is crucial for the ongoing assessment of the client's post-operative condition. Notifying the physician (option A) may be necessary if there are significant changes in the client's condition or if the drainage is excessive, but it is not the most immediate action to take in this situation. Irrigating the T-tube (option C) or clamping the T-tube (option D) without a physician's order can be harmful and should only be done under specific circumstances and with proper authorization. Educationally, understanding the rationale behind documenting findings post-operatively is essential for nursing students. It emphasizes the importance of accurate and timely documentation in providing continuity of care, ensuring appropriate interventions, and facilitating communication among healthcare team members. It also highlights the significance of following proper protocols and seeking guidance from healthcare providers before implementing any interventions.
Question 3 of 5
The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy?
Correct Answer: A
Rationale: The correct answer is option A) "The cimetidine (Tagamet) will cause me to produce less stomach acid." This statement indicates the best understanding of the medication therapy for peptic ulcer disease. Cimetidine is a histamine-2 (H2) receptor antagonist that works by decreasing stomach acid production, which helps in healing and preventing ulcers. Option B) "Sucralfate (Carafate) will change the fluid in my stomach" is incorrect because sucralfate works by forming a protective barrier over ulcers, rather than changing the fluid in the stomach. Option C) "Antacids will coat my stomach" is incorrect as antacids neutralize stomach acid but do not provide a protective coating for ulcers like sucralfate. Option D) "Omeprazole (Prilosec) will coat the ulcer and help it heal" is incorrect because omeprazole is a proton pump inhibitor that reduces stomach acid production but does not directly coat the ulcer. Understanding the mechanism of action of each medication is crucial in providing appropriate treatment for peptic ulcer disease. Educating patients on how their medications work empowers them to participate actively in their treatment plan and promotes better adherence and outcomes.
Question 4 of 5
The client with peptic ulcer disease is scheduled for a pyloroplasty. The client asks the nurse about the procedure. The nurse plans to respond knowing that a pyloroplasty involves:
Correct Answer: D
Rationale: In this scenario, the correct answer is D) An incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum. A pyloroplasty is a surgical procedure performed to treat conditions like peptic ulcer disease by widening the opening between the stomach and the small intestine to improve gastric emptying. This procedure helps to alleviate symptoms such as gastric outlet obstruction and allows for better passage of food from the stomach to the intestines. Option A) Cutting the vagus nerve is incorrect because a pyloroplasty does not involve this nerve; the vagus nerve plays a role in regulating various functions in the gastrointestinal system. Option B) Removing the distal portion of the stomach is incorrect as this describes a different surgical procedure, such as a partial gastrectomy, which involves removing a portion of the stomach, not the pylorus. Option C) Removal of the ulcer and a large portion of the cells that produce hydrochloric acid is incorrect as it describes a different surgical intervention for peptic ulcer disease, such as a gastrectomy or ulcer removal, not specifically addressing the pylorus. Educationally, understanding the rationale behind surgical procedures like pyloroplasty is crucial for nurses caring for patients undergoing these interventions. It ensures accurate patient education and effective post-operative care to promote optimal outcomes and enhance patient understanding and compliance with treatment plans.
Question 5 of 5
A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:
Correct Answer: D
Rationale: Rationale: The correct answer is D) Reduces the stimulus to acid secretions. A vagotomy is a surgical procedure that involves cutting the vagus nerve to reduce the production of stomach acid. By reducing the stimulus to acid secretions, a vagotomy helps in managing peptic ulcers by decreasing the amount of acid in the stomach, which in turn promotes ulcer healing and prevents further damage to the gastric mucosa. Option A) Decreases food absorption in the stomach is incorrect because a vagotomy does not directly affect food absorption. It primarily targets acid secretion. Option B) Heals the gastric mucosa is incorrect because while a vagotomy can indirectly facilitate healing by reducing acid production, its primary goal is to reduce acid secretion rather than directly heal the mucosa. Option C) Halts stress reactions is incorrect as stress reactions are not directly addressed by a vagotomy. Stress can contribute to peptic ulcer formation but is not the primary focus of this surgical intervention. In an educational context, understanding the rationale behind a vagotomy in the context of peptic ulcer management is crucial for nurses caring for patients with gastrointestinal issues. By grasping the purpose of this procedure, nurses can better educate their patients on the expected outcomes and potential benefits of undergoing a vagotomy as part of their treatment plan.