a patient has an acute upper gi hemorrhage your interventions include

ATI RN

ATI Gastrointestinal System Test

1. A patient has an acute upper GI hemorrhage. Your interventions include:

A. Treating hypovolemia.
B. Treating hypervolemia.
C. Controlling the bleeding source.
D. Treating shock and diagnosing the bleeding source.

Correct answer: D

Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.

2. 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.

3. You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guideline do you include in this plan?

A. There is no need to change eating habits.
B. Eat six small meals a day.
C. Eat the largest meal in the evening.
D. Restrict fluid intake.

Correct answer: B

Rationale: After ileostomy closure surgery, it is recommended to eat six small meals a day to aid digestion and absorption.

4. Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?

A. Peristalsis.
B. Gastric acidity.
C. Gastric motility.
D. Gastric pH.

Correct answer: D

Rationale: After a gastric vagotomy, the gastric pH increases as a result of reduced acid secretion.

5. Vasopressin (Pitressin) therapy is prescribed for a client with a diagnosis of bleeding esophageal varices. The nurse is preparing to administer the medication to the client. Which of the following essential items is needed during the administration of this medication?

A. A cardiac monitor
B. An intubation set
C. A suction setup
D. A tracheotomy set

Correct answer: A

Rationale: The major action of vasopressin is constriction of the splanchnic blood flow. Continuous electrocardiogram and blood pressure monitoring are essential because of the constrictive effects of the medication on the coronary arteries. Options 2, 3, and 4 are not essential items required during the administration of this medication.