Exhibits

Review H and P, nurse's note, laboratory results, and flow sheet.

Complete thee diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Small intestinal obstruction is indicated by the client’s abdominal distension, absence of bowel sounds, refusal to eat, and episodes of vomiting. The laboratory results show metabolic acidosis (HCO3 of 16 mEq), which can be associated with a bowel obstruction.
Placing a nasogastric tube helps decompress the stomach and relieve pressure caused by the obstruction, while giving IV fluids helps to prevent dehydration and electrolyte imbalances that can occur with vomiting and obstruction.
Monitoring signs and symptoms of dehydration is crucial as the client has been vomiting and may not be able to maintain adequate fluid intake. Monitoring temperature is also essential to detect any signs of infection or complications related to the obstruction.

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Correct Answer is D

Explanation

A. While H. pylori can be related to gastrointestinal issues, it is not the primary focus in pancreatitis management, and urine output is less critical than pancreatic enzyme levels.
B. Assessing bowel sounds and abdominal pain is important, but specific laboratory results provide more concrete information regarding the condition.
C. Chronic constipation and serum gastrin levels are not directly relevant to acute pancreatitis.
D. The severity of nausea and vomiting, along with serum amylase results, directly indicates the status of pancreatitis, as elevated amylase levels are typically associated with this condition. This information is vital for guiding treatment decisions.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

Hypoxia is a condition in which there is a deficiency of oxygen in the tissues, which is consistent with the client’s low oxygen saturation of 89% on room air and 97% on supplemental oxygen.
The diminished concentration of inhaled oxygen refers to the inadequate oxygen availability, which is a significant concern in pneumonia as it affects gas exchange in the lungs, leading to hypoxia.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Based on the information that the nurse has about the client, he likely has dropdownrelated todropdown

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

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