ATI RN
ATI Gastrointestinal System
1. A client being treated for chronic cholecystitis should be given which of the following instructions?
- A. Increase rest
- B. Avoid antacids
- C. Increase protein in diet
- D. Use anticholinergics as prescribed
Correct answer: D
Rationale: Using anticholinergics as prescribed can help manage the symptoms of chronic cholecystitis.
2. Mucosal barrier fortifiers are used in peptic ulcer disease management for which of the following indications?
- A. To inhibit mucus production
- B. To neutralize acid production
- C. To stimulate mucus production
- D. To stimulate hydrogen ion diffusion back into the mucosa
Correct answer: C
Rationale: Mucosal barrier fortifiers stimulate mucus production, which helps protect the lining of the stomach and manage peptic ulcer disease.
3. The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?
- A. Distilled water
- B. Tap water
- C. Sterile water
- D. Lactated Ringer’s
Correct answer: B
Rationale: Tap water at body temperature is generally used for colostomy irrigation unless the local water supply is not safe for drinking, in which case bottled water can be used.
4. Which of the following nursing interventions should have the highest priority during the first hour after the admission of a client with cholecystitis who is experiencing pain, nausea, and vomiting?
- A. Administering pain medication.
- B. Completing the admission history.
- C. Maintaining hydration.
- D. Teaching about planned diagnostic tests.
Correct answer: A
Rationale: Administering pain medication would have the highest priority during the first hour after the client's admission. Pain relief is essential to address the client's immediate discomfort and distress. Completing the admission history, maintaining hydration, and teaching about planned diagnostic tests are important aspects of care but can be addressed after addressing the client's pain and stabilizing their condition.
5. Which of the following symptoms indicates diverticulosis?
- A. No symptoms exist
- B. Change in bowel habits
- C. Anorexia with low-grade fever
- D. Episodic, dull, or steady midabdominal pain
Correct answer: A
Rationale: Diverticulosis often has no symptoms and is usually found incidentally during tests for other conditions.
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