ATI MedSurg Test Bank, Infectious Gastrointestinal Disorders 100% Correct Answers, Download to Score A
MULTIPLE CHOICE
1. In caring for a client diagnosed with a small bowel obstruction, what would the nurse expect to do first?
2.The nurse, instructing a client about malabsorption syndrome, shoul...
ATI MedSurg Test Bank, Infectious Gastrointestinal Disorders 100% Correct Answers, Download to Score A
MULTIPLE CHOICE
1. In caring for a client diagnosed with a small bowel obstruction, what would the nurse expect to do first?
1.Prepare to put in a nasogastric (NG) tube. 2.Give pain medication.
3.Draw lab work.
4.Start an intravenous (IV) line. ANS: 4
Starting an IV to give fluids and electrolytes would be the first step in caring for this client. Although an NG tube will be ordered, fluid balance is more important. Administering pain medication may make the problem worse. Drawing lab work would not be the first intervention needed for this client.
2.The nurse, instructing a client about malabsorption syndrome, should include that food is absorbed in the:
1.mouth.
2.bloodstream.
3.stomach.
4.small intestine.
ANS: 4 The mouth and stomach are used mostly for digestion. The small intestine is where most of the absorption of food nutrients occurs. Food is not directly absorbed into the bloodstream.
3.A client is diagnosed with appendicitis. One of the laboratory tests the nurse would expect to monitor would be:
1.serum sodium.
2.white blood cell (WBC) count. 3.hemoglobin (Hgb) and hematocrit (Hct). 4.bilirubin level.
ANS: 2 Infection often accompanies the inflammation of the appendix. The nurse would be looking for an elevated WBC count. Serum sodium, hemoglobin, hematocrit, and bilirubin levels are not necessarily indicated in the care of a client diagnosed with appendicitis.
4.When assessing the pain in a client diagnosed with appendicitis, the nurse would expect to assess: 1.extreme pain with slight palpation anywhere on the abdomen.
2.pain in the upper back when the right lower quadrant is palpated. 3.more pain when the pressure is released in the right lower quadrant. 4.no pain when the abdomen is palpated.
ANS: 3
Typically rebound pain is associated with appendicitis. Rebound pain is described as more pain when pressure is released than when pressure is applied. Appendicitis pain is not associated with pain anywhere on the abdomen upon slight palpation. Appendicitis pain is not typically assessed in the upper
back. Appendicitis is associated with pain.
5.A client is being evaluated for symptoms associated with diverticular disease. The nurse realizes that the best diagnostic test to be used to aid in this diagnosis would be:
1.computed tomography (CT) scan. 2.barium enema.
3.ultrasound.
4.x-ray study.
ANS: 1 A CT scan is the best method of detecting abscesses and complications evidenced in diverticulitis. Barium enema is contraindicated in acute diverticulitis because of the risk of contamination if there is an
existing perforation. An ultrasound or x-rays would not adequately diagnose the presence of the disorder.
6.An elderly client has noted blood in her stool for the past few months. Which information in the medical history would strongly suggest colorectal cancer?
1.Increased bouts of vomiting 2.Change in bowel habits 3.Recent infection in the blood 4.Decrease in appetite
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