ATI Elimination/ Urinary LATEST EXAMS TEST BANK 2023-2024 ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI Elimination/ Urinary LATEST EXAMS
TEST BANK 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client with recurrent kidney stones. The provider order several
diagnostic studies, including intravenous pyelogram (IVP), urine culture and sensitivity,
and strain all urine. The nurse needs to inquire further if the client states which of the
following? - CORRECT ANSWER "I never eat shellfish because they give me hives."
Rationale: Getting hives after eating shellfish is a likely indication of an allergy. The
contrast medium used for IVP dye is typically an iodine or shellfish derivative. A client
with sensitivity to iodine or shellfish may have an anaphylactic reaction after the contrast
material is injected.
Malabsorption - CORRECT ANSWER Usually occurs with small intestine disorders
Celiac disease
Lactose intolerance
Short bowel syndrome
Manifestations of Malabsorption
Anorexia, Abdominal bloating
Diarrhea: loose, bulky, foul-smelling stools
Steatorrhea (fatty stools)
Weight loss
Weakness, general malaise
Muscle cramps, bone pain
Abnormal bleeding, anemia
Management: Find and treat cause
Fecal Incontinence
Manifestations
Loss of voluntary control of defecation - CORRECT ANSWER Management: Directed
at cause
Measure to either reduce diarrhea or constipation
Exercises for pelvic floor muscle tone
Bowel retraining program
Establish daily routine for bowel evacuation
- Daily bowel evacuation time
- Glycerine suppository use (with care!)
- Caring, nonjudgmental manner
Irritable Bowel Syndrome (IBS)
Manifestations of IBS
Abdominal pain and tenderness, (Often in right lower quadrant) Intermittent and colicky
or dull and continuous, May be relieved by defecation, Alternating constipation and
diarrhea, (stool may contain mucus) Abdominal bloating and flatulence, Possible
nausea, vomiting
Management
History and Physical
Diagnostic tests: Stool specimen, Sigmoidoscopy Colonoscopy, Small-bowel series -
CORRECT ANSWER Treatment: Relieve symptoms, Reduce or eliminate precipitating
factors, Medications, Fluids, Fiber, Eliminate "trigger" foods
Nursing Care: Depends on the clients symptoms
Teaching, Symptoms are real, Discuss related factors, Relationship between stress and
manifestations, Stress reduction techniques, Psychological factors, Dietary influences,
Exercise, Dietary patterns, Notification of PCP with any changes, Fecal Incontinence
Constipation
Pathophysiology
Organic cause—tumor or partial bowel obstruction
Lifestyle and psychogenic causes
Habitual use of laxatives - CORRECT ANSWER Manifestations
Fecal impaction, Watery mucus, Full sensation in rectum with abdominal cramping
Management
Digital exam of rectum
Diagnostic tests
Dietary management
Medications
Enemas
Diarrhea
Increase in stool frequency
Increase in stool volume
Increase in stool looseness
NOT A DISEASE BUT A SYMPTOM
Pathophysiology
Result from impaired water absorption or increased water secretion into the bowel,
Increased water absorption: increased peristalsis or decreased bowel surface,
Increased water secretion: osmosis, infection, unabsorbed fat, medications - CORRECT
ANSWER Pathophysiology:
Manifestations
Depend on the cause, duration, severity, and area of bowel affected
Complications
Loss of water and electrolytes
Dehydration, hypovolemic shoc