Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Urine specific gravity 1.035.

Pain colicky in nature.

Serum sodium 132 mEq/L.

Frank blood in the N/G suction container.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

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Correct Answer is B

Explanation

Choice A rationale

Running for 15 minutes four times a week provides cardiovascular benefits but might not be enough duration or frequency for effective weight loss. While it helps in improving cardiovascular fitness, longer and more consistent activity is generally recommended for weight loss.

Choice B rationale

Walking for 30 minutes 5-7 days a week is an ideal cardiovascular exercise plan for weight loss. It is manageable, sustainable, and helps in burning calories effectively. Consistent, moderate-intensity exercise supports gradual and healthy weight loss.

Choice C rationale

Playing soccer for an hour every weekend provides cardiovascular benefits but is not frequent enough for sustained weight loss. Regular and more frequent exercise is necessary for effective and consistent weight loss results.

Choice D rationale

Lifting weights three times a week is excellent for building muscle and boosting metabolism but is not primarily a cardiovascular exercise. While important for overall fitness, combining it with aerobic activities like walking or running is essential for weight loss. .

A. Most nights I sleep in the family room recliner because I get short of breath lying flat. B. I have been waking up at night sweating and wet all over. C. Lately, I wake up at night with a burning feeling in my chest. D. I have been experiencing headaches immediately after eating. E. Immediately after eating I feel sleepy and want to go to bed.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Orthopnea, or shortness of breath when lying flat, is a classic symptom of heart failure. Patients often need to sleep in an elevated position to ease breathing, which indicates a potential worsening of heart function that needs urgent evaluation.

Choice B rationale

Night sweats and overall diaphoresis can be symptoms of myocardial infarction (heart attack) or other acute cardiac conditions. This requires prompt medical assessment to prevent further cardiac events or complications.

Choice C rationale

Nocturnal angina, or chest pain at night, can indicate a severe underlying cardiac issue such as unstable angina or coronary artery disease. This symptom warrants immediate cardiac evaluation to manage and mitigate potential risks.

Choice D rationale

Headaches after eating are not typically associated with cardiac issues but may relate to other conditions such as hypoglycemia or migraines. This symptom alone does not usually prompt immediate cardiac evaluation.

Choice E rationale

Postprandial somnolence, or sleepiness after eating, is generally not linked directly to cardiac status but rather to digestive or metabolic processes. This symptom is less likely to require urgent cardiac assessment. .

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Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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