A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?- Skildor

Question 1 of 5

A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?

A. Initiate continuous enteral feedings B. Encourage a high protein, high-calorie diet C. Implement total parenteral nutrition D. Provide six small meals a day.

Correct Answer: C

Rationale: Implementing total parenteral nutrition helps meet the nutritional needs of a client with persistent diarrhea and significant weight loss due to ulcerative colitis.

Question 2 of 5

You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?

A. Now I can never get hepatitis again. B. I can safely give blood after 3 months. C. I'll never have a problem with my liver again, even if I drink alcohol. D. My family knows that if I get tired and start vomiting, I may be getting sick again.

Correct Answer: D

Rationale: Understanding that family needs to be aware of symptoms that may indicate a recurrence of hepatitis B shows proper understanding by the patient.

Question 3 of 5

After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:

A. Irrigate the incision with a saline solution. B. Prevent bacterial infection of the incision. C. Measure the amount of fluid lost after surgery. D. Prevent accumulation of drainage in the wound.

Correct Answer: D

Rationale: The purpose of the Jackson-Pratt drain is to prevent the accumulation of drainage in the wound after an abdominal resection.

Question 4 of 5

The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following:

A. Swallow foods while leaning forward. B. Omit fluids at mealtimes. C. Eat meals sitting upright. D. Avoid soft and semisoft foods.

Correct Answer: C

Rationale: Eating meals while sitting upright helps improve swallowing and prevent complications in patients with achalasia.

Question 5 of 5

Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:

A. Giving pain medication Q6H. B. Flushing the NG tube with sterile water. C. Positioning her in high Fowler's position. D. Keeping her NPO until the return of peristalsis.

Correct Answer: D

Rationale: Postoperative care for a patient who underwent partial gastrectomy includes keeping her NPO until the return of peristalsis to prevent complications.

ATI Gastrointestinal System Test

Skildor

ATI RN

ATI RN

ATI Gastrointestinal System Test Questions

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