ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
- A. Fluid and electrolyte balance
- B. Gastric irrigation
- C. Pain management
- D. Psychosocial issues
Correct answer: A
Rationale: The priority focus of nursing management for a client with peritonitis is fluid and electrolyte balance to prevent shock.
2. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?
- A. Calcium
- B. Glucose
- C. Magnesium
- D. Potassium
Correct answer: B
Rationale: In a patient with acute pancreatitis and a history of alcohol abuse, glucose levels are most likely to be elevated.
3. A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to:
- A. Reduce gastric acid output
- B. Protect the ulcer surface
- C. Inhibit the production of hydrochloric acid (HCl)
- D. Inhibit vagus nerve stimulation
Correct answer: C
Rationale: Cimetidine inhibits the production of hydrochloric acid (HCl), which helps to treat peptic ulcer disease.
4. A client with peptic ulcer is scheduled for a Vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure
- A. Decreases food absorption in the stomach.
- B. Heals the gastric mucosa.
- C. Halts stress reactions.
- D. Reduces the stimulus to acid secretions.
Correct answer: D
Rationale: A vagotomy, or cutting of the vagus nerve, is done to eliminate parasympathetic stimulation of gastric secretion, thereby reducing the stimulus to acid secretions. Options A, B, and C are incorrect as a vagotomy does not affect food absorption, heal the gastric mucosa, or halt stress reactions.
5. Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
- A. TPN
- B. PPN
- C. NG feeding
- D. Oral liquid supplements
Correct answer: C
Rationale: NG feeding is the preferred method for patients with a functioning GI tract but an inability to swallow foods.
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