fistulas are most common with which of the following bowel disorders

ATI RN

ATI Gastrointestinal System Quizlet

1. Fistulas are most common with which of the following bowel disorders?

A. Crohn’s disease
B. Diverticulitis
C. Diverticulosis
D. Ulcerative colitis

Correct answer: A

Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.

2. What information is correct about stomach cancer?

A. Stomach pain is often a late symptom.
B. Surgery is often a successful treatment.
C. Chemotherapy and radiation are often successful treatments.
D. The patient can survive for an extended time with TPN.

Correct answer: A

Rationale: Stomach pain is often a late symptom of stomach cancer.

3. Which of the following measures should the nurse focus on for the client with esophageal varices?

A. Recognizing hemorrhage
B. Controlling blood pressure
C. Encouraging nutritional intake
D. Teaching the client about varices

Correct answer: A

Rationale: The primary focus for a client with esophageal varices is recognizing hemorrhage because these varices can rupture and cause significant bleeding.

4. The home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need

A. Vitamin B12 injections
B. Vitamin B6 injections
C. An antibiotic
D. An antacid

Correct answer: A

Rationale: A lack of intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia. Vitamin B12 is needed for the maturation of red blood cells. Vitamin B6 is not necessarily needed for pernicious anemia and can be taken orally. An antibiotic and antacids may be prescribed for certain types of gastric ulcers.

5. A patient with Crohn’s disease is admitted after 4 days of diarrhea. Which of the following urine specific gravity values do you expect to find in this patient?

A. 1.005
B. 1.011
C. 1.02
D. 1.03

Correct answer: D

Rationale: A urine specific gravity of 1.030 indicates concentrated urine, which is expected in a patient with dehydration due to diarrhea from Crohn’s disease.