ATI GASTROINTESTINAL EXAM
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ATI GASTROINTESTINAL EXAM
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,ATI GASRTOINTESTINAL
EXAM
VERSION 1
,A nurse is assessing a client who has peritonitis. Which of the following should the nurse expect?
A. Bloody diarrhea
B. Board-like abdomen
C. Periumbilical cyanosis
D. Increased bowel sounds B. Board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an
expected finding in a client who has peritonitis.
A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy. The
client asks the nurse why his blood is being drawn for a carcinoembryonic antigen (CEA) level.
Which of the following responses should the nurse make?
A. "The CEA determines the current stage of your colon cancer"
B. "The CEA determines the efficacy of your chemotherapy"
C. "The CEA determines if the neutrophil count is below the expected reference range"
D. "The CEA determines if you are experiencing occult bleeding from the GI tract"
B. "The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA
levels will decrease if the chemotherapy is effective.
A nurse is assessing a client who has appendicitis. Which of the following should the nurse
expect? (select all that apply)
A. Oral temperature 38.4 (101.1)
B. WBC 6000
C. Bloody diarrhea
D. Nausea and vomiting
E. RLQ pain A. Oral temperature 38.4 (101.1)
D. Nausea and vomiting
E. RLQ pain
Oral temperature 38.4° C (101.1° F) is correct. A low-grade temperature is an expected finding in
a client who has appendicitis.
WBC 6,000/mm3 is incorrect. A WBC of 10,000 to 18,000/mm3 is an expected finding in a
client who has appendicitis.
Bloody diarrhea is incorrect. Bloody diarrhea is an expected finding in a client who has
colorectal cancer.
Nausea and vomiting is correct. Nausea and vomiting are expected findings in a client who has
appendicitis.
Right lower quadrant pain is correct. Right lower quadrant pain is an expected finding in a client
who has appendicitis.
, A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy.
Which of the following foods should the nurse encourage the client to include in her diet to
prevent dumping syndrome?
A. Ice cream
B. Eggs
C. Grape juice
D. Honey B. Eggs
The nurse should instruct the client to increase dietary intake of protein-containing foods, such as
eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some
form of protein at each meal.
high sugar causes dumping
A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose.
The nurse should include which of the following instructions in the teaching?
A. Notify the provider if bloating occurs
B. Expect to have 2-3 soft stools per day
C. Restrict carbs
D. Limit oral intake to 1000mL/day of clear liquids B. Expect to have 2-3 soft stools per day
The purpose of administering lactulose is to promote the excretion of ammonia in the stool. The
nurse should instruct the client to take the medication every day and inform the client that two to
three bowel movements every day is the treatment goal.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the following
instructions should the nurse include in the teaching?
A. Begin drinking the oral liquid prep for bowel cleansing on the morning of the procedure
B. Drink full liquids for breakfast the day of the procedure, and then take nothing PO for 2 hr
before the procedure
C. Drink clear liquids for 24 hr prior to the procedure, and then NPO for 6 hr before the
procedure.
D. Drink the oral liquid prep for bowel cleansing slowly C. Drink clear liquids for 24 hr prior
to the procedure, and then NPO 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. Maintaining NPO status for 4 to 6 hr prior to the
colonoscopy preserves the bowel's cleansed state.
A nurse is assessing a client who has Crohn's disease. Which of the following findings should the
nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
C. Weight gain
D. Sharp epigastric pain A. Fatty diarrheal stools