A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

Loose bowel movements.

Occult positive emesis.

Strong foul smelling flatus.

Report of poor night vision.

Answer and Explanation

The Correct Answer is B

B. Occult positive emesis refers to vomiting that occurs without the client's awareness, meaning that the vomitus may not be easily visible or readily apparent. Vomiting can lead to significant fluid loss and dehydration, which is particularly concerning in a client who has undergone a biliopancreatic diversion procedure (BDP).
A. Loose bowel movements may indicate gastrointestinal disturbances or malabsorption issues commonly seen after biliopancreatic diversion procedure (BDP). BDP involves rerouting a significant portion of the small intestine, which can affect digestion and absorption of nutrients and fluids.
C. Strong foul-smelling flatus may indicate bacterial overgrowth or malabsorption issues in the gastrointestinal tract, which can occur after BDP. While foul-smelling flatus can be uncomfortable and indicative of gastrointestinal disturbances, it may not require immediate intervention.
D. Poor night vision may suggest vitamin deficiencies, particularly deficiencies in fat-soluble vitamins such as vitamin A, which can occur after BDP due to reduced absorption of nutrients. While poor night vision should be addressed to prevent long-term complications, it may not pose an immediate threat to the client's health.

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Correct Answer is A

Explanation

A. Physical activity helps maintain overall health, including cardiovascular fitness, weight management, and hormonal balance, which may contribute to reducing the risk of BPH development or progression.
B. There is limited evidence to support their role in preventing or reducing the risk of BPH
C. Dietary factors such as overall calorie intake, fat consumption, and specific food choices may play a role in prostate health, but the relationship between protein intake and BPH risk is not well- established.
D. PSA testing is used for screening and monitoring prostate cancer, not BPH.

A. Calcium level and skin condition. B. Hematocrit and blood pressure. C. White blood cell count and pulse rate. D. Serum amylase and level of consciousness.

Correct Answer is B

Explanation

B. Changes in hematocrit (red blood cell count) and blood pressure can indicate potential complications or changes in the client's condition, such as internal bleeding or rupture of the aneurysm. Therefore, communicating hematocrit and blood pressure values would be important for the healthcare provider to assess in this situation.
A. While calcium level and skin condition are important aspects of overall health, they may not be directly relevant to the assessment of low back pain in a client with an abdominal aortic aneurysm. Therefore, this information may not be the most critical for the healthcare provider to assess in this specific situation.
C. These parameters are also important for assessing a client's condition, especially in the context of potential infection or systemic inflammation. However, they may not be directly related to the specific symptom of low back pain in a client with an abdominal aortic aneurysm. While changes in white blood cell count and pulse rate could indicate infection or other complications, they may not be the most critical information to communicate in this scenario.
D. While serum amylase levels and level of consciousness are important indicators of pancreatic function and neurological status, respectively, they may not be directly related to the symptom of low back pain in a client with an abdominal aortic aneurysm. Therefore, these parameters may not be the most critical information to communicate in this situation.

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A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?

Correct Answer is A

Explanation

The nurse calls the healthcare provider because a client diagnosed with an abdominal aortic aneurysm (AAA) is reporting low back pain. Which additional information about the client would be important for the nurse to tell the healthcare provider?

Correct Answer is B

Explanation

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