The nurse is assessing a client who has a large bowel obstruction. Which late clinical finding would the nurse expect?

Loops of large bowel become visibly outlined through the abdominal wall

Intense thirst, parched tongue and dry mucous membranes

Vomiting of bile-stained gastric contents

High-pitched, frequent bowel sounds

Answer and Explanation

The Correct Answer is A

A. Loops of large bowel become visibly outlined through the abdominal wall is a typical late clinical finding of a large bowel obstruction. In fact, visible loops of bowel through the abdominal wall may be observed in cases of a severe bowel obstruction, but it is not typically considered a late finding.

B. Intense thirst, parched tongue, and dry mucous membranes suggest dehydration, which can occur as a result of vomiting, decreased fluid intake, or fluid loss due to the obstruction. However, dehydration may occur earlier in the course of a bowel obstruction and may not be considered a late finding.
C. Vomiting in large bowel obstruction is commonly of fecal contents.
D. High-pitched, frequent bowel sounds is not a typical late clinical finding of a large bowel obstruction. Instead, bowel sounds are usually diminished or absent in cases of bowel obstruction due to decreased peristalsis beyond the site of obstruction.

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Correct Answer is B

Explanation

B. Abdominal pain and cramping are common symptoms of diverticular disease, particularly diverticulosis and diverticulitis. The pain is often located in the lower left abdomen and can range from mild to severe. Cramping may occur due to inflammation or spasms in the affected colon segment.
A. Frequent urination is not a common symptom of diverticular disease. Diverticular disease typically involves symptoms related to the gastrointestinal tract, such as abdominal pain, changes in bowel habits, and rectal bleeding.
C. Symptoms related to the chest are more commonly associated with cardiovascular or respiratory conditions rather than gastrointestinal conditions like diverticular disease.
D. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis or other inflammatory disorders.

A. amoxicillin. B. aspirin C. ranitidine D. pantoprazole

Correct Answer is B

Explanation

B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastric mucosa and exacerbate gastritis symptoms, including nausea and vomiting. Therefore, aspirin would be contraindicated in a client with acute gastritis, especially if they are experiencing nausea and vomiting.
A. Amoxicillin is an antibiotic commonly used to treat bacterial infections associated with gastritis or peptic ulcers. Therefore, amoxicillin would generally be an appropriate medication for treating gastritis if the underlying cause is bacterial infection.
C. Ranitidine helps alleviate symptoms such as heartburn and indigestion by reducing stomach acid production.
D. Pantoprazole is a proton pump inhibitor (PPI) that is commonly used to treat gastric acid-related disorders, including gastritis and gastroesophageal reflux disease (GERD).

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The nurse is assessing a client who has a large bowel obstruction. Which late clinical finding would the nurse expect?

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