ATI Gastrointestinal System Test

Questions 75

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ATI Gastrointestinal System Test Questions

Question 1 of 5

Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, "I know that I have colon cancer, too." Which response is most therapeutic?

Correct Answer: B

Rationale: Acknowledging the patient's emotions with 'You seem upset' is the most therapeutic response.

Question 2 of 5

A patient has an acute upper GI hemorrhage. Your interventions include:

Correct Answer: D

Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.

Question 3 of 5

Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?

Correct Answer: A

Rationale: A blanched stoma 2 days after colostomy surgery should be reported to the doctor as it may indicate compromised blood flow.

Question 4 of 5

Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is priority for her?

Correct Answer: B

Rationale: For a patient with a possible bowel obstruction, measuring abdominal girth is a priority to monitor for signs of worsening obstruction or distention.

Question 5 of 5

The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?

Correct Answer: B

Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.

Similar Questions

The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
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A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication?

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