A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

keeping the client NPO.

measuring abdominal girth.

relieving pain with opioid narcotics.

administering fluid replacement therapy.

preparing the client for radiologic studies.

Answer and Explanation

Correct Answer : A,B,D,E

A.   Keeping the client NPO (nothing by mouth) helps to rest the gastrointestinal tract, reduces the risk of further obstruction, and prevents exacerbation of symptoms such as vomiting.
B.   Measuring abdominal girth is an important nursing assessment for a client with a possible small bowel obstruction. An increase in abdominal girth can indicate abdominal distension, which is a common sign of bowel obstruction.
C.   Severe abdominal pain is a common symptom of bowel obstruction, and opioids may be necessary to manage pain effectively. However, opioids should be used cautiously due to the risk of exacerbating bowel obstruction by reducing bowel motility.
D.   Fluid replacement therapy is important for clients with small bowel obstruction, especially if they are vomiting or have fluid loss due to intestinal secretions. Intravenous fluids may be administered to maintain hydration, correct electrolyte imbalances, and prevent dehydration.
E.   Radiologic studies, such as abdominal X-rays or computed tomography (CT) scans, are often used to confirm the diagnosis of small bowel obstruction and assess its severity.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

C. Chest pain is a common symptom of esophageal ulcers. The chest pain associated with esophageal ulcers can vary in intensity and may be described as burning, gnawing, or sharp. The pain may worsen with swallowing and may be relieved by antacids or other medications that reduce stomach acid.
A. Lower abdominal pain is not a common symptom of esophageal ulcers. Esophageal ulcers typically present with symptoms localized to the chest and upper abdomen, such as chest pain or epigastric discomfort.
B. Joint stiffness is not typically associated with esophageal ulcers. Joint stiffness may occur in conditions such as arthritis but is not a characteristic symptom of esophageal ulcers.
D. Frequent urination is not typically associated with esophageal ulcers. This symptom may be indicative of urinary tract infections, diabetes, or other urinary system disorders but is not directly related to esophageal ulcers.

A. Increased passage of gas and stool B. Enlarging abdominal girth C. Hyperactive bowel sounds D. Afebrile

Correct Answer is B

Explanation

B. Toxic megacolon is characterized by severe colonic dilation, leading to a significant increase in abdominal girth. As the colon becomes distended, it can cause visible abdominal swelling and bloating, which may be accompanied by tenderness upon palpation.
A. In the context of toxic megacolon, there may be a reduction or cessation of bowel movements due to colonic dilation and paralysis.
C. In toxic megacolon, bowel sounds may initially be hyperactive due to increased peristalsis as the colon attempts to overcome the obstruction. However, as the condition progresses, bowel sounds may diminish or become absent due to colonic dilation and paralysis.
D. While fever can be present in toxic megacolon due to the underlying inflammatory process, it is not universally seen in all cases.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of esophageal ulcers?

Correct Answer is C

Explanation

The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?

Correct Answer is B

Explanation

The nurse assesses a client admitted four hours ago with a diagnosis of diverticulitis. Which clinical manifestation must be reported immediately to the physician?

The nurse is caring for a client who has acute gastritis due to food poisoning. The client is experiencing nausea and vomiting. The nurse would question which of the following medications, if ordered?

The nurse educator is speaking with a community group about renal disorders. Which statement is appropriate for the educator to include regarding renal stones?

The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:

What symptoms would indicate to the nurse that the client receiving TPN is experiencing hyperglycemia?

The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She: