a client with a peptic ulcer reports epigastric pain that frequently awakens her at night a feeling of fullness in the abdomen and a feeling of anxiet
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Nursing Elites

ATI RN

ATI Gastrointestinal System

1. A client with a peptic ulcer reports epigastric pain that frequently awakens her at night, a feeling of fullness in the abdomen, and a feeling of anxiety about her health. Based on this information, which nursing diagnosis would be most appropriate?

Correct answer: B

Rationale: Disturbed Sleep Pattern related to epigastric pain is appropriate because the client reports pain that frequently awakens her at night.

2. The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:

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.

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?

Correct answer: D

Rationale: A colonoscopy with biopsy is the most definitive diagnostic test to differentiate between Crohn's disease and ulcerative colitis.

4. A client with which of the following conditions may be likely to develop rectal cancer?

Correct answer: A

Rationale: Adenomatous polyps are a known risk factor for the development of rectal cancer.

5. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?

Correct answer: B

Rationale: In a patient with acute pancreatitis and a history of alcohol abuse, glucose levels are most likely to be elevated.

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