ATI Gastrointestinal Revision Guide 2021

ATI Gastrointestinal Revision Guide 2021

A nurse is assessing a client who has peritonitis. Which of the following should the nurse expect?

A.  Bloody diarrhea

B.  Board-like abdomen

C.  Periumbilical cyanosis

D.  Increased bowel sounds     B. Board-like abdomen

A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an expected finding in a client who has peritonitis.

A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy. The client asks the nurse why his blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make?

A. "The CEA determines the current stage of your colon cancer" B. "The CEA determines the efficacy of your chemotherapy"

C. "The CEA determines if the neutrophil count is below the expected reference range"

D. "The CEA determines if you are experiencing occult bleeding from the GI tract"           B. "The CEA determines the efficacy of your chemotherapy"

A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels will decrease if the chemotherapy is effective.

A nurse is assessing a client who has appendicitis. Which of the following should the nurse expect? (select all that apply)

A.  Oral temperature 38.4 (101.1)

B.  WBC 6000

C.  Bloody diarrhea

D.  Nausea and vomiting

E.  RLQ pain    A. Oral temperature 38.4 (101.1)

D. Nausea and vomiting

E. RLQ pain