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 B
Explanation
A) Incorrect. Being symptom-free for only 24 hours may not be sufficient to ensure full recovery from gastroenteritis.
B) Correct. It is important to wait until all symptoms, including diarrhea, vomiting, and abdominal pain, have completely resolved before returning to work to prevent the spread of infection.
C) Incorrect. Returning to work when only feeling slightly better may risk spreading the infection to others.
D) Incorrect. 48 hours of symptom improvement may not be sufficient to ensure full recovery from gastroenteritis. It is important to wait until all symptoms have completely resolved.
Correct Answer is C
Explanation
A) Incorrect. Elevating the head of the bed is not primarily related to improving blood circulation in the legs.
B) Incorrect. While good digestion is important, elevating the head of the bed primarily helps prevent the reflux of stomach acid into the esophagus.
C) Correct. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus, reducing the likelihood of acid reflux and heartburn.
D) Incorrect. Elevating the head of the bed is not typically associated with alleviating joint pain and stiffness.
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