ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following types of diets is implicated in the development of diverticulosis?
- A. Low-fiber diet
- B. High-fiber diet
- C. High-protein diet
- D. Low-carbohydrate diet
Correct answer: A
Rationale: A low-fiber diet is implicated in the development of diverticulosis because it leads to harder stools and increased pressure in the colon. The lack of fiber results in decreased bulk and slower transit time, predisposing individuals to constipation and the formation of diverticula. High-fiber diets, on the other hand, promote regular bowel movements and help prevent diverticular disease. High-protein and low-carbohydrate diets do not have a direct association with diverticulosis.
2. The client who has undergone creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
- A. Watches the nurse empty the colostomy bag
- B. Looks at the ostomy site
- C. Reads the ostomy product literature
- D. Practices cutting the ostomy appliance
Correct answer: D
Rationale: The correct answer is D: Practices cutting the ostomy appliance. This choice indicates that the client is actively involved in self-care and adapting to the colostomy. By practicing cutting the ostomy appliance, the client is demonstrating independence and self-management skills, showing significant progress towards overcoming the disturbed body image. Choices A, B, and C do not involve active participation in self-care tasks related to the colostomy, which are essential for the client's adaptation and acceptance.
3. 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?
- A. Abdominal computed tomography (CT) scan
- B. Abdominal x-ray
- C. Barium swallow
- D. Colonoscopy with biopsy
Correct answer: D
Rationale: A colonoscopy with biopsy is the most definitive diagnostic test to differentiate between Crohn's disease and ulcerative colitis.
4. The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
- A. Cleanse the peristomal skin meticulously
- B. Take in high-fiber foods such as nuts
- C. Massage the area below the stoma
- D. Limit fluid intake to prevent diarrhea.
Correct answer: A
Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.
5. Which of the following laboratory results would be expected in a client with peritonitis?
- A. Partial thromboplastin time above 100 seconds
- B. Hemoglobin level below 10 mg/dL
- C. Potassium level above 5.5 mEq/L
- D. White blood cell count above 15,000
Correct answer: D
Rationale: A white blood cell count above 15,000 is indicative of an infection, such as peritonitis.
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