ATI RN
ATI Gastrointestinal System Quizlet Questions
Question 1 of 5
The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?
Correct Answer: C
Rationale: To prevent strain on the surgical site and avoid disruption of tissue integrity, the client should avoid coughing after an umbilical hernia repair.
Question 2 of 5
The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?
Correct Answer: B
Rationale: Fluid and electrolyte imbalance is a common complication following ileostomy surgery due to the loss of large volumes of fluid and electrolytes through the stoma. Monitoring and replacing fluids and electrolytes is essential.
Question 3 of 5
Which of the following interventions should be included in the medical management of Crohn's disease?
Correct Answer: C
Rationale: Long-term steroid therapy is often used in the management of Crohn's disease to reduce inflammation and suppress the immune response.
Question 4 of 5
The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
Correct Answer: A
Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.
Question 5 of 5
Which of the following nursing interventions should be implemented to manage a client with appendicitis?
Correct Answer: D
Rationale: The correct answer is D: Assessing for symptoms of peritonitis. This intervention is crucial in managing a client with appendicitis because it indicates a possible rupture of the inflamed appendix. Symptoms of peritonitis include severe abdominal pain, fever, nausea, vomiting, and abdominal rigidity. Prompt recognition of these symptoms is essential for timely intervention and surgical management. Choices A, B, and C are incorrect because while assessing for pain is important, assessing for symptoms of peritonitis takes precedence due to the critical nature of appendicitis. Encouraging oral intake of clear fluids and providing discharge teaching are not immediate priorities in the management of a client with acute appendicitis.
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