ATI Lower GI System Practice Questions

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? a. Both are inflammatory b. Both begin in the rectum c. Both manifest fistula formation d. Both require frequent surgery

a. Both are inflammatory

A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? Select all that apply. a. Excessive laxative use b. Ignoring the urge to defecate c. Inadequate fluid intake d. Increased fiber in the diet e. Increased anxiety

a. Excessive laxative use b. Ignoring the urge to defecate c. Inadequate fluid intake

A nurse is planning care for a client who is postoperative and at risk for paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis? a. Increase ambulation. b. Decrease fluid intake. c. Increase protein intake. d. Offer the client the bedpan every 2 hours.

a. Increase ambulation.

A nurse caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? a. Lower left quadrant b. Upper left quadrant c. Lower right quadrant d. Upper right quadrant

a. Lower left quadrant

A nurse is caring for a client who is being admitted for an accurate exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? a. Review the client's electrolyte values. b. Check the client's perianal skin integrity. c. Investigate the client's emotional concerns. d. Obtain a dietary history from the client.

a. Review the client's electrolyte values.

A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following? a. Dilated pupils b. Dysrhythmias c. Diarrhea d. Gastric ulcer

b. Dysrhythmias

A nurse is assessing a client who returned to the unit 4 hours ago after a partial colectomy. Which of the following findings should the nurse attend to first? a. A moderately saturated dressing b. Report of severe incisional pain c. A distended bladder d. SaO2 of 95%

b. Report of severe incisional pain

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? a. Dietary iron restrictions b. Intestinal malabsorption syndrome c. Chronic blood loss d. Intestinal parasites

c. Chronic blood loss

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan? a. Soak in a sitz bath for 20 min after each stool. b. Administer a soap-suds enema to cleanse the colon. c. Cleanse with antimicrobial scrub and vigorously dry. d. Wipe perianal area with warm water and apply a barrier cream.

d. Wipe perianal area with warm water and apply a barrier cream.