What can cause a functional bowel obstruction?
Inguinal hernias
Surgical scar tissue
Tumor of the intestine
Spinal cord injury
The Correct Answer is D
A. Inguinal hernias: Inguinal hernias can cause a mechanical bowel obstruction by physically trapping a segment of the intestine. This is a structural cause, not a functional obstruction, because the bowel is blocked by an anatomical barrier.
B. Surgical scar tissue: Adhesions from prior surgery are a common cause of mechanical bowel obstruction. Scar tissue creates physical constriction or kinking of the intestines, preventing the passage of contents.
C. Tumor of the intestine: An intestinal tumor can physically block the lumen, leading to mechanical obstruction. Tumors create a tangible barrier rather than impairing bowel motility, so this is not a functional obstruction.
D. Spinal cord injury: Functional, or paralytic, bowel obstruction occurs when the nerves controlling intestinal motility are impaired. Spinal cord injury can disrupt autonomic and enteric nervous system signaling, causing the intestines to stop propelling contents despite no physical blockage, leading to a functional obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Phantom pain:Phantom pain is perceived in a body part that has been amputated or is no longer physically present. It originates from neural changes rather than actual tissue injury in skin, muscle, or joints.
B. Visceral pain:Visceral pain arises from internal organs, such as the stomach, intestines, or liver. It is often poorly localized, described as deep, pressure-like, or cramping, and is not associated with musculoskeletal structures.
C. Ischemic pain:Ischemic pain results from reduced blood flow to tissues, such as during myocardial infarction or peripheral artery disease. It can affect muscles or organs but is specifically related to oxygen deprivation, not general somatic tissue pain.
D. Somatic pain:Somatic pain originates from the skin, muscles, bones, and joints. It is usually well localized and described as sharp, aching, or throbbing, reflecting direct activation of nociceptors in musculoskeletal or cutaneous tissues.
Correct Answer is D
Explanation
A. Blood vessels become damaged in the brain and interrupt blood flow:This describes vascular dementia, where cerebrovascular damage leads to reduced perfusion and cognitive decline. Alzheimer’s disease, however, is not primarily caused by vascular obstruction.
B. Abnormal tau proteins that damage the frontal lobe:While tau protein abnormalities contribute to Alzheimer’s disease, the frontal lobe is less prominently affected in early stages. Tau tangles primarily accumulate in the hippocampus and temporal lobes, affecting memory and learning first.
C. Repeated traumatic brain injuries causing encephalopathy:Chronic traumatic encephalopathy results from repeated head trauma and is distinct from Alzheimer’s disease. The etiology, affected brain regions, and proteinopathies differ between the two conditions.
D. Amyloid plaques and tau tangles that damage the hippocampus:Alzheimer’s disease is characterized by extracellular amyloid-beta plaque accumulation and intracellular tau protein tangles. These pathological changes disrupt synaptic communication and neuronal function, particularly in the hippocampus, leading to progressive memory loss and cognitive decline.
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