A burse is assessing a client who is 3 days postoperative and has a nonmechanical obstruction of the small bowel. Which of the following findings should the nurse expect?

Metabolic acidosis

Hyperactive bowel sounds

Distended abdomen

Passing flatus

Answer and Explanation

The Correct Answer is C

A. Metabolic acidosis: Small bowel obstructions are more commonly associated with metabolic alkalosis due to loss of gastric contents from vomiting. Acidosis is less typical in the early stages of obstruction.
B. Hyperactive bowel sounds: In nonmechanical (paralytic ileus) obstruction, bowel sounds are usually absent or hypoactive, not hyperactive, due to lack of peristalsis. Hyperactive sounds are more typical in early mechanical obstruction.
C. Distended abdomen: Abdominal distention is a classic sign of bowel obstruction, resulting from gas and fluid accumulation above the site of obstruction. It is expected in both mechanical and nonmechanical types.
D. Passing flatus: The absence of flatus is common in bowel obstruction, as bowel movement is halted. Continued passage of flatus would suggest partial or resolving obstruction, not a typical finding in active nonmechanical obstruction.

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Correct Answer is A

Explanation

A. Ask the client if they would prefer a translator who is the same gender: Cultural sensitivity includes acknowledging gender preferences in healthcare interactions. Offering a choice respects the client’s values and supports effective, respectful communication.
B. Ask a nursing student who speaks the same language as the client to translate: Using untrained staff or students as interpreters can lead to errors or breaches in confidentiality. Only qualified medical interpreters should be used to ensure accuracy and professionalism.
C. Use a website with a ".com" URL to translate for the client: Online translation tools are not reliable for medical communication. They can lead to serious misunderstandings and are not appropriate for clinical use.
D. Request a family member of the client to translate: Family members may lack the language skills or medical knowledge to translate accurately and may filter or misinterpret information. This can compromise informed consent and patient safety.

A. The toddler should consume 3 meals and 2 snacks per day. B. The toddler should drink no more than 3 Cups Of fat-free milk each day. C. The toddler should consume 1500 calories per day by age 2. D. The toddler should be provided adult-size portions starting at 3 years of age.

Correct Answer is A

Explanation

A. The toddler should consume 3 meals and 2 snacks per day: Toddlers typically require small, frequent meals and snacks throughout the day to meet their nutritional needs and support their growth and energy levels.
B. The toddler should drink no more than 3 cups of fat-free milk each day: Fat-free milk is not recommended for toddlers under 2 years because they need dietary fat for brain development; whole milk is usually advised until age 2.
C. The toddler should consume 1500 calories per day by age 2: While caloric needs increase as the child grows, the average caloric requirement at 12 months is approximately 900 to 1000 calories; 1500 calories is more appropriate for older toddlers closer to 2 years.
D. The toddler should be provided adult-size portions starting at 3 years of age: Toddlers require smaller portion sizes than adults, and portion sizes should be age-appropriate; adult portions are generally too large and unnecessary at this age.

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A burse is assessing a client who is 3 days postoperative and has a nonmechanical obstruction of the small bowel. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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