a client is scheduled for an abdominal perineal resection with permanent colostomy which of the following measures would most likely be included in th
Logo

Nursing Elites

ATI RN

Gastrointestinal System Nursing Exam Questions

1. A client is scheduled for an abdominal perineal resection with permanent colostomy. Which of the following measures would most likely be included in the plan for the client's preoperative preparation?

Correct answer: B

Rationale: Antibiotics are administered preoperatively to reduce the bacterial count in the colon. The client will be placed on a low residue diet to help cleanse the bowel before surgery but typically is not placed on NPO status until 8 to 12 hours before surgery. Laxatives and enemas may also be administered. Chest tubes would not be expected postoperatively. There is no need to limit the client's activity before surgery.

2. You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?

Correct answer: D

Rationale: The surgery to create an ileoanal reservoir occurs in two stages.

3. Surgical management of ulcerative colitis may be performed to treat which of the following complications?

Correct answer: D

Rationale: Surgical management of ulcerative colitis may be necessary to treat complications such as bowel perforation.

4. Hepatic encephalopathy develops when the blood level of which substance increases?

Correct answer: A

Rationale: Hepatic encephalopathy develops when the blood level of ammonia increases.

5. Which of the following treatments is used for rectal cancer but not for colon cancer?

Correct answer: C

Rationale: Radiation therapy is commonly used for rectal cancer to shrink the tumor before surgery, which is not typically done for colon cancer.

Similar Questions

The nurse is providing discharge instructions to a client following gastrectomy. Which measure will the nurse instruct the client to follow to assist in preventing dumping syndrome?
A nurse is caring for a client who has a new diagnosis of Crohn's disease. Which of the following findings should the nurse expect?
Glenda has cholelithiasis (gallstones). You expect her to complain of:
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant?
You’re preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he’s anxious. What should your initial step be in working with this patient?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses