ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following terms best describes the pain associated with appendicitis?
- A. Aching
- B. Fleeting
- C. Intermittent
- D. Steady
Correct answer: D
Rationale: The correct answer is D: Steady. The pain associated with appendicitis is typically constant and steady, especially in the lower right quadrant of the abdomen. It is not described as aching (choice A) because it is more persistent and severe than a dull ache. It is not fleeting (choice B) as appendicitis pain tends to worsen over time. It is also not intermittent (choice C) as the pain is continuous and does not come and go.
2. Which of the following symptoms is associated with ulcerative colitis?
- A. Dumping syndrome
- B. Rectal bleeding
- C. Soft stools
- D. Fistulas
Correct answer: B
Rationale: Rectal bleeding is a common symptom of ulcerative colitis due to the inflammation and ulceration of the colon lining.
3. Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis?
- A. Treating constipation with chronic laxative use, leading to dependence on laxatives
- B. Chronic constipation causing an obstruction, reducing forward flow of intestinal contents
- C. Herniation of the intestinal mucosa, rupturing the wall of the intestine
- D. Undigested food blocking the diverticulum, predisposing the area to bacterial invasion
Correct answer: D
Rationale: The correct answer is D. Undigested food blocking the diverticulum can lead to bacterial invasion, causing inflammation and turning diverticulosis into diverticulitis. Choices A, B, and C do not directly facilitate the development of diverticulitis. Choice A involves a different mechanism related to laxative use, choice B describes a complication of chronic constipation but does not necessarily lead to diverticulitis, and choice C refers to a different condition involving herniation of the intestinal mucosa.
4. The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:
- A. Severe and unrelenting, located in the epigastric area and radiating to the back.
- B. Severe and unrelenting, located in the left lower quadrant and radiating to the groin.
- C. Burning and aching, located in the epigastric area and radiating to the umbilicus.
- D. Burning and aching, located in the left lower quadrant and radiating to the hip.
Correct answer: A
Rationale: Acute pancreatitis typically presents with severe, unrelenting pain in the epigastric area that radiates to the back. This pain is due to inflammation and autodigestion of the pancreas.
5. Which of the following therapies is not included in the medical management of a client with peritonitis?
- A. Broad-spectrum antibiotics
- B. Electrolyte replacement
- C. I.V. fluids
- D. Regular diet
Correct answer: D
Rationale: A regular diet is not included in the medical management of peritonitis, which requires bowel rest and IV fluids.
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