ATI Gastrointestinal System

ATI Gastrointestinal System Related

Review ATI Gastrointestinal System related questions and content

The nurse develops a plan of care for a client with a T tube. Which one of the following nursing interventions should be included?

  • A. Inspect skin around the T tube daily for irritation.
  • B. Irrigate the T tube every 4 hours to maintain patency.
  • C. Maintain the client in a supine position while the T tube is in place.
  • D. Keep the T tube clamped except during mealtimes.
Correct Answer: A

Rationale: The correct nursing intervention to include in the plan of care for a client with a T tube is to inspect the skin around the T tube daily for irritation. Bile is erosive and can cause skin irritation, so it is crucial to keep the skin clean and dry. T tubes are not routinely irrigated; irrigation is done only with a physician's order. It is unnecessary to maintain the client in a supine position; instead, assist the client into a position of comfort. T tubes are not typically clamped unless ordered by a physician, and if clamped, it is usually done 1 to 2 hours before and after meals.

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A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:

  • A. Decreases food absorption in the stomach
  • B. Heals the gastric mucosa
  • C. Halts stress reactions
  • D. Reduces the stimulus to acid secretions
Correct Answer: D

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

The nurse is evaluating the plan of care for a client with peptic ulcer disease with a nursing diagnosis of Acute Pain. The nurse would determine that the client has not met the expected outcomes if the client states

  • A. That pain is relieved with histamine H2 receptor antagonists.
  • B. That irritating foods have been eliminated from the diet.
  • C. The client is being awakened at 2 AM with heartburn.
  • D. The client has absence of pain before meals.
Correct Answer: C

Rationale: Expected outcomes for the client with peptic ulcer disease experiencing pain include elimination of irritating foods from the diet, ability to take prescribed medications that will reduce pain, reporting that the pain is relieved or prevented with medication, and an ability to sleep through the night without pain. The client who continues to be awakened by pain requires further modification of medication therapy, which may include adjustment of timing of histamine H2 receptor antagonist or an additional dose of antacid before the time when pain awakens the client.

The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?

  • A. Vitamin A
  • B. Vitamin B12
  • C. Vitamin C
  • D. Vitamin E
Correct Answer: B

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

The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client's daily care?

  • A. Assess the oral cavity each time mouth care is given and record observations
  • B. Use a soft toothbrush to brush the client's teeth after each meal
  • C. Swab the client's tongue, gums, and lips with a soft foam applicator every 2 hours.
  • D. Rinse the client's mouth with mouthwash several times a day.
Correct Answer: C

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

Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?

  • A. Administration of antibiotics
  • B. Assessment for complications
  • C. Preparation for lithotripsy
  • D. Preparation for surgery
Correct Answer: B

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

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