ATI MED SURG GASTROINTESTINAL LATEST ACTUAL EXAM TEST BANK 330 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIOANLES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI MED SURG GASTROINTESTINAL LATEST

2023-2024 ACTUAL EXAM TEST BANK 330

QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIOANLES (VERIFIED

ANSWERS) |ALREADY GRADED A+

The client with a history of peptic ulcer disease is admitted into the

intensive care department with frank gastric bleeding. Which priority

intervention should the nurse implement?

1. Maintain a strict record of intake and output.

2. Insert a nasogastric (N/G) tube and begin saline lavage.

3. Assist the client with keeping a detailed calorie count.

4. Provide a quiet environment to promote rest. - ANSWER- 2.

Rationale: Inserting a nasogastric tube and lavaging the stomach

with saline is the most important intervention because this directly

stops the bleeding.

The occupational health nurse is preparing a presentation to a group of

factory workers about preventing colon cancer. Which information

should be included in the presentation?

1. Wear a high-filtration mask when around chemicals.

2. Eat several servings of cruciferous vegetables daily.

3. Take a multiple vitamin every day.

4. Do not engage in high-risk sexual behaviors. - ANSWER- 2.

Rationale: Cruciferous vegetables, such as broccoli, cauliflower, and

cabbage, are high in fiber. One of the risks for cancer of the colon is

a high-fat, low-fiber, and high-protein diet. The longer the transit

time (the time from ingestion of the food to the elimination of the

waste products), the greater the chance of developing cancer of the

colon.

The nurse is admitting a client to a medical floor with a diagnosis of

adenocarcinoma of the rectosigmoid colon. Which assessment data

support this diagnosis?

1. The client reports up to 20 bloody stools per day.

2. The client has a feeling of fullness after a heavy meal.

3. The client has diarrhea alternating withconstipation.

4. The client complains of right lower quadrant pain. - ANSWER- 3.

Rationale: The most common symptom of colon cancer is a change

in bowel habits, specifically diarrhea alternating with constipation.

The 85-year-old male client diagnosed with cancer of the colon asks the

nurse, "Why did I get this cancer?" Which statement is the nurse's best

response?

1. "Research shows a lack of fiber in the diet can cause colon cancer."

2. "It is not common to get colon cancer at your age; it is usually in

young people."

3. "No one knows why anyone gets cancer, it just happens to certain

people."

4. "Women usually get colon cancer more often than men but not

always." - ANSWER- 1.

Rationale: A long history of low-fiber, high-fat, and high-protein

diets results in a prolonged transit time. This allows the carcinogenic

agents in the waste products to have a greater exposure to the lumen

of the colon.

The nurse is planning the care of a client who has had an abdominalperineal resection for cancer of the colon. Which interventions should

the nurse implement? Select all that apply.

1. Provide meticulous skin care to stoma.

2. Assess the flank incision.

3. Maintain the indwelling catheter.

4. Irrigate the (JP) drains every shift.

5. Position the client semi-recumbent. - ANSWER- 1,3,5.

Rationale: 1. Colostomy stomas are openings through the abdominal

wall into the colon, through which feces exit the body. Feces can be

irritating to the abdominal skin, so careful and thorough skin care is

needed.

3. Because of the perineal wound, the client will have an indwelling

catheter to keep urine out of the incision.

5. The client should not sit upright because this causes pressure on

the perineum.

The client who has had an abdominal perineal resection is being

discharged. Which discharge information should the nurse teach?

1. The stoma should be a white, blue, or purple color.

2. Limit ambulation to prevent the pouch from coming off.

3. Take pain medication when the pain level is a tan "8."

4. Empty the pouch when it is one-third to one-half full. - ANSWER- 4.

Rationale: The pouch should be emptied when it is one-third to onehalf full to prevent the contents from becoming too heavy for the

seal to hold and to prevent leakage from occurring.

The nurse caring for a client one (1) day postoperative sigmoid resection

notes a moderate amount of dark reddish brown drainage on the midline

abdominal incision. Which intervention should the nurse implement

first?

1. Mark the drainage on the dressing with the time and date.

2. Change the dressing immediately using sterile technique.

3. Notify the health-care provider immediately.

4. Reinforce the dressing with a sterile gauze pad. - ANSWER- 1.

Rationale: The nurse should mark the drainage on the dressing to

determine if active bleeding is occurring, because dark reddishbrown drainage indicates old blood. This allows the nurse to assess

what is actually happening.