Gastrointestinal System ATI

Gastrointestinal System ATI Related

Review Gastrointestinal System ATI related questions and content

Your patient with peritonitis is NPO and complaining of thirst. What is your priority?

  • A. Increase the I.V. infusion rate.
  • B. Use diversion activities.
  • C. Provide frequent mouth care.
  • D. Give ice chips every 15 minutes.
Correct Answer: C

Rationale: The correct answer is C: Provide frequent mouth care. In a patient with peritonitis who is NPO and thirsty, the priority is to maintain oral hygiene and provide comfort by moistening the mouth with frequent mouth care. This helps alleviate the sensation of thirst and maintains oral health. Increasing the IV infusion rate (choice A) may not address the patient's discomfort directly related to thirst. Using diversion activities (choice B) is not as critical as addressing the patient's immediate need for oral care. Giving ice chips every 15 minutes (choice D) is not recommended for a patient with peritonitis who is NPO, as it can lead to complications or worsen the condition.

You may also like to solve these questions

George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?

  • A. If there is any drainage, notify the surgeon immediately.
  • B. The drainage will decrease daily until the bile duct heals.
  • C. First, the drainage is dark green; then it becomes dark yellow.
  • D. If the drainage stops, milk the tube toward the puncture wound.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period, you expect the gastric secretions to be which color?

  • A. Brown.
  • B. Clear.
  • C. Red.
  • D. Yellow.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

You're patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What's your priority?

  • A. Ask the patient what happened, call the doctor, and cover the area with a water-soaked bedsheet.
  • B. Obtain vital signs, call the doctor, and obtain emergency orders.
  • C. Have a CAN hold the wound together while you obtain vital signs, call the doctor and flex the patient's knees.
  • D. Have the doctor called while you remain with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?

  • A. He has fresh, active upper GI bleeding.
  • B. He needs immediate saline gastric lavage.
  • C. His gastric bleeding occurred 2 hours earlier.
  • D. He needs a transfusion of packed RBCs.
Correct Answer: C

Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.

Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?

  • A. Peristalsis.
  • B. Gastric acidity.
  • C. Gastric motility.
  • D. Gastric pH.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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