youre preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy the patient tells you hes anxious what should your in

ATI RN

ATI Gastrointestinal System Test

1. You’re preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he’s anxious. What should your initial step be in working with this patient?

A. Determine what the patient already knows about colostomies.
B. Show the patient some pictures of colostomies.
C. Arrange for someone who has a colostomy to visit the patient.
D. Provide the patient with written material about colostomy care.

Correct answer: A

Rationale: When a patient with a malignant tumor is anxious about colorectal surgery and a colostomy, the initial step is to determine what the patient already knows about colostomies.

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. A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client’s constipation?

A. The client has not been including enough fiber in his diet
B. The client needs to increase his daily exercise
C. The client is experiencing a side effect of the aluminum hydroxide.
D. The client has developed a gastrointestinal obstruction.

Correct answer: C

Rationale: The client is experiencing a common side effect of aluminum hydroxide, which is constipation.

4. A 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 the 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. Colon cancer is most closely associated with which of the following conditions?

A. Appendicitis
B. Hemorrhoids
C. Hiatal hernia
D. Ulcerative colitis

Correct answer: D

Rationale: Ulcerative colitis is a condition closely associated with an increased risk of developing colon cancer due to chronic inflammation of the colon.