The nurse is caring for an older adult in the medical-surgical unit:

84-year-old female was admitted to the medical-surgical unit with a three-day history of abdominal pain, distention, nausea, and persistent vomiting. She reports that she has not had a bowel movement in five days and has no appetite.

Exhibits

Which of the following findings are consistent with a small bowel obstruction: Select all that apply.

Right lower quadrant abdominal pain

Fever

Nausea and vomiting

Unable to pass stool

distended abdomen

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale: Small bowel obstructions typically present with diffuse, crampy abdominal pain rather than localized pain in the right lower quadrant.

Choice B rationale: While fever can be present in some cases, it's not a consistent finding with small bowel obstruction unless there's perforation.

Choice C rationale: Common symptoms of small bowel obstruction due to the buildup of contents proximal to the obstruction.

Choice D rationale: A key feature of small bowel obstruction due to the blockage preventing normal bowel movements.

Choice E rationale: Accumulation of gas and fluid above the obstruction causes abdominal distention.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale: This is a condition that causes scar tissue to form in the penis, resulting in abnormal curvature, pain, and erectile dysfunction.

Choice B rationale: Hypospadias is a congenital defect in which the opening of the urethra is on the underside of the penis, not at the tip.

Choice C rationale: Phimosis is a condition in which the foreskin of the penis cannot be retracted fully, leading to inflammation and infection.

Choice D rationale: Orchitis is an inflammation of one or both testicles, usually caused by an infection.

A. Increased heart rate B. Increased urine production C. Increased mental alertness D. Increased breath sounds

Correct Answer is A

Explanation

Choice A rationale: This is because removing a large amount of fluid from the abdominal cavity can cause a sudden decrease in intra-abdominal pressure, which can lead to hypovolemia and hypotension. The body compensates by increasing the heart rate to maintain cardiac output and perfusion.

Choice B rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice C rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice D rationale: This is not directly related to paracentesis and may indicate other conditions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

Correct Answer is A

Explanation

The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Correct Answer is A

Explanation

The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

ADH release from the posterior pituitary is stimulated by which process?

In caring for a client with a fracture of the femur, the nurse should be alert for compartment syndrome. What symptom is characteristic of this complication?

The nurse is caring for a client with multiple traumas after a motor vehicle collision. The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

Which of the following patients is most likely experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?

A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority before offering oral intake?

For which client with severe migraine headaches would the nurse question an order for sumatriptan?

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?