ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 5
The nurse is reviewing the record of a client with Crohn's disease. Which of the following stool characteristics would the nurse expect to note documented on the client's record?
Correct Answer: B
Rationale: In the case of a client with Crohn's disease, the nurse would expect to note diarrhea as a common stool characteristic. This is because Crohn's disease is an inflammatory bowel disease that often affects the small intestine, leading to symptoms such as diarrhea due to malabsorption of nutrients and inflammation of the bowel lining. Option A, chronic constipation, is incorrect because Crohn's disease typically presents with diarrhea rather than constipation. Option C, constipation alternating with diarrhea, may occur in some gastrointestinal disorders but is less commonly associated with Crohn's disease specifically. Option D, stool constantly oozing from the rectum, is not a typical characteristic of Crohn's disease and is more commonly seen in conditions like rectal prolapse or fecal incontinence. Educationally, understanding the typical manifestations of Crohn's disease, such as diarrhea, is crucial for nurses caring for patients with this condition. Recognizing these symptoms helps in providing appropriate interventions, monitoring for complications like dehydration, and educating patients on managing their disease effectively. This knowledge enhances the quality of care provided to patients with Crohn's disease and improves patient outcomes.
Question 2 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 3 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 4 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.
Question 5 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.