A nurse is assessing a client with suspected gastroenteritis. Which finding would be most concerning and require immediate intervention?
Mild abdominal cramping and bloating.
Absence of bowel movements for 24 hours.
Blood in stool or dark, tarry stools.
Nausea and occasional vomiting.
The Correct Answer is C
A) Incorrect. Mild abdominal cramping and bloating are common symptoms of gastroenteritis and may not require immediate intervention.
B) Incorrect. While absence of bowel movements for 24 hours is concerning, it may not be an immediate emergency compared to other options.
C) Correct. The presence of blood in stool or dark, tarry stools indicates potential gastrointestinal bleeding, which requires immediate attention.
D) Incorrect. Nausea and occasional vomiting are common symptoms of gastroenteritis and may not be an immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Mild abdominal cramping and bloating are common symptoms of gastroenteritis and may not require immediate intervention.
B) Incorrect. While absence of bowel movements for 24 hours is concerning, it may not be an immediate emergency compared to other options.
C) Correct. The presence of blood in stool or dark, tarry stools indicates potential gastrointestinal bleeding, which requires immediate attention.
D) Incorrect. Nausea and occasional vomiting are common symptoms of gastroenteritis and may not be an immediate concern.
Correct Answer is B
Explanation
A) Incorrect. Avoiding fluids can lead to dehydration. It's important to maintain hydration, especially in cases of gastroenteritis.
B) Correct. Clear fluids like water, broth, and oral rehydration solutions help replace lost fluids and electrolytes, preventing dehydration.
C) Incorrect. Caffeinated beverages can lead to further dehydration due to their diuretic effect, so they should be avoided.
D) Incorrect. Fruit juices and carbonated beverages can exacerbate gastrointestinal symptoms and are not recommended during the acute phase of gastroenteritis.
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