ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 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: In caring for a hospitalized client with ulcerative colitis, the nurse must be vigilant in monitoring for complications and changes in the client's condition. The correct answer is D) Rebound tenderness. Rebound tenderness is a sign of peritonitis, which can be a serious complication of ulcerative colitis requiring immediate medical intervention. This finding indicates inflammation of the peritoneum and is a surgical emergency. Option A) Bloody diarrhea is a common symptom of ulcerative colitis and, although concerning, may not warrant immediate reporting to the physician unless it is severe or persistent. Option B) Hypotension could be a result of dehydration or sepsis in a client with ulcerative colitis but does not specifically indicate a complication that requires urgent reporting. Option C) A hemoglobin of 12 mg/dL is within the normal range for hemoglobin levels and would not be a cause for immediate concern in this context. Educationally, understanding the significance of rebound tenderness in a client with ulcerative colitis highlights the importance of thorough assessment skills and the need for timely reporting of critical findings to prevent potential complications. This scenario reinforces the critical role of the nurse in early detection and prompt intervention in managing complex gastrointestinal conditions.
Question 2 of 5
The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
Correct Answer: C
Rationale: In this scenario, the most appropriate nursing action is to stop the colostomy irrigation temporarily (Option C). When a client complains of abdominal cramps during a colostomy irrigation, it could indicate that the flow is too rapid or that there may be a blockage. Stopping the irrigation allows the nurse to assess the situation, prevent potential complications, and address the client's discomfort. Notifying the physician (Option A) is not the first action to take in this situation as it may delay necessary interventions. Increasing the height of the irrigation (Option B) can worsen the cramps and is not recommended without first assessing the client. Medicating with dilaudid and resuming the irrigation (Option D) does not address the underlying issue causing the cramps and may mask symptoms that require immediate attention. Educationally, understanding the importance of assessing and responding to client symptoms during a procedure like colostomy irrigation is crucial for nursing practice. It reinforces the principles of patient safety, critical thinking, and prompt intervention to prevent complications. By choosing the correct action, nurses can provide optimal care and promote positive outcomes for their clients.
Question 3 of 5
The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
Correct Answer: A
Rationale: In the context of teaching a client how to perform a colostomy irrigation, instructing them to increase fluid intake is the correct measure to enhance the effectiveness of the irrigation and fecal returns. By increasing fluid intake, the client can help soften the stool, making it easier to remove during the irrigation process. Adequate hydration also promotes overall bowel function and helps prevent complications such as constipation. Reducing the amount of irrigation solution (Option B) would not be beneficial as it may not provide enough fluid to effectively cleanse the colostomy. Performing the irrigation in the evening (Option C) does not directly impact the effectiveness of the procedure. Placing heat on the abdomen (Option D) may provide comfort but does not specifically enhance the irrigation process. In an educational context, it is important for nurses to teach clients about proper colostomy care to promote independence and quality of life. Understanding the rationale behind each instruction helps clients feel empowered and confident in managing their colostomy effectively. By highlighting the rationale for increasing fluid intake, nurses can ensure that clients grasp the importance of this measure in maintaining colostomy health.
Question 4 of 5
The nurse is reviewing the physician's orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client's chart?
Correct Answer: D
Rationale: In this scenario, the nurse would question the physician's order for morphine for pain management in a client with acute pancreatitis. Morphine is contraindicated in pancreatitis due to its potential to cause spasms of the sphincter of Oddi, leading to increased pressure in the pancreatic duct and exacerbating the condition. This can further worsen the client's pain and pancreatic inflammation. The other options are appropriate for a client with acute pancreatitis: A) NPO status helps rest the pancreas by reducing pancreatic enzyme secretion. B) Inserting a nasogastric tube can help decompress the stomach and reduce pressure on the pancreas. C) An anticholinergic medication may be prescribed to reduce pancreatic secretions and relieve pain by decreasing smooth muscle spasms. Educationally, understanding the rationale behind these orders is crucial for nurses caring for clients with acute pancreatitis. It highlights the importance of avoiding medications that can worsen the condition, while also emphasizing the significance of supportive measures to manage symptoms and promote healing in these patients.
Question 5 of 5
The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse would assess the client for which of the following most frequent symptom(s) of duodenal ulcer?
Correct Answer: A
Rationale: In assessing a client with a history of duodenal ulcer, the nurse must be aware of the typical symptoms associated with this condition. The correct answer, option A, "Pain that is relieved by food intake," is indicative of a duodenal ulcer. This pain occurs because food helps to neutralize the gastric acid and provides temporary relief. Option B, "Pain that radiated down the right arm," is not a common symptom of duodenal ulcers. This type of radiation is more typical of cardiac-related issues like a heart attack. Option C, "N/V (nausea/vomiting)," can be a symptom of duodenal ulcers but is not as specific or frequent as the pain relieved by food intake. Option D, "Weight loss," is a consequence of untreated or severe duodenal ulcers but is not a primary symptom that would help determine if the problem is currently active. Educationally, understanding the hallmark symptoms of duodenal ulcers is crucial for nurses to accurately assess, diagnose, and intervene in the care of patients with gastrointestinal conditions. Recognizing these symptoms can lead to prompt treatment and improved patient outcomes.