ATI Gastrointestinal Questions with CORRECT
Answers
Question:
A nurse is assessing a client who has peritonitis. Which of the following findings should
the nurse expect?
Answer:
- Bloody diarrhea
Question:
- Board-like abdomen
- Periumbilical cyanosis
Increased bowel sounds
Answer:
Board-like abdomen A board-like , distended abdomen, accompanied by extreme pain
and tenderness, is an expected finding for a client who has peritonitis.
Question:
- Decreased serum carcinoembryonic antigen (CEA) level
- Hematocrit 43%
Hemoglobin 9.1 g/dL
Answer:
Hemoglobin 9.1 g/dL
Question:
- Check mental status once daily
- Provide a daily intake of 4 g of sodium for the client.
Assess the client's breath sounds every 12 hr.
Answer:
Measure the client's abdominal girth daily The nurse should measure the client's
abdominal girth and weigh the client daily to monitor the amount of fluid accumulation
in the abdomen and the effectiveness of treatment measures.
, Question:
- "I will avoid medications that contain acetaminophen."
- "I will decrease my intake of calories."
"I can donate blood once I am in remission."
Answer:
"I will avoid medications that contain acetaminophen." A client who has hepatitis C
should avoid medications that contain acetaminophen, which can cause additional liver
damage.
Question:
- "Stop taking aspirin the day before the procedure."
- "Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth
for 6 hr
before the procedure." "Drink the oral liquid preparation for bowel cleansing slowly the
night before the procedure."
Answer:
"Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for
6 hr before the procedure." The nurse should instruct the client to drink clear liquids for
24 hr prior to the colonoscopy to promote adequate bowel cleansing.
Question:
- Magnesium hydroxide
- Ciprofloxacin
Potassium
Answer:
Magnesium hydroxide Nausea, vomiting, and diarrhea are manifestations of enteritis.
The nurse should clarify a prescription for magnesium hydroxide, also know as milk of
magnesia, with the provider. This medication increases gastrointestinal motility, which
can increase the client's risk for an electrolyte imbalance and contribute to dehydration.
Question:
- Liquid ileostomy output
- Dark purple stoma
Sensation of burning during bowel elimination
Answer:
Dark purple stoma The nurse should instruct the client to contact the provider if the
stoma is a dark purple color, which is an indication of bowel ischemia.
Answers
Question:
A nurse is assessing a client who has peritonitis. Which of the following findings should
the nurse expect?
Answer:
- Bloody diarrhea
Question:
- Board-like abdomen
- Periumbilical cyanosis
Increased bowel sounds
Answer:
Board-like abdomen A board-like , distended abdomen, accompanied by extreme pain
and tenderness, is an expected finding for a client who has peritonitis.
Question:
- Decreased serum carcinoembryonic antigen (CEA) level
- Hematocrit 43%
Hemoglobin 9.1 g/dL
Answer:
Hemoglobin 9.1 g/dL
Question:
- Check mental status once daily
- Provide a daily intake of 4 g of sodium for the client.
Assess the client's breath sounds every 12 hr.
Answer:
Measure the client's abdominal girth daily The nurse should measure the client's
abdominal girth and weigh the client daily to monitor the amount of fluid accumulation
in the abdomen and the effectiveness of treatment measures.
, Question:
- "I will avoid medications that contain acetaminophen."
- "I will decrease my intake of calories."
"I can donate blood once I am in remission."
Answer:
"I will avoid medications that contain acetaminophen." A client who has hepatitis C
should avoid medications that contain acetaminophen, which can cause additional liver
damage.
Question:
- "Stop taking aspirin the day before the procedure."
- "Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth
for 6 hr
before the procedure." "Drink the oral liquid preparation for bowel cleansing slowly the
night before the procedure."
Answer:
"Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for
6 hr before the procedure." The nurse should instruct the client to drink clear liquids for
24 hr prior to the colonoscopy to promote adequate bowel cleansing.
Question:
- Magnesium hydroxide
- Ciprofloxacin
Potassium
Answer:
Magnesium hydroxide Nausea, vomiting, and diarrhea are manifestations of enteritis.
The nurse should clarify a prescription for magnesium hydroxide, also know as milk of
magnesia, with the provider. This medication increases gastrointestinal motility, which
can increase the client's risk for an electrolyte imbalance and contribute to dehydration.
Question:
- Liquid ileostomy output
- Dark purple stoma
Sensation of burning during bowel elimination
Answer:
Dark purple stoma The nurse should instruct the client to contact the provider if the
stoma is a dark purple color, which is an indication of bowel ischemia.
