A client presents with a possible bowel obstruction, and the nurse completes a detailed abdominal assessment. Which of the following clinical manifestations are consistent with a large bowel obstruction? (Select all that apply).

Profuse vomiting with fecal odor

Epigastric abdominal distention

Intermittent abdominal cramping

Ribbon-like stools or diarrhea

Metabolic acidosis

Severe fluid and electrolyte imbalance

Answer and Explanation

Correct Answer : A,B,C,D,E,F

Choice A reason:Profuse vomiting with a fecal odor can occur in large bowel obstructions due to the backward flow of bowel contents.

Choice B reason:Epigastric abdominal distention is a common finding in bowel obstructions due to the accumulation of gas and fluids.

Choice C reason:Intermittent abdominal cramping results from the bowel's attempt to push contents through the obstructed area.

Choice D reason:Ribbon-like stools or diarrhea may occur if there is a partial obstruction allowing some contents to pass.

Choice E reason:Metabolic acidosis can develop due to the accumulation of lactic acid from tissue hypoxia and decreased perfusion.

Choice F reason:Severe fluid and electrolyte imbalance can result from vomiting and the inability to absorb fluids and nutrients properly.

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Correct Answer is B

Explanation

Choice A reason: Weight gain is not typically a direct cause of chronic pancreatitis. While obesity can be a risk factor for developing pancreatitis, it is not considered a primary cause.

Choice B reason: The use of alcohol is the most common cause of chronic pancreatitis. Long-term alcohol misuse can lead to the development of chronic pancreatitis, accounting for about 70% of cases³.

Choice C reason: Abdominal pain that is relieved with food or antacids is more indicative of conditions like peptic ulcers rather than chronic pancreatitis.

Choice D reason:Exposure to occupational chemicals has not been established as a primary cause of chronic pancreatitis. While certain toxins can affect the pancreas, they are not a common cause of chronic pancreatitis.

A. Atrial fibrillation B. Supraventricular tachycardia C. Asystole D. Ventricular fibrillation

Correct Answer is D

Explanation

Choice A reason:Atrial fibrillation is not typically treated with defibrillation; it is usually managed with medication or other forms of rhythm control.

Choice B reason:Supraventricular tachycardia does not usually require defibrillation; it may be treated with vagal maneuvers or medication.

Choice C reason:Asystole, or the absence of a heartbeat, is not treated with defibrillation as there is no electrical activity to reset.

Choice D reason:Ventricular fibrillation is a life-threatening heart rhythm that requires immediate defibrillation to restore a normal heart rhythm.

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A client presents with a possible bowel obstruction, and the nurse completes a detailed abdominal assessment. Which of the following clinical manifestations are consistent with a large bowel obstruction? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history for a client with chronic pancreatitis. Which of the following indicates the primary cause of the client's condition?

Correct Answer is B

Explanation

A nurse is teaching an ACLS class and is discussing heart rhythms and treatment. Which of the following rhythms would indicate the need for defibrillation?

Correct Answer is D

Explanation

The nurse would be most concerned about a prescription for a lipid emulsion for a client with which condition?

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