ATI RN
ATI Gastrointestinal System Quizlet
1. When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include?
- A. Drink 6 glasses of fluid each day.
- B. Avoid grain products and nuts.
- C. Add at least 4 grams of brain to your cereal each morning.
- D. Be sure to get regular exercise.
Correct answer: D
Rationale: To prevent constipation, elderly clients should be encouraged to get regular exercise, which promotes bowel motility.
2. Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
- A. Low-fiber diet and fluid restrictions.
- B. Total parenteral nutrition and bed rest.
- C. High-fiber diet and administration of psyllium.
- D. Administration of analgesics and antacids.
Correct answer: C
Rationale: Care for a patient with diverticulosis includes a high-fiber diet and administration of psyllium.
3. A nurse is providing instructions to a client who will collect a stool specimen for occult blood. The nurse instructs the client to avoid which of the following for 3 days before the collection of the stool specimen?
- A. Milk products
- B. Hard cheese
- C. Turnips
- D. Cottage cheese
Correct answer: C
Rationale: The correct answer is C: Turnips. The nurse would instruct the client to avoid red meat, poultry, fish, turnips, horseradish, and foods such as fruits and vegetables for 3 days before and during testing. These products may alter test results. Choices A, B, and D are incorrect because they are not specifically mentioned as items to avoid before collecting a stool specimen for occult blood.
4. 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?
- A. Assessing the client's bowel sounds
- B. Providing skin care following bowel movements
- C. Evaluating the client's response to antidiarrheal medications
- D. administration of pain medication every 4 hours
Correct answer: B
Rationale: Providing skin care following bowel movements, maintaining intake and output records, and obtaining the client's weight can be delegated to a unlicensed assistant.
5. Brenda, a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:
- A. Continuous peritoneal lavage.
- B. Regular diet with increased fat.
- C. Nutritional support with TPN.
- D. Insertion of a T tube to drain the pancreas.
Correct answer: C
Rationale: Treatment for acute pancreatitis includes nutritional support with TPN.
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