The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

Flank pain

Watery diarrhea

Fecal vomiting

Occult blood in the stool

Answer and Explanation

The Correct Answer is C

Choice A rationale
Flank pain is not typically associated with a bowel obstruction. It is more commonly associated with kidney problems.
Choice B rationale
Watery diarrhea is not typically a symptom of bowel obstruction. Bowel obstruction usually causes constipation and inability to pass gas or stool.
Choice C rationale
Fecal vomiting is a serious symptom that can occur in severe cases of bowel obstruction. It indicates a significant blockage in the digestive tract that needs immediate medical attention.
Choice D rationale
Occult blood in the stool can be a symptom of many conditions, including bowel obstruction. However, it is not the most concerning symptom in this context.

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Correct Answer is C

Explanation

Choice A rationale
While a sore throat can be a side effect of an upper endoscopy, it is not the priority for monitoring after the procedure.
Choice B rationale
Abdominal bloating can occur after an upper endoscopy, but it is not the priority for monitoring.
Choice C rationale
Monitoring the return of the gag reflex is a priority after an upper endoscopy. The gag reflex may be impaired due to the use of local anesthetics during the procedure. An impaired gag reflex increases the risk of aspiration.
Choice D rationale
Belching can occur after an upper endoscopy, but it is not the priority for monitoring

A. Clear liquid diet. B. Nasogastric tube insertion. C. Intravenous antibiotics. D. Strict intake and output monitoring.

Correct Answer is A

Explanation

Choice A rationale
A clear liquid diet may not provide adequate nutrition for a patient with peritonitis. Peritonitis, an inflammation of the peritoneum, can be caused by infection, including from bacteria or fungi, or by a rupture in the abdomen. It’s a serious condition that requires immediate treatment, often including antibiotics and surgery.
Choice B rationale
Nasogastric tube insertion can be a part of the management for peritonitis. It can help decompress the stomach and relieve symptoms such as nausea and vomiting.
Choice C rationale
Intravenous antibiotics are typically a part of the treatment plan for peritonitis, as the condition is often caused by an infection.
Choice D rationale
Strict intake and output monitoring is important in the management of peritonitis. It helps assess the patient’s fluid balance and response to treatment.

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The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

Correct Answer is C

Explanation

The nurse is reviewing the medical record of a patient with peritonitis. Which prescription should prompt the nurse to seek clarification from the gastroenterologist?

Correct Answer is A

Explanation

A nurse is assisting in the care of a patient who has cirrhosis of the liver with ascites. What action should the nurse take?

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